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.

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.EHR OK.
#2Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus
 Description  Data Collection Sheet  Coding Specifications Registry OK.EHR OK.
#3Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus
 Description  Data Collection Sheet  Coding Specifications Registry OK.EHR 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.

Chronic Kidney Disease (CKD)

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.

Preventive Care

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.EHR OK.
#111Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older
 Description  Data Collection Sheet  Coding Specifications Registry OK.EHR OK.
#112Preventive Care and Screening: Screening Mammography
 Description  Data Collection Sheet  Coding Specifications Registry OK.EHR OK.
#113Preventive Care and Screening: Colorectal Cancer Screening
 Description  Data Collection Sheet  Coding Specifications Registry OK.EHR OK.
#114Preventive Care and Screening: Inquiry Regarding Tobacco Use
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#115Preventive Care and Screening: Advising Smokers and Tobacco Users 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.
#173Preventive Care and Screening: Unhealthy Alcohol Use - Screening
 Description  Data Collection Sheet  Coding Specifications Registry OK.

Coronary Artery Bypass Graft (CABG)

This measure group may be submitted via registry only.
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.
#164Coronary Artery Bypass Graft (CABG): Prolonged Intubation (Ventilation)
 Registry OK.
#165Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate
 Registry OK.
#166Coronary Artery Bypass Graft (CABG): Stroke/Cerebrovascular Accident (CVA)
 Registry OK.
#167Coronary Artery Bypass Graft (CABG): Postoperative Renal Insufficiency
 Registry OK.
#168Coronary Artery Bypass Graft (CABG): Surgical Re-exploration
 Registry OK.
#169Coronary Artery Bypass Graft (CABG): Antiplatelet Medications at Discharge
 Registry OK.
#170Coronary Artery Bypass Graft (CABG): Beta-Blockers Administered at Discharge
 Registry OK.
#171Coronary Artery Bypass Graft (CABG): Lipid Management and Counseling
 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.

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.

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
 

Hepatitis C

Description  Data Collection Sheet 
Includes the following individual measures:
#84Hepatitis C: Ribonucleic Acid (RNA) Testing Before Initiating Treatment
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#85Hepatitis C: HCV Genotype Testing Prior to Treatment
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#86Hepatitis C: Antiviral Treatment Prescribed
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#87Hepatitis C: HCV Ribonucleic Acid (RNA) Testing at Week 12 of Treatment
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#89Hepatitis C: Counseling Regarding Risk of Alcohol Consumption
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#90Hepatitis C: Counseling Regarding Use of Contraception Prior to Antiviral Therapy
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#183Hepatitis C: Hepatitis A Vaccination in Patients with HCV
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#184Hepatitis C: Hepatitis B Vaccination in Patients with HCV
 Description  Data Collection Sheet  Coding Specifications Registry OK.

Heart Failure (HF)

This measure group may be submitted via registry only.
Includes the following individual measures:
#5Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
 Registry OK.EHR OK.
#8Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
 Registry OK.
#114Preventive Care and Screening: Inquiry Regarding Tobacco Use
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#115Preventive Care and Screening: Advising Smokers and Tobacco Users to Quit
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#198Heart Failure: Left Ventricular Function (LVF) Assessment
 Registry OK.
#199Heart Failure: Patient Education
 Registry OK.

Coronary Artery Disease (CAD)

This measure group may be submitted via registry only.
Includes the following individual measures:
#6Coronary Artery Disease (CAD): Oral Antiplatelet Therapy Prescribed for Patients with CAD
 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 and Tobacco Users to Quit
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#196Coronary Artery Disease (CAD): Symptom and Activity Assessment
 Registry OK.
#197Coronary Artery Disease (CAD): Drug Therapy for Lowering LDL-Cholesterol
 Registry OK.

Ischemic Vascular Disease (IVD)

Description  Data Collection Sheet 
Includes the following individual measures:
#114Preventive Care and Screening: Inquiry Regarding Tobacco Use
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#115Preventive Care and Screening: Advising Smokers and Tobacco Users to Quit
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#201Ischemic Vascular Disease (IVD): Blood Pressure Management Control
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#202Ischemic Vascular Disease (IVD): Complete Lipid Profile
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#203Ischemic Vascular Disease (IVD): Low Density Lipoprotein (LDL-C) Control
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#204Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
 Description  Data Collection Sheet  Coding Specifications Registry OK.

HIV/AIDS

This measure group may be submitted via registry only.
Includes the following individual measures:
#159HIV/AIDS: CD4+ Cell Count or CD4+ Percentage
 Registry OK.
#160HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis
 Registry OK.
#161HIV/AIDS: Adolescent and Adult Patients with HIV/AIDS Who Are Prescribed Potent Antiretroviral Therapy
 Registry OK.
#162HIV/AIDS: HIV RNA Control After Six Months of Potent Antiretroviral Therapy
 Registry OK.
#205HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia and Gonorrhea
 Registry OK.
#206HIV/AIDS: Screening for High Risk Sexual Behaviors
 Registry OK.
#207HIV/AIDS: Screening for Injection Drug Use
 Registry OK.
#208HIV/AIDS: Sexually Transmitted Disease Screening for Syphilis
 Registry OK.

Community-Acquired Pneumonia (CAP)

Description  Data Collection Sheet 
Includes the following individual measures:
#56Community-Acquired Pneumonia (CAP): Vital Signs
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#57Community-Acquired Pneumonia (CAP): Assessment of Oxygen Saturation
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#58Community-Acquired Pneumonia (CAP): Assessment of Mental Status
 Description  Data Collection Sheet  Coding Specifications Registry OK.
#59Community-Acquired Pneumonia (CAP): Empiric Antibiotic
 Description  Data Collection Sheet  Coding Specifications Registry OK.