Legend:
Registry OKThis measure can be submitted through registry.
EHR OKThis measure can be submitted via Electronic Health Record (EHR).

More information on these alternative reporting mechanisms is available at:
    http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.

Back Pain

Description  Data Collection Sheet 
Includes the following individual measures:
#148Back Pain: Initial Visit
 
#149Back Pain: Physical Exam
 
#150Back Pain: Advice for Normal Activities
 
#151Back Pain: Advice Against Bed Rest
 

Chronic Kidney Disease

Description  Data Collection Sheet 
Includes the following individual measures:
#121Chronic Kidney Disease (CKD): Laboratory Testing (Calcium, Phosphorus, Intact Parathyroid Hormone (iPTH) and Lipid Profile)
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#122Chronic Kidney Disease (CKD): Blood Pressure Management
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#123Chronic Kidney Disease (CKD): Plan of Care - Elevated Hemoglobin for Patients Receiving Erythropoiesis-Stimulating Agents (ESA)
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#135Chronic Kidney Disease (CKD): Influenza Immunization
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#153Chronic Kidney Disease (CKD): Referral for Arteriovenous (AV) Fistula
 Description  Data Collection Sheet  Coding Specifications Registry OK.

Diabetes Mellitus

Description  Data Collection Sheet 
Includes the following individual measures:
#1Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#2Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#3Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#117Diabetes Mellitus: Dilated Eye Exam in Diabetic Patient
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#119Diabetes Mellitus: Urine Screening for Microalbumin or Medical Attention for Nephropathy in Diabetic Patients
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#163Diabetes Mellitus: Foot Exam
 Description  Data Collection Sheet  Coding Specifications Registry OK.

Perioperative Care

Description  Data Collection Sheet 
Includes the following individual measures:
#20Perioperative Care: Timing of Antibiotic Prophylaxis - Ordering Physician
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#21Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#22Perioperative Care: Discontinuation of Prophylactic Antibiotics (Non-Cardiac Procedures)
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#23Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
 Description  Data Collection Sheet  Coding Specifications Registry OK.

Preventive Care and Screening

Description  Data Collection Sheet 
Includes the following individual measures:
#39Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#48Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#110Preventive Care and Screening: Influenza Immunization for Patients = 50 Years Old
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#111Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#112Preventive Care and Screening: Screening Mammography
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#113Preventive Care and Screening: Colorectal Cancer Screening
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#114Preventive Care and Screening: Inquiry Regarding Tobacco Use
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#115Preventive Care and Screening: Advising Smokers to Quit
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
 Description  Data Collection Sheet  Coding Specifications Registry OK.

Rheumatoid Arthritis

Description  Data Collection Sheet 
Includes the following individual measures:
#108Rheumatoid Arthritis (RA): Disease Modifying Anti-Rheumatic Drug (DMARD) Therapy
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#176Rheumatoid Arthritis (RA): Tuberculosis Screening
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#177Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#178Rheumatoid Arthritis (RA): Functional Status Assessment
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#179Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#180Rheumatoid Arthritis (RA): Glucocorticoid Management
 Description  Data Collection Sheet  Coding Specifications Registry OK.

Coronary Artery Bypass Graft (CABG)

Description/Data Collection Sheet not available
Includes the following individual measures:
#43Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#44Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery
 Description  Data Collection Sheet  Coding Specifications Registry OK.