IA_PSPA_16Patient Safety and Practice Assessment

Use decision support—ideally platform-agnostic, interoperable clinical decision support (CDS) tools —and standardized treatment protocols to manage workflow on the care team to meet patient needs

2026 MIPS Improvement Activities

At a glance
Activity ID
IA_PSPA_16
Subcategory
Patient Safety and Practice Assessment
Category
Improvement Activities

Objective

Help eligible clinicians align diagnoses and treatment plans with up-to-date, evidence-based standards and guidelines as part of routine care, thus improving the appropriateness of the care they provide and the health outcomes of their patients.

Activity description

Use decision support—ideally platform-agnostic, interoperable clinical decision support (CDS) tools—and standardized treatment protocols to manage workflow on the care team to meet patient needs. Clinicians should focus on utilizing open-source, freely available, interoperable CDS in completing the requirements of this activity.

Suggested documentation

Documented use of decision support and standardized treatment protocols and/or platform-agnostic, interoperable clinical decision support (CDS) tools to manage team workflows to meet patient needs. Include the following element:

1) Use of decision support and standardized treatment protocols and/or platform-agnostic, interoperable clinical decision support (CDS) tools – Documentation (e.g., checklist, order set, algorithm, screenshot) demonstrating use of decision support and standardized treatment protocols and/or platform-agnostic, interoperable clinical decision support (CDS) tools to manage team workflows to meet patient needs. May include use of artificial intelligence/machine learning.

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