IA_PSPA_13Patient Safety and Practice Assessment

Participation in Joint Commission Evaluation Initiative

2026 MIPS Improvement Activities

At a glance
Activity ID
IA_PSPA_13
Subcategory
Patient Safety and Practice Assessment
Category
Improvement Activities

Objective

Implement the Joint Commission’s Ongoing Professional Practice Evaluation with goal of identifying negative practice trends earlier.

Activity description

Participation in Joint Commission Ongoing Professional Practice Evaluation initiative.

Suggested documentation

Evidence of participation in the Joint Commission’s Ongoing Professional Practice Evaluation (OPPE) initiative. Include the following element:

1) Confirmation of participation – Documentation from Joint Commission's OPPE initiative confirming participation in its improvement program(s) (e.g., email or other communication).

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