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IA Measures

For 2022, CMS has approved a list of 106 IAs. CMS has modified 15 of current IAs, 11 of which address health equity and added 7 new IA’s, 3 of which are related to promoting health equity. 6 of the previously adopted IA’s have been removed for 2022

IA Subcategories
Activity Weighting
Activity Weighting

IA_AHE_1 Enhance Engagement of Medicaid and Other Underserved Populations

Description:

To improve responsiveness of care for Medicaid and other underserved patients: use time-to-treat data (i.e., data measuring the time between clinician identifying a need for an appointment and the patient having a scheduled appointment) to identify patterns by which care or engagement with Medicaid patients or other groups of underserved patients has not achieved standard practice guidelines; and with this information, create, implement, and monitor an approach for improvement. This approach may include screening for patient barriers to treatment, especially transportation barriers, and providing resources to improve engagement (e.g., state Medicaid non-emergency medical transportation benefit).
  • Subcategory Name:

    Achieving Health Equity
  • Activity Weighting:

    High

IA_AHE_3 Promote Use of Patient-Reported Outcome Tools

Description:

Demonstrate performance of activities for employing patient-reported outcome (PRO) tools and corresponding collection of PRO data such as the use of PHQ-2 or PHQ-9, PROMIS instruments, patient reported Wound-Quality of Life (QoL), patient reported Wound Outcome, and patient reported Nutritional Screening.
  • Subcategory Name:

    Achieving Health Equity
  • Activity Weighting:

    High

IA_AHE_5 MIPS Eligible Clinician Leadership in Clinical Trials or CBPR

Description:

Lead clinical trials, research alliances, or community-based participatory research (CBPR) that identify tools, research, or processes that focus on minimizing disparities in healthcare access, care quality, affordability, or outcomes. Research could include addressing health-related social needs like food insecurity, housing insecurity, transportation barriers, utility needs, and interpersonal safety.
  • Subcategory Name:

    Achieving Health Equity
  • Activity Weighting:

    Medium

IA_AHE_6 Provide Education Opportunities for New Clinicians

Description:

MIPS eligible clinicians acting as a preceptor for clinicians-in-training (such as medical residents/fellows, medical students, physician assistants, nurse practitioners, or clinical nurse specialists) and accepting such clinicians for clinical rotations in community practices in small, underserved, or rural areas.
  • Subcategory Name:

    Achieving Health Equity
  • Activity Weighting:

    High

IA_AHE_7 Comprehensive Eye Exams

Description:

To receive credit for this activity, MIPS eligible clinicians must promote the importance of a comprehensive eye exam, which may be accomplished by any one or more of the following:
  • Subcategory Name:

    Achieving Health Equity
  • Activity Weighting:

    Medium

IA_AHE_8 Create and Implement an Anti-Racism Plan

Description:

Create and implement an anti-racism plan using the CMS Disparities Impact Statement or other anti-racism planning tools. The plan should include a clinic-wide review of existing tools and policies, such as value statements or clinical practice guidelines, to ensure that they include and are aligned with a commitment to anti-racism and an understanding of race as a political and social construct, not a physiological one.The plan should also identify ways in which issues and gaps identified in the review can be addressed and should include target goals and milestones for addressing prioritized issues and gaps. This may also include an assessment and drafting of an organization
  • Subcategory Name:

    Achieving Health Equity
  • Activity Weighting:

    High

IA_AHE_9 Implement Food Insecurity and Nutrition Risk Identification and Treatment Protocols

Description:

Create or improve, and then implement, protocols for identifying and providing appropriate support to: a) patients with or at risk for food insecurity, and b) patients with or at risk for poor nutritional status. (Poor nutritional status is sometimes referred to as clinical malnutrition or undernutrition and applies to people who are overweight and underweight.) Actions to implement this improvement activity may include, but are not limited to, the following:
  • Subcategory Name:

    Achieving Health Equity
  • Activity Weighting:

    Medium