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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
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
HCPR20 Patient Safety Clostridium Difficile – Risk Assessment and Plan of Care Process Registry Details
HCPR22 Communication and Care Coordination Critical Care Transfer of Care – Use of Verbal Checklist or Protocol Process Registry Details
HCPR3 Efficiency and Cost Reduction Mean Length of Stay for Inpatients – Pneumonia Outcome Registry Details
HCPR4 Efficiency and Cost Reduction Mean Length of Stay for Inpatients – CHF Outcome Registry Details
HCPR5 Efficiency and Cost Reduction Mean Length of Stay for Inpatients – COPD Outcome Registry Details
ASNC19 Patient Safety Imaging Protocols for SPECT and PET MPI studies - Use of stress only protocol Outcome Registry Details
ASNC23 Efficiency and Cost Reduction SPECT-MPI study clinical utilization of Attenuation Correction image acquisition Process Registry Details
ASNC28 Patient Safety SPECT-MPI effective dose less than or equal to 9 millisieverts as per ASNC guideline recommendations Outcome Registry Details
ASNC29 Communication and Care Coordination SPECT and PET MPI study documentation of stress perfusion defects Process Registry Details
IGR1 Efficiency and Cost Reduction Comprehensive TTE studies reporting a measured value of LVEF AND wall motion findings with LVEF < 50% Efficiency Registry Details

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