List of Core Measures

MIPS Core Measures

Review and select the core measures that best fit your practice.

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List of Core Measures

Acute Otitis Externa (AOE): Topical Therapy
ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication

Adherence to Antipsychotic Medications For Individuals with Schizophrenia

Adult Kidney Disease: Blood Pressure Management

Adult Kidney Disease: Catheter Use at Initiation of Hemodialysis

Adult Kidney Disease: Catheter Use for Greater Than or Equal to 90 Days

Adult Kidney Disease: Referral to Hospice

Adult Major Depressive Disorder (MDD): Coordination of Care of Patients with Specific Comorbid Conditions

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery

Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery

Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse)

Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)

Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)

Age Appropriate Screening Colonoscopy

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

All-cause Hospital Readmission

Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences

Anastomotic Leak Intervention

Anesthesiology Smoking Abstinence

Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users

Anti-Depressant Medication Management

Appropriate Assessment of Retrievable Inferior Vena Cava (IVC) Filters for Removal

Appropriate Follow-up Imaging for Incidental Abdominal Lesions

Appropriate Follow-up Imaging for Incidental Thyroid Nodules in Patients

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients

Appropriate Testing for Children with Pharyngitis

Appropriate Treatment for Children with Upper Respiratory Infection (URI)

Appropriate Treatment of Methicillin-Sensitive Staphylococcus Aureus (MSSA) Bacteremia

Appropriate Workup Prior to Endometrial Ablation

Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy

Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis

Barrett's Esophagus

Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma: Biopsy Reporting Time - Pathologist to Clinician

Biopsy Follow-Up

Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use

Breast Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade

Breast Cancer Screening

CAHPS for MIPS Clinician/Group Survey

Cardiac Rehabilitation Patient Referral from an Outpatient Setting

Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low Risk Surgery Patients

Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI)

Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients

Care Plan

Cataract Surgery with Intra-Operative Complications (Unplanned Rupture of Posterior Capsule Requiring Unplanned Vitrectomy)

Cataract Surgery: Difference Between Planned and Final Refraction

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures

Cataracts: Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery

Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery

Cervical Cancer Screening

Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment

Childhood Immunization Status

Children Who Have Dental Decay or Cavities

Chlamydia Screening and Follow Up

Chlamydia Screening for Women

Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation

Clinical Outcome Post Endovascular Stroke Treatment

Closing the Referral Loop: Receipt of Specialist Report

Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use

Colorectal Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade

Colorectal Cancer Screening

Communication with the Physician or Other Clinician Managing On-going Care Post-Fracture for Men and Women Aged 50 Years and Older

Controlling High Blood Pressure

Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate

Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure

Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery

Coronary Artery Bypass Graft (CABG): Prolonged Intubation

Coronary Artery Bypass Graft (CABG): Stroke

Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration

Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery

Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%)

Coronary Artery Disease (CAD): Antiplatelet Therapy

Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)

Dementia: Caregiver Education and Support

Dementia: Cognitive Assessment

Dementia: Counseling Regarding Safety Concerns

Dementia: Functional Status Assessment

Dementia: Management of Neuropsychiatric Symptoms

Dementia: Neuropsychiatric Symptom Assessment

Depression Remission at Six Months

Depression Remission at Twelve Months

Depression Utilization of the PHQ-9 Tool

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear

Diabetes: Eye Exam

Diabetes: Foot Exam

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Diabetes: Medical Attention for Nephropathy

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy

Documentation of Current Medications in the Medical Record

Documentation of Signed Opioid Treatment Agreement

Door to Puncture Time for Endovascular Stroke Treatment

Elder Maltreatment Screen and Follow-Up Plan

Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older

Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years

Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy

Evaluation or Interview for Risk of Opioid Misuse

Falls: Plan of Care

Falls: Risk Assessment

Falls: Screening for Future Fall Risk

Follow-Up After Hospitalization for Mental Illness (FUH)

