Category: Quality Measures
CAHPS for MIPS SSM: Patient’s Rating of Provider
CAHPS for MIPS SSM: Access to Specialists
CAHPS for MIPS SSM: Health Promotion and Education
CAHPS for MIPS SSM: Shared Decision Making
CAHPS for MIPS SSM: Health Status and Functional Status
CAHPS for MIPS SSM: Care Coordination
CAHPS for MIPS SSM: Courteous and Helpful Office Staff
CAHPS for MIPS SSM: Stewardship of Patient Resources
Urinary Bladder Cancer: Complete Analysis and Timely Reporting
Percentage of urinary bladder carcinoma pathology reports that include the procedure, histologic tumor grade, histologic type, presence/absence of muscularis propria, presence/absence of lymphovascular invasion, and tumor extent.
AND
meet the maximum 2 business day turnaround time (TAT) requirement (Report Date – Accession Date is less than or equal to 2 business days).
INSTRUCTIONS: This measure has two performance rates that contribute to the overall performance score:
Stratum 1. Percent of cases for which all required data elements of the urinary bladder carcinoma pathology report are included.
Stratum 2. Percent of cases that meet the maximum 2 business day turnaround time.
The overall performance score submitted is a weighted average of:
(Performance rate 1 x 70%)+(Performance rate 2 x 30%)