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IA Measures

Improvement activities breakdown

Beneficiary Engagement

Activity Weighting
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IA_BE_1 Use of certified EHR to capture patient reported outcomes

Description:

To improve patient access, perform activities beyond routine care that enable capture of patient reported outcomes (for example, related to functional status, symptoms and symptom burden, health behaviors, or patient experience) or patient activation measures (that is, measures of patient involvement in their care) through use of certified electronic health record technology, and record these outcomes data for clinician review.
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_3 Engagement with QIN-QIO to implement self-management training programs

Description:

Engagement with a Quality Innovation Network-Quality Improvement Organization, which may include participation in self-management training programs such as diabetes.
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_4 Engagement of patients through implementation of improvements in patient portal

Description:

To receive credit for this activity, MIPS eligible clinicians must provide access to an enhanced patient/caregiver portal that allows users (patients or caregivers and their clinicians) to engage in bidirectional information exchange. The primary use of this portal should be clinical and not administrative. Examples of the use of such a portal include, but are not limited to: brief patient reevaluation by messaging; communication about test results and follow up; communication about medication adherence, side effects, and refills; blood pressure management for a patient with hypertension; blood sugar management for a patient with diabetes; or any relevant acute or chronic disease management.
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_5 Enhancements/regular updates to practice websites/tools that also include considerations for patients with cognitive disabilities

Description:

Enhancements and ongoing regular updates and use of websites/tools that include consideration for compliance with section 508 of the Rehabilitation Act of 1973 or for improved design for patients with cognitive disabilities. Refer to the CMS website on Section 508 of the Rehabilitation Act https://www.cms.gov/Research-Statistics-Data-and-Systems/CMS-Information-Technology/Section508/index.html?redirect=/InfoTechGenInfo/07_Section508.asp that requires that institutions receiving federal funds solicit, procure, maintain and use all electronic and information technology (EIT) so that equal or alternate/comparable access is given to members of the public with and without disabilities. For example, this includes designing a patient portal or website that is compliant with section 508 of the Rehabilitation Act of 1973.
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_6 Regularly Assess Patient Experience of Care and Follow Up on Findings

Description:

Collect and follow up on patient experience and satisfaction data. This activity also requires follow-up on findings of assessments, including the development and implementation of improvement plans. To fulfill the requirements of this activity, MIPS eligible clinicians can use surveys (e.g., Consumer Assessment of Healthcare Providers and Systems Survey), advisory councils, or other mechanisms. MIPS eligible clinicians may consider implementing patient surveys in multiple languages, based on the needs of their patient population.
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    High

IA_BE_7 Participation in a QCDR, that promotes use of patient engagement tools.

Description:

Participation in a Qualified Clinical Data Registry (QCDR), that promotes patient engagement, including:
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_8 Participation in a QCDR, that promotes collaborative learning network opportunities that are interactive.

Description:

Participation in a QCDR, that promotes collaborative learning network opportunities that are interactive.
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_12 Use evidence-based decision aids to support shared decision-making.

Description:

Use evidence-based decision aids to support shared decision-making.
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_14 Engage Patients and Families to Guide Improvement in the System of Care

Description:

Engage patients and families to guide improvement in the system of care by leveraging digital tools for ongoing guidance and assessments outside the encounter, including the collection and use of patient data for return-to-work and patient quality of life improvement. Platforms and devices that collect patient-generated health data (PGHD) must do so with an active feedback loop, either providing PGHD in real or near-real time to the care team, or generating clinically endorsed real or near-real time automated feedback to the patient, including patient reported outcomes (PROs). Examples include patient engagement and outcomes tracking platforms, cellular or web-enabled bi-directional systems, and other devices that transmit clinically valid objective and subjective data back to care teams. Because many consumer-grade devices capture PGHD (for example, wellness devices), platforms or devices eligible for this improvement activity must be, at a minimum, endorsed and offered clinically by care teams to patients to automatically send ongoing guidance (one way). Platforms and devices that additionally collect PGHD must do so with an active feedback loop, either providing PGHD in real or near-real time to the care team, or generating clinically endorsed real or near-real time automated feedback to the patient (e.g. automated patient-facing instructions based on glucometer readings). Therefore, unlike passive platforms or devices that may collect but do not transmit PGHD in real or near-real time to clinical care teams, active devices and platforms can inform the patient or the clinical care team in a timely manner of important parameters regarding a patient
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    High

IA_BE_15 Engagement of Patients, Family, and Caregivers in Developing a Plan of Care

Description:

Engage patients, family, and caregivers in developing a plan of care and prioritizing their goals for action, documented in the electronic health record (EHR) technology.
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_16 Promote Self-management in Usual Care

Description:

To help patients self-manage their care, incorporate culturally and linguistically tailored evidence-based techniques for promoting self-management into usual care, and provide patients with tools and resources for self-management. Examples of evidence-based techniques to use in usual care include: goal setting with structured follow-up, Teach-back methods, action planning, assessment of need for self-management (for example, the Patient Activation Measure), and motivational interviewing. Examples of tools and resources to provide patients directly or through community organizations include: peer-led support for self-management, condition-specific chronic disease or substance use disorder self-management programs, and self-management materials.
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_19 Use group visits for common chronic conditions (e.g., diabetes).

Description:

Use group visits for common chronic conditions (e.g., diabetes).
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_22 Improved Practices that Engage Patients Pre-Visit

Description:

Implementation of workflow changes that engage patients prior to the visit, such as a pre-visit development of a shared visit agenda with the patient, or targeted pre-visit laboratory testing that will be resulted and available to the MIPS eligible clinician to review and discuss during the patient
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_23 Integration of patient coaching practices between visits

Description:

Provide coaching between visits with follow-up on care plan and goals.
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_24 Financial Navigation Program

Description:

In order to receive credit for this activity, MIPS eligible clinicians must attest that their practice provides financial counseling to patients or their caregiver about costs of care and an exploration of different payment options. The MIPS eligible clinician may accomplish this by working with other members of their practice (for example, financial counselor or patient navigator) as part of a team-based care approach in which members of the patient care team collaborate to support patient- centered goals. For example, a financial counselor could provide patients with resources with further information or support options, or facilitate a conversation with a patient or caregiver that could address concerns. This activity may occur during diagnosis stage, before treatment, during treatment, and/or during survivorship planning, as appropriate.
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    Medium

IA_BE_25 Drug Cost Transparency

Description:

Provide counseling to patients and/or their caregivers regarding: costs of medications using a real time benefit tool (RTBT) which provides to the prescriber real-time patient-specific formulary and benefit information for drugs, including cost-sharing for a beneficiary.
  • Subcategory Name:

    Beneficiary Engagement
  • Activity Weighting:

    High