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IA Measures

Improvement activities breakdown

Behavioral and Mental Health

Activity Weighting
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#IA_BMH_4 Depression screening

Description :

Depression screening and follow-up plan: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including depression screening and follow-up plan (refer to NQF #0418) for patients with co-occurring conditions of behavioral or mental health conditions.
  • Subcategory Name :

    Behavioral and Mental Health
  • Activity Weighting :

    Medium

#IA_BMH_1 Diabetes screening

Description :

Diabetes screening for people with schizophrenia or bipolar disease who are using antipsychotic medication.
  • Subcategory Name :

    Behavioral and Mental Health
  • Activity Weighting :

    Medium

#IA_BMH_8 Electronic Health Record Enhancements for BH data capture

Description :

Enhancements to an electronic health record to capture additional data on behavioral health (BH) populations and use that data for additional decision-making purposes (e.g., capture of additional BH data results in additional depression screening for at-risk patient not previously identified).
  • Subcategory Name :

    Behavioral and Mental Health
  • Activity Weighting :

    Medium

#IA_BMH_6 Implementation of co-location PCP and MH services

Description :

Integration facilitation, and promotion of the colocation of mental health services in primary and/or non-primary clinical care settings.
  • Subcategory Name :

    Behavioral and Mental Health
  • Activity Weighting :

    High

#IA_BMH_7 Implementation of integrated PCBH model

Description :

Offer integrated behavioral health services to support patients with behavioral health needs, dementia, and poorly controlled chronic conditions that could include one or more of the following: Use evidence-based treatment protocols and treatment to goal where appropriate; Use evidence-based screening and case finding strategies to identify individuals at risk and in need of services; Ensure regular communication and coordinated workflows between eligible clinicians in primary care and behavioral health; Conduct regular case reviews for at-risk or unstable patients and those who are not responding to treatment; Use of a registry or certified health information technology functionality to support active care management and outreach to patients in treatment; and/or Integrate behavioral health and medical care plans and facilitate integration through co-location of services when feasible.
  • Subcategory Name :

    Behavioral and Mental Health
  • Activity Weighting :

    High

#IA_BMH_5 MDD prevention and treatment interventions

Description :

Major depressive disorder: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including suicide risk assessment (refer to NQF #0104) for mental health patients with co-occurring conditions of behavioral or mental health conditions.
  • Subcategory Name :

    Behavioral and Mental Health
  • Activity Weighting :

    Medium

#IA_BMH_2 Tobacco use

Description :

Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence.
  • Subcategory Name :

    Behavioral and Mental Health
  • Activity Weighting :

    Medium

#IA_BMH_3 Unhealthy alcohol use

Description :

Unhealthy alcohol use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including screening and brief counseling (refer to NQF #2152) for patients with co-occurring conditions of behavioral or mental health conditions.
  • Subcategory Name :

    Behavioral and Mental Health
  • Activity Weighting :

    Medium

#IA_BMH_1 Diabetes screening

Description :

Diabetes screening for people with schizophrenia or bipolar disease who are using antipsychotic medication.
  • Subcategory Name :

    Behavioral And Mental Health
  • Activity Weighting :

    Medium

#IA_BMH_2 Tobacco use

Description :

Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence.
  • Subcategory Name :

    Behavioral And Mental Health
  • Activity Weighting :

    Medium

#IA_BMH_3 Unhealthy alcohol use

Description :

Unhealthy alcohol use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including screening and brief counseling (refer to NQF #2152) for patients with co-occurring conditions of behavioral or mental health conditions.
  • Subcategory Name :

    Behavioral And Mental Health
  • Activity Weighting :

    Medium

#IA_BMH_4 Depression screening

Description :

Depression screening and follow-up plan: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including depression screening and follow-up plan (refer to NQF #0418) for patients with co-occurring conditions of behavioral or mental health conditions.
  • Subcategory Name :

    Behavioral And Mental Health
  • Activity Weighting :

    Medium

#IA_BMH_5 MDD prevention and treatment interventions

Description :

Major depressive disorder: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including suicide risk assessment (refer to NQF #0104) for mental health patients with co-occurring conditions of behavioral or mental health conditions.
  • Subcategory Name :

    Behavioral And Mental Health
  • Activity Weighting :

    Medium

#IA_BMH_6 Implementation of co-location PCP and MH services

Description :

Integration facilitation and promotion of the colocation of mental health and substance use disorder services in primary and/or non-primary clinical care settings.
  • Subcategory Name :

    Behavioral And Mental Health
  • Activity Weighting :

    High

#IA_BMH_7 Implementation of Integrated Patient Centered Behavioral Health Model

Description :

Offer integrated behavioral health services to support patients with behavioral health needs who also have conditions such as dementia or other poorly controlled chronic illnesses. The services could include one or more of the following: • Use evidence-based treatment protocols and treatment to goal where appropriate; • Use evidence-based screening and case finding strategies to identify individuals at risk and in need of services; • Ensure regular communication and coordinated workflows between MIPS eligible clinicians in primary care and behavioral health; • Conduct regular case reviews for at-risk or unstable patients and those who are not responding to treatment; • Use of a registry or health information technology functionality to support active care management and outreach to patients in treatment; • Integrate behavioral health and medical care plans and facilitate integration through co-location of services when feasible; and/or • Participate in the National Partnership to Improve Dementia Care Initiative, which promotes a multidimensional approach that includes public reporting, state-based coalitions, research, training, and revised surveyor guidance.
  • Subcategory Name :

    Behavioral And Mental Health
  • Activity Weighting :

    High

#IA_BMH_8 Electronic Health Record Enhancements for BH data capture

Description :

Enhancements to an electronic health record to capture additional data on behavioral health (BH) populations and use that data for additional decision-making purposes (e.g., capture of additional BH data results in additional depression screening for at-risk patient not previously identified).
  • Subcategory Name :

    Behavioral And Mental Health
  • Activity Weighting :

    Medium

#IA_BMH_9 Unhealthy Alcohol Use for Patients with Co-occurring Conditions of Mental Health and Substance Abuse and Ambulatory Care Patients

Description :

Individual MIPS eligible clinicians or groups must regularly engage in integrated prevention and treatment interventions, including screening and brief counseling (for example: NQF #2152) for patients with co-occurring conditions of mental health and substance abuse. MIPS eligible clinicians would attest that 60 percent for the CY 2018 Quality Payment Program performance period, and 75 percent beginning in the 2019 performance period, of their ambulatory care patients are screened for unhealthy alcohol use.
  • Subcategory Name :

    Behavioral And Mental Health
  • Activity Weighting :

    High