IA_PSPA_34Patient Safety and Practice Assessment

Patient Safety in Use of Artificial Intelligence (AI)

2026 MIPS Improvement Activities

At a glance
Activity ID
IA_PSPA_34
Subcategory
Patient Safety and Practice Assessment
Category
Improvement Activities

Activity description

Develop a new data-collection field within patient safety reporting systems for AI-attributable events, which would include both actual harm as well as near misses. When an event is identified, a process to identify the cause and plan for future mitigation is documented. AI-attributable events are defined broadly to include not only automated or semi-automated devices, but any electronic tool that is being used to support clinical decision making.   

Suggested documentation

Develop a new data-collection field within patient safety reporting systems for AI-attributable events and establish a process to identify event causes and plans for future mitigation, including the following elements:

1. Evidence of a new data collection field within patient safety reporting systems for AI-attributable events; AND
2. A protocol for identifying actual harms (and, ideally, near misses) linked to AI tool/s being used to support clinical decision making; AND
3. A protocol to ensure any identified harms (and, ideally, near misses) are mitigated in the future.

Improvement Activity details reference the CMS Quality Payment Program and change each performance year. Confirm requirements against the official CMS pages before attesting.