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Quality Payment Program Measures Data

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Measure ID NQF ID National Quality Strategy Domain Title High Priority Measure Type Submission Methods Speciality Measure Sets
GIQIC10 Communication and Care Coordination Appropriate management of anticoagulation in the peri-procedural period rate – EGD Process Registry Details
GIQIC12 Effective Clinical Care Appropriate indication for colonoscopy Process Registry Details
GIQIC15 Communication and Care Coordination Appropriate follow-up interval of 3 years recommended based on pathology findings from screening colonoscopy in average-risk patients Process Registry Details
GIQIC17 Communication and Care Coordination Appropriate follow-up interval of 5 years for colonoscopies with findings of sessile serrated polyps < 10 mm without dysplasia Process Registry Details
GIQIC19 Effective Clinical Care Appropriate indication for esophagogastroduodenoscopy (EGD) Process Registry Details
GIQIC21 Efficiency and Cost Reduction Appropriate follow-up interval of not less than 5 years for colonoscopies with findings of 1-2 tubular adenomas < 10 mm OR of 10 years for colonoscopies with only hyperplastic polyp findings in rectum or sigmoid Process Registry Details
GIQIC22 Effective Clinical Care Screening Colonoscopy Adenoma Detection Rate Outcome Registry Details
NHCR4 Communication and Care Coordination Repeat screening or surveillance colonoscopy recommended within one year due to inadequate/poor bowel preparation Process Registry Details
CCOME3 Person and Caregiver Centered Experience and Outcomes Patient-Reported Pain and/or Function Improvement after Total Shoulder Arthroplasty Outcome Registry Details
CCOME4 Person and Caregiver Centered Experience and Outcomes Patient-Reported Pain and/or Function Improvement after ACLR Surgery Outcome Registry Details
CCOME6 Person and Caregiver Centered Experience and Outcomes Patient-Reported Pain and/or Function Improvement after APM Surgery Outcome Registry Details
IROMS11 Effective Clinical Care Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in knee rehabilitation of patients with knee injury measured via their validated Knee Outcome Survey (KOS) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID. Outcome Registry Details
IROMS13 Effective Clinical Care Failure to Progress (FTP): Proportion of patients not achieving a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with hip, leg or ankle injuries using the validated Lower Extremity Function Scale (LEFS) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID. Outcome Registry Details
IROMS15 Effective Clinical Care Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with neck pain/injury measured via the validated Neck Disability Index (NDI). Outcome Registry Details
IROMS19 Effective Clinical Care Failure to Progress (FTP): Proportion of patients failing to achieve a Minimal Clinically Important Difference (MCID) to indicate functional improvement in rehabilitation of patients with arm, shoulder, and hand injury measured via the validated Disability of Arm Shoulder and Hand (DASH) score, Quick Disability of Arm Shoulder and Hand (QDASH) score, or equivalent instrument which has undergone peer reviewed published validation and demonstrates a peer reviewed published MCID. Outcome Registry Details
HCPR14 Patient Safety Venous Thromboembolism (VTE) Prophylaxis Process Registry Details
HCPR16 Communication and Care Coordination Physician’s Orders for Life-Sustaining Treatment (POLST) Form Process Registry Details
HCPR17 Patient Safety Pressure Ulcers – Risk Assessment and Plan of Care Process Registry Details
HCPR18 Patient Safety Unintentional Weight Loss – Risk Assessment and Plan of Care Process Registry Details
HCPR19 Patient Safety 30 Day All Cause Readmit Rate for Discharged Inpatients Outcome Registry Details

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