Functional Outcome Assessment

Functional Status Assessment for Total Hip Replacement

Functional Status Assessment for Total Knee Replacement

Functional Status Assessments for Congestive Heart Failure

Functional Status Change for Patients with Elbow, Wrist or Hand Impairments

Functional Status Change for Patients with Foot or Ankle Impairments

Functional Status Change for Patients with General Orthopaedic Impairments

Functional Status Change for Patients with Hip Impairments

Functional Status Change for Patients with Knee Impairments

Functional Status Change for Patients with Lumbar Impairments

Functional Status Change for Patients with Shoulder Impairments

Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry

Hematology: Multiple Myeloma: Treatment with Bisphosphonates

Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow

Hematology: Myelodysplastic Syndrome (MDS): Documentation of Iron Stores in Patients Receiving Erythropoietin Therapy

Hepatitis C: Discussion and Shared Decision Making Surrounding Treatment Options

Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis

HER2 Negative or Undocumented Breast Cancer Patients Spared Treatment with HER2-Targeted Therapies

HIV Medical Visit Frequency

HIV Viral Load Suppression

HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis

HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis

HRS-12: Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation

HRS-3: Implantable Cardioverter-Defibrillator (ICD) Complications Rate

HRS-9: Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision

Hypertension: Improvement in Blood Pressure

Image Confirmation of Successful Excision of Image-Localized Breast Lesion

Immunizations for Adolescents

Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy

Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury - Bone Loss Assessment

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

KRAS Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who receive Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibody Therapy

Lung Cancer Reporting (Biopsy/Cytology Specimens)

Lung Cancer Reporting (Resection Specimens)

Maternal Depression Screening

Maternity Care: Elective Delivery or Early Induction Without Medical Indication at >= 37 and < 39 Weeks (Overuse)

Maternity Care: Post-Partum Follow-Up and Care Coordination

Medication Management for People with Asthma

Medication Reconciliation Post-Discharge

Melanoma Reporting

Melanoma: Continuity of Care - Recall System

Melanoma: Coordination of Care

Melanoma: Overutilization of Imaging Studies in Melanoma

 
Non-Recommended Cervical Cancer Screening in Adolescent Females
Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy

Oncology: Medical and Radiation - Pain Intensity Quantified

Oncology: Medical and Radiation - Plan of Care for Pain

Oncology: Radiation Dose Limits to Normal Tissues

One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk

Operative Mortality Stratified by the Five STS-EACTS Mortality Categories

Opioid Therapy Follow-up Evaluation

Optimal Asthma Control

Optimizing Patient Exposure to Ionizing Radiation: Appropriateness: Follow-up CT Imaging for Incidentally Detected Pulmonary Nodules According to Recommended Guidelines

Optimizing Patient Exposure to Ionizing Radiation: Computed Tomography (CT) Images Available for Patient Follow-up and Comparison Purposes

Optimizing Patient Exposure to Ionizing Radiation: Count of Potential High Dose Radiation Imaging Studies: Computed Tomography (CT) and Cardiac Nuclear Medicine Studies

Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry

Optimizing Patient Exposure to Ionizing Radiation: Search for Prior Computed Tomography (CT) Studies Through a Secure, Authorized, Media-Free, Shared Archive

Optimizing Patient Exposure to Ionizing Radiation: Utilization of a Standardized Nomenclature for Computed Tomography (CT) Imaging Description

Osteoarthritis (OA): Function and Pain Assessment

Osteoporosis Management in Women Who Had a Fracture

Overuse Of Neuroimaging For Patients With Primary Headache And A Normal Neurological Examination

Pain Assessment and Follow-Up

Pain Brought Under Control Within 48 Hours

Parkinson's Disease: Cognitive Impairment or Dysfunction Assessment

Parkinson's Disease: Parkinson's Disease Medical and Surgical Treatment Options Reviewed

Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease

Parkinson's Disease: Rehabilitative Therapy Options

Patient-Centered Surgical Risk Assessment and Communication

Patients with Metastatic Colorectal Cancer and KRAS Gene Mutation Spared Treatment with Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibodies

