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IA Measures

Improvement activities breakdown

Beneficiary Engagement

Activity Weighting
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IA_BE_6 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement

Description :

Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    High

#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.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_4 Engagement of patients through implementation of improvements in patient portal

Description :

Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bi-directional communication about medication changes and adherence.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#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 certified EHR technology.
  • 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_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_16 Evidenced-based techniques to promote self-management into usual care

Description :

Incorporate evidence-based techniques to promote self-management into usual care, using techniques such as goal setting with structured follow-up, Teach Back, action planning or motivational interviewing.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_20 Implementation of condition-specific chronic disease self-management support programs

Description :

Provide condition-specific chronic disease self-management support programs or coaching or link patients to those programs in the community.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_21 Improved practices that disseminate appropriate self-management materials

Description :

Provide self-management materials at an appropriate literacy level and in an appropriate language.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_22 Improved practices that engage patients pre-visit

Description :

Provide a pre-visit development of a shared visit agenda with 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_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_10 Participation in a QCDR, that promotes implementation of patient self-action plans

Description :

Participation in a QCDR, that promotes implementation of patient self-action plans.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

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

Description :

Participation in a QCDR, that promotes use of patient engagement tools.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_11 Participation in a QCDR, that promotes use of processes and tools that engage patients for adherence to treatment plan

Description :

Participation in a QCDR, that promotes use of processes and tools that engage patients for adherence to treatment plan.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_18 Provide peer-led support for self-management

Description :

Provide peer-led support for self-management.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_13 Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms

Description :

Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
  • 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_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_1 Use of certified EHR to capture patient reported outcomes

Description :

In support of improving patient access, performing additional activities that enable capture of patient reported outcomes (e.g., home blood pressure, blood glucose logs, food diaries, at-risk health factors such as tobacco or alcohol use, etc.) or patient activation measures through use of certified EHR technology, containing this data in a separate queue for clinician recognition and review.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_9 Use of QCDR patient experience data to inform and advance improvements in beneficiary engagement

Description :

Use of QCDR patient experience data to inform and advance improvements in beneficiary engagement.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_2 Use of QCDR to support clinical decision making

Description :

Participation in a QCDR, demonstrating performance of activities that promote implementation of shared clinical decision making capabilities.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_17 Use of tools to assist patient self-management

Description :

Use tools to assist patients in assessing their need for support for self-management (e.g., the Patient Activation Measure or How’s My Health).
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_1 Use of certified EHR to capture patient reported outcomes

Description :

In support of improving patient access, performing additional activities that enable capture of patient reported outcomes (e.g., home blood pressure, blood glucose logs, food diaries, at-risk health factors such as tobacco or alcohol use, etc.) or patient activation measures through use of certified EHR technology, containing this data in a separate queue for clinician recognition and review.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_2 Use of QCDR to support clinical decision making

Description :

Participation in a QCDR, demonstrating performance of activities that promote implementation of shared clinical decision making capabilities.
  • 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 :

Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence.
  • 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 Collection and follow-up on patient experience and satisfaction data on beneficiary engagement

Description :

Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan.
  • 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 QCDR, that promotes use of patient engagement tools.
  • 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_9 Use of QCDR patient experience data to inform and advance improvements in beneficiary engagement.

Description :

Use of QCDR patient experience data to inform and advance improvements in beneficiary engagement.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_10 Participation in a QCDR, that promotes implementation of patient self-action plans.

Description :

Participation in a QCDR, that promotes implementation of patient self-action plans.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_11 Participation in a QCDR, that promotes use of processes and tools that engage patients for adherence to treatment plan.

Description :

Participation in a QCDR, that promotes use of processes and tools that engage patients for adherence to treatment plan.
  • 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_13 Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.

Description :

Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
  • 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’s status, adherence, comprehension, and indicators of clinical concern.
  • 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 Evidenced-based techniques to promote self-management into usual care

Description :

Incorporate evidence-based techniques to promote self-management into usual care, using techniques such as goal setting with structured follow-up, Teach Back, action planning or motivational interviewing.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_17 Use of tools to assist patient self-management

Description :

Use tools to assist patients in assessing their need for support for self-management (e.g., the Patient Activation Measure or How’s My Health).
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_18 Provide peer-led support for self-management.

Description :

Provide peer-led support for self-management.
  • 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_20 Implementation of condition-specific chronic disease self-management support programs

Description :

Provide condition-specific chronic disease self-management support programs or coaching or link patients to those programs in the community.
  • Subcategory Name :

    Beneficiary Engagement
  • Activity Weighting :

    Medium

#IA_BE_21 Improved Practices that Disseminate Appropriate Self-Management Materials

Description :

Provide self-management materials at an appropriate literacy level and in an appropriate language.
  • 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’s appointment.
  • 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