Table 3.
2020 Allergy-Immunology Merit-Based Incentive Payment System Specialty Measure Set17
| MIPS ID | Measure name | High priority | Measure type | Measure description |
|---|---|---|---|---|
| 110 | Preventive care and screening: influenza immunization | No | Process | Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization, or who reported previous receipt of an influenza immunization. |
| 111 | Pneumococcal vaccination status for older adults | No | Process | Percentage of patients aged 65 years and older who have ever received a pneumococcal vaccine. |
| 130 | Documentation of existing medications in the medical record | Yes | Process | Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attested to documenting a list of existing medications using all immediate resources available on the date of the encounter. This list must include all known prescriptions, over the counter, herbals, and vitamin/mineral/dietary (nutritional) supplements and must contain the medications’ name, dosage, frequency and route of administration. |
| 226 | Preventive care and screening: Tobacco use: screening and cessation intervention | No | Process | Percentage of patients aged 18 years and older who were screened for tobacco use 1 or more times within 24 months and who received tobacco cessation intervention if identified as a tobacco user. |
| 238 | Use of high-risk medications in the elderly | Yes | Process | Percentage of patients aged 65 years and older who were ordered high-risk medications. Two rates are submitted: 1) Percentage of patients who were ordered minimum 1 high-risk medication. 2) Percentage of patients who were ordered minimum 2 of the same high-risk medication. |
| 317 | Preventive care and screening: Screening for high blood pressure and follow-up documented | No | Process | Percentage of patients aged 18 years and older seen during the reporting period who were screened for high blood pressure and a recommended follow-up plan is documented based on the current BP reading, as indicated. |
| 338 | HIV viral load suppression | Yes | Outcome | The percentage of patients, regardless of age, with a diagnosis of HIV with an HIV viral load less than 200 copies/mL at last HIV viral load test during the measurement year. |
| 340 | HIV medical visit frequency | Yes | Process | Percentage of patients, regardless of age, with a diagnosis of HIV who had at least 1 medical visit in 6 months of the 24-month measurement period, with a minimum of 60 days between medical visits. |
| 374 | Closing the referral loop: Receipt of specialist report | Yes | Process | Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred to. |
| 402 | Tobacco use and help with quitting among adolescents | No | Process | The percentage of adolescents aged 12 to 20 years with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user. |
Abbreviations: BP, blood pressure; HIV, human immunodeficiency virus; MIPS, merit-based incentive payment system.