1. Improvement Activities

2. Improvement Activities Component
NEW requirement
Select from a list of 93 activities
Point system: Activities with assigned point values
10 points or 20 points
40 points for FULL CREDIT
Two to four activities
20 points for some rural and small practices
Attestation
Quality Payment Program
Improvement Activities

3. MIPS: Final Score Year 1 – Weight by Category
Quality Payment Program
Improvement Activities

4. Improvement Activities Component
List of 93 activities
Point system: Activities with assigned point values
10 points – medium value
20 points – high value
40 points for FULL CREDIT
Two to four activities
20 points for some rural and small practices
One to two activities
50 percent reduction in the requirement for FULL CREDIT
As compared with that in the Proposed Rule
Quality Payment Program
Improvement Activities

5. Improvement Activities Component
REPORTING of Improvement Activities for Year 1 of MIPS
Attestation
Traditional registries (registry reporting option)
Qualified Clinical Data Registries
Portal on CMS website
Quality Payment Program
Improvement Activities

6. Improvement Activities Component
High-Value (20 point) Activities
Use of a qualified clinical data registry (QCDR) to generate regular performance feedback
Consultation of a prescription drug monitoring program prior to issuance of a Controlled Substance Schedule II opioid prescription that lasts for longer than three days
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare
Quality Payment Program
Improvement Activities

7. Improvement Activities Component
Medium-Value (10 point) Activities
Participation in a QCDR, clinical data registry, or other registry run by a government agency or private entity, such as a hospital or a medical or surgical society
Provision of specialist reports back to referring providers to close the referral loop
Bilateral exchange of necessary patient information to guide patient care that could include participation in a health information exchange or use of structured referral notes
Quality Payment Program
Improvement Activities

8. Improvement Activities Component
Medium-Value (10 point) Activities
Participation in Maintenance of Certification Part IV
Annual registration by eligible clinician or group in the PDMP of state where they practice
Use of evidence-based decision aids to support shared decision-making
Use of tools that assist specialty practices in tracking specific measures that are meaningful to practice, such as the Surgical Risk Calculator
Quality Payment Program
Improvement Activities

9. Improvement Activities Component
NEW requirement
Select from a list of 93 activities
Activities with assigned point values
40 points for FULL CREDIT
Two to four activities
Attestation
15 percent of final score
Quality Payment Program
Improvement Activities