Pediatric Kidney Disease: Adequacy of Volume Management

Pediatric Kidney Disease: ESRD Patients Receiving Dialysis: Hemoglobin Level < 10 g/dL

Pelvic Organ Prolapse: Preoperative Assessment of Occult Stress Urinary Incontinence

Pelvic Organ Prolapse: Preoperative Screening for Uterine Malignancy

Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury

Perioperative Anti-platelet Therapy for Patients Undergoing Carotid Endarterectomy

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin

Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)

Perioperative Temperature Management

Persistence of Beta-Blocker Treatment After a Heart Attack

Photodocumentation of Cecal Intubation

Pneumococcal Vaccination Status for Older Adults

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU)

Pregnant women that had HBsAg testing

Preoperative Diagnosis of Breast Cancer

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections

Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Preventive Care and Screening: Influenza Immunization

Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

Proportion Admitted to Hospice for less than 3 days

Proportion Admitted to the Intensive Care Unit (ICU) in the Last 30 Days of Life

Proportion Not Admitted To Hospice

Proportion of Patients Sustaining a Bladder Injury at the Time of any Pelvic Organ Prolapse Repair

Proportion of Patients Sustaining a Bowel Injury at the time of any Pelvic Organ Prolapse Repair

Proportion of Patients Sustaining a Ureter Injury at the Time of any Pelvic Organ Prolapse Repair

Proportion of Patients who Died from Cancer with more than One Emergency Department Visit in the Last 30 Days of Life

Proportion Receiving Chemotherapy in the Last 14 Days of Life

Prostate Cancer: Adjuvant Hormonal Therapy for High Risk or Very High Risk Prostate Cancer

Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients

Psoriasis: Clinical Response to Oral Systemic or Biologic Medications

Quality of Life Assessment For Patients With Primary Headache Disorders

Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Radical Prostatectomy Pathology Reporting

Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy

Radiology: Inappropriate Use of "Probably Benign" Assessment Category in Screening Mammograms

Radiology: Reminder System for Screening Mammograms

Radiology: Stenosis Measurement in Carotid Imaging Reports

Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2)

Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home by Post-Operative Day #2)

Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) Who Die While in Hospital

Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post Operative Day #2)

Rate of Open Repair of Small or Moderate Abdominal Aortic Aneurysms (AAA) Where Patients Are Discharged Alive

Rate of Open Repair of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #7)

Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Artery Stenting (CAS)

Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Endarterectomy (CEA)

Rate of Surgical Conversion from Lower Extremity Endovascular Revascularization Procedure

Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness

Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure

Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis

Rheumatoid Arthritis (RA): Functional Status Assessment

Rheumatoid Arthritis (RA): Glucocorticoid Management

Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity

Rheumatoid Arthritis (RA): Tuberculosis Screening

Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG)

Screening Colonoscopy Adenoma Detection Rate

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Sentinel Lymph Node Biopsy for Invasive Breast Cancer

Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy

Sleep Apnea: Assessment of Sleep Symptoms

Sleep Apnea: Positive Airway Pressure Therapy Prescribed

Sleep Apnea: Severity Assessment at Initial Diagnosis

Statin Therapy at Discharge after Lower Extremity Bypass (LEB)

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

Stroke and Stroke Rehabilitation: Discharged on Antithrombotic Therapy

Stroke and Stroke Rehabilitation: Thrombolytic Therapy

Surgical Site Infection (SSI)

Tobacco Use and Help with Quitting Among Adolescents

Total Knee Replacement: Identification of Implanted Prosthesis in Operative Report

Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet

Total Knee Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy

Total Knee Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation

Trastuzumab Received By Patients With AJCC Stage I (T1c) - III And HER2 Positive Breast Cancer Receiving Adjuvant Chemotherapy

Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier

Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain

Unplanned Hospital Readmission within 30 Days of Principal Procedure

Unplanned Reoperation within the 30 Day Postoperative Period

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older

Use of High-Risk Medications in the Elderly

Use of Imaging Studies for Low Back Pain

Varicose Vein Treatment with Saphenous Ablation: Outcome Survey

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents