Percentage of patients who died from cancer receiving systemic cancer-directed therapy in the last 14 days of life.
Specialty: Oncology
Percentage of Patients Who Died from Cancer Admitted to Hospice for Less than 3 days (lower score – better)
Percentage of patients who died from cancer, and admitted to hospice and spent less than 3 days there.
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring clinician receives a report from the clinician to whom the patient was referred.
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
Percentage of patient visits for patients aged 18 years and older seen during the measurement period who were screened for high blood pressure AND a recommended follow-up plan is documented, as indicated, if blood pressure is elevated or hypertensive.
CAHPS for MIPs Clinician/Group Survey
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Clinician/Group Survey is comprised of 10 Summary Survey Measures (SSMs) and measures patient experience of care within a group practice. The CBE endorsement status and endorsement id (if applicable) for each SSM utilized in this measure are as follows:
• Getting Timely Care, Appointments, and Information; (Not endorsed by CBE)
• How well Providers Communicate; (Not endorsed by CBE)
• Patient’s Rating of Provider; (CBE endorsed # 0005)
• Access to Specialists; (Not endorsed by CBE)
• Health Promotion and Education; (Not endorsed by CBE)
• Shared Decision-Making; (Not endorsed by CBE)
• Health Status and Functional Status; (Not endorsed by CBE)
• Courteous and Helpful Office Staff; (CBE endorsed # 0005)
• Care Coordination; (Not endorsed by CBE)
• Stewardship of Patient Resources. (Not endorsed by CBE)
Radical Prostatectomy Pathology Reporting
Percentage of radical prostatectomy pathology reports that include the pT category, the pN category, the Gleason score and a statement about margin status.
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 12 years and older who were screened for tobacco use one or more times during the measurement period AND who received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period if identified as a tobacco user.
Use of High-Risk Medications in Older Adults
Percentage of patients 65 years of age and older who were ordered at least two high-risk medications from the same drug class.
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of or up to two days after the date of the qualifying encounter.
Oncology: Medical and Radiation – Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified.