#1Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Diabetes Mellitus Group

#2Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Diabetes Mellitus Group
• Cardiovascular Prevention Group

#3Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Diabetes Mellitus Group

#5Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

Report via: Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Heart Failure (HF) Group

#6Coronary Artery Disease (CAD): Antiplatelet Therapy

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Disease (CAD) Group

#7Coronary Artery Disease (CAD): Beta-Blocker Therapy - Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%)

Report via: Registry, EHR

#8Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

Report via: Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Heart Failure (HF) Group

#9Major Depressive Disorder (MDD): Antidepressant Medication During Acute Phase for Patients with MDD

Report via: Claim, Registry, EHR

#10Stroke and Stroke Rehabilitation: Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) Reports

Report via: Claim, Registry

#12Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation

Report via: Claim, Registry, EHR

#14Age-Related Macular Degeneration (AMD): Dilated Macular Examination

Report via: Claim, Registry

#18Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy

Report via: Claim, Registry, EHR

#19Diabetic Retinopathy: Communication with the Physician Managing On-going Diabetes Care

Report via: Claim, Registry, EHR

#20Perioperative Care: Timing of Antibiotic Prophylaxis - Ordering Physician

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Perioperative Care Group

#21Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Perioperative Care Group

#22Perioperative Care: Discontinuation of Prophylactic Antibiotics (Non-Cardiac Procedures)

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Perioperative Care Group

#23Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Perioperative Care Group

#24Osteoporosis: Communication with the Physician Managing On-going Care Post-Fracture of Hip, Spine or Distal Radius for Men and Women Aged 50 Years and Older

Report via: Claim, Registry

#28Aspirin at Arrival for Acute Myocardial Infarction (AMI)

Report via: Claim, Registry

#30Perioperative Care: Timely Administration of Prophylactic Parenteral Antibiotics

Report via: Claim, Registry

#31Stroke and Stroke Rehabilitation: Deep Vein Thrombosis (DVT) Prophylaxis for Ischemic Stroke or Intracranial Hemorrhage

Report via: Claim, Registry

#32Stroke and Stroke Rehabilitation: Discharged on Antithrombotic Therapy

Report via: Claim, Registry

#33Stroke and Stroke Rehabilitation: Anticoagulant Therapy Prescribed for Atrial Fibrillation (AF) at Discharge

This measure may be submitted via Registry only

#35Stroke and Stroke Rehabilitation: Screening for Dysphagia

Report via: Claim, Registry

#36Stroke and Stroke Rehabilitation: Rehabilitation Services Ordered

Report via: Claim, Registry

#39Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Preventive Care Group

#40Osteoporosis: Management Following Fracture of Hip, Spine or Distal Radius for Men and Women Aged 50 Years and Older

Report via: Claim, Registry

#41Osteoporosis: Pharmacologic Therapy for Men and Women Aged 50 Years and Older

Report via: Claim, Registry

#43Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#44Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#45Perioperative Care: Discontinuation of Prophylactic Antibiotics (Cardiac Procedures)

Report via: Claim, Registry

#46Medication Reconciliation: Reconciliation After Discharge from an Inpatient Facility

Report via: Claim, Registry, GPRO I

#47Advance Care Plan

Report via: Claim, Registry, EHR

#48Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Preventive Care Group

#49Urinary Incontinence: Characterization of Urinary Incontinence in Women Aged 65 Years and Older

Report via: Claim, Registry

#50Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older

Report via: Claim, Registry

#51Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Chronic Obstructive Pulmonary Disease (COPD) Group

#52Chronic Obstructive Pulmonary Disease (COPD): Bronchodilator Therapy

Report via: Claim, Registry, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Chronic Obstructive Pulmonary Disease (COPD) Group

#53Asthma: Pharmacologic Therapy for Persistent Asthma

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Asthma Group

#54Emergency Medicine: 12-Lead Electrocardiogram (ECG) Performed for Non-Traumatic Chest Pain

Report via: Claim, Registry

#55Emergency Medicine: 12-Lead Electrocardiogram (ECG) Performed for Syncope

Report via: Claim, Registry

#56Emergency Medicine: Community-Acquired Pneumonia (CAP): Vital Signs

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Community-Acquired Pneumonia (CAP) Group

#57Emergency Medicine: Community-Acquired Pneumonia (CAP): Assessment of Oxygen Saturation

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Community-Acquired Pneumonia (CAP) Group

#58Emergency Medicine: Community-Acquired Pneumonia (CAP): Assessment of Mental Status

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Community-Acquired Pneumonia (CAP) Group

#59Emergency Medicine: Community-Acquired Pneumonia (CAP): Empiric Antibiotic

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Community-Acquired Pneumonia (CAP) Group

#64Asthma: Assessment of Asthma Control

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Asthma Group

#65Treatment for Children with Upper Respiratory Infection (URI): Avoidance of Inappropriate Use

Report via: Claim, Registry

#66Appropriate Testing for Children with Pharyngitis

Report via: Claim, Registry, EHR

#67Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow

Report via: Claim, Registry

#68Hematology: Myelodysplastic Syndrome (MDS): Documentation of Iron Stores in Patients Receiving Erythropoietin Therapy

Report via: Claim, Registry

#69Hematology: Multiple Myeloma: Treatment with Bisphosphonates

Report via: Claim, Registry

#70Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry

Report via: Claim, Registry

#71Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer

Report via: Claim, Registry, EHR

#72Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients

Report via: Claim, Registry, EHR

#76Prevention of Catheter-Related Bloodstream Infections (CRBSI): Central Venous Catheter (CVC) Insertion Protocol

Report via: Claim, Registry

#81Adult Kidney Disease: Hemodialysis Adequacy: Solute

This measure may be submitted via Registry only

#82Adult Kidney Disease: Peritoneal Dialysis Adequacy: Solute

This measure may be submitted via Registry only

#83Hepatitis C: Testing for Chronic Hepatitis C - Confirmation of Hepatitis C Viremia

This measure may be submitted via Registry only

#84Hepatitis C: Ribonucleic Acid (RNA) Testing Before Initiating Treatment

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Hepatitis C Group

#85Hepatitis C: HCV Genotype Testing Prior to Treatment

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Hepatitis C Group

#86Hepatitis C: Antiviral Treatment Prescribed

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Hepatitis C Group

#87Hepatitis C: HCV Ribonucleic Acid (RNA) Testing at Week 12 of Treatment

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Hepatitis C Group

#89Hepatitis C: Counseling Regarding Risk of Alcohol Consumption

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Hepatitis C Group

#90Hepatitis C: Counseling Regarding Use of Contraception Prior to Antiviral Therapy

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Hepatitis C Group

#91Acute Otitis Externa (AOE): Topical Therapy

Report via: Claim, Registry

#92Acute Otitis Externa (AOE): Pain Assessment

Report via: Claim, Registry

#93Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use

Report via: Claim, Registry

#99Breast Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade

Report via: Claim, Registry

#100Colorectal Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade

Report via: Claim, Registry

#102Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low-Risk Prostate Cancer Patients

Report via: Claim, Registry, EHR

#104Prostate Cancer: Adjuvant Hormonal Therapy for High-Risk Prostate Cancer Patients

Report via: Claim, Registry

#105Prostate Cancer: Three-Dimensional (3D) Radiotherapy

Report via: Claim, Registry

#106Major Depressive Disorder (MDD): Diagnostic Evaluation

Report via: Claim, Registry

#107Major Depressive Disorder (MDD): Suicide Risk Assessment

Report via: Claim, Registry

#108Rheumatoid Arthritis (RA): Disease Modifying Anti-Rheumatic Drug (DMARD) Therapy

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group

#109Osteoarthritis (OA): Function and Pain Assessment

Report via: Claim, Registry

#110Preventive Care and Screening: Influenza Immunization

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Chronic Kidney Disease (CKD) Group
• Preventive Care Group
• Chronic Obstructive Pulmonary Disease (COPD) Group

#111Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Preventive Care Group
• Chronic Obstructive Pulmonary Disease (COPD) Group

#112Preventive Care and Screening: Screening Mammography

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Preventive Care Group

#113Preventive Care and Screening: Colorectal Cancer Screening

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Preventive Care Group

#116Antibiotic Treatment for Adults with Acute Bronchitis: Avoidance of Inappropriate Use

Report via: Claim, Registry

#117Diabetes Mellitus: Dilated Eye Exam in Diabetic Patient

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Diabetes Mellitus Group

#118Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Patients with CAD and Diabetes and/or Left Ventricular Systolic Dysfunction (LVSD)

Report via: Registry, GPRO I

#119Diabetes Mellitus: Urine Screening for Microalbumin or Medical Attention for Nephropathy in Diabetic Patients

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Diabetes Mellitus Group

#121Adult Kidney Disease: Laboratory Testing (Lipid Profile)

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Chronic Kidney Disease (CKD) Group

#122Adult Kidney Disease: Blood Pressure Management

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Chronic Kidney Disease (CKD) Group

#123Adult Kidney Disease: Patients On Erythropoiesis-Stimulating Agent (ESA) - Hemoglobin Level > 12.0 g/dL

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Chronic Kidney Disease (CKD) Group

#124Health Information Technology (HIT): Adoption/Use of Electronic Health Records (EHR)

Report via: Claim, Registry

#125Refer to the Electronic Prescribing (eRx) Incentive Program

#126Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

Report via: Claim, Registry

#127Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear

Report via: Claim, Registry

#128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Preventive Care Group

#130Documentation of Current Medications in the Medical Record

Report via: Claim, Registry

#131Pain Assessment and Follow-Up

Report via: Claim, Registry

#134Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan

Report via: Claim, Registry

#137Melanoma: Continuity of Care - Recall System

This measure may be submitted via Registry only

#138Melanoma: Coordination of Care

This measure may be submitted via Registry only

#140Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement

Report via: Claim, Registry

#141Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

Report via: Claim, Registry

#142Osteoarthritis (OA): Assessment for Use of Anti-Inflammatory or Analgesic Over-the-Counter (OTC) Medications

Report via: Claim, Registry

#143Oncology: Medical and Radiation - Pain Intensity Quantified

This measure may be submitted via Registry only

#144Oncology: Medical and Radiation - Plan of Care for Pain

This measure may be submitted via Registry only

#145Radiology: Exposure Time Reported for Procedures Using Fluoroscopy

Report via: Claim, Registry

#146Radiology: Inappropriate Use of "Probably Benign" Assessment Category in Mammography Screening

Report via: Claim, Registry

#147Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy

Report via: Claim, Registry

#148Back Pain: Initial Visit

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Back Pain Group

#149Back Pain: Physical Exam

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Back Pain Group

#150Back Pain: Advice for Normal Activities

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Back Pain Group

#151Back Pain: Advice Against Bed Rest

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Back Pain Group

#154Falls: Risk Assessment

Report via: Claim, Registry

#155Falls: Plan of Care

Report via: Claim, Registry

#156Oncology: Radiation Dose Limits to Normal Tissues

Report via: Claim, Registry

#157Thoracic Surgery: Recording of Clinical Stage Prior to Lung Cancer or Esophageal Cancer Resection

Report via: Claim, Registry

#158Carotid Endarterectomy: Use of Patch During Conventional Carotid Endarterectomy

Report via: Claim, Registry

#159HIV/AIDS: CD4+ Cell Count or CD4+ Percentage

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#160HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#161HIV/AIDS: Adolescent and Adult Patients with HIV/AIDS Who Are Prescribed Potent Antiretroviral Therapy

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#162HIV/AIDS: HIV RNA Control After Six Months of Potent Antiretroviral Therapy

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#163Diabetes Mellitus: Foot Exam

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Diabetes Mellitus Group

#164Coronary Artery Bypass Graft (CABG): Prolonged Intubation

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#165Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#166Coronary Artery Bypass Graft (CABG): Stroke

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#167Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#168Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#169Coronary Artery Bypass Graft (CABG): Antiplatelet Medications at Discharge

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#170Coronary Artery Bypass Graft (CABG): Beta-Blockers Administered at Discharge

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#171Coronary Artery Bypass Graft (CABG): Anti-Lipid Treatment at Discharge

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Bypass Graft (CABG) Group

#172Hemodialysis Vascular Access Decision-Making by Surgeon to Maximize Placement of Autogenous Arterial Venous (AV) Fistula

Report via: Claim, Registry

#173Preventive Care and Screening: Unhealthy Alcohol Use - Screening

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Preventive Care Group

#176Rheumatoid Arthritis (RA): Tuberculosis Screening

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group

#177Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group

#178Rheumatoid Arthritis (RA): Functional Status Assessment

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group

#179Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group

#180Rheumatoid Arthritis (RA): Glucocorticoid Management

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Rheumatoid Arthritis Group

#181Elder Maltreatment Screen and Follow-Up Plan

Report via: Claim, Registry

#182Functional Outcome Assessment

Report via: Claim, Registry

#183Hepatitis C: Hepatitis A Vaccination in Patients with HCV

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Hepatitis C Group

#184Hepatitis C: Hepatitis B Vaccination in Patients with HCV

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Hepatitis C Group

#185Endoscopy & Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use

Report via: Claim, Registry

#186Chronic Wound Care: Use of Compression System in Patients with Venous Ulcers

Report via: Claim, Registry

#187Stroke and Stroke Rehabilitation: Thrombolytic Therapy

This measure may be submitted via Registry only

#188Referral for Otologic Evaluation for Patients with Congenital or Traumatic Deformity of the Ear

Report via: Claim, Registry

#189Referral for Otologic Evaluation for Patients with History of Active Drainage from the Ear Within the Previous 90 Days

Report via: Claim, Registry

#190Referral for Otologic Evaluation for Patients with a History of Sudden or Rapidly Progressive Hearing Loss

Report via: Claim, Registry

#191Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Cataracts Group

#192Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Cataracts Group

#193Perioperative Temperature Management

Report via: Claim, Registry

#194Oncology: Cancer Stage Documented

Report via: Claim, Registry

#195Radiology: Stenosis Measurement in Carotid Imaging Reports

Report via: Claim, Registry

#196Coronary Artery Disease (CAD): Symptom and Activity Assessment

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Disease (CAD) Group

#197Coronary Artery Disease (CAD): Lipid Control

Report via: Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Coronary Artery Disease (CAD) Group

#198Heart Failure: Left Ventricular Ejection Fraction (LVEF) Assessment

Report via: Registry, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Heart Failure (HF) Group

#199Heart Failure: Patient Education

This measure may be submitted via GPRO I only

#200Heart Failure: Warfarin Therapy for Patients with Atrial Fibrillation

This measure may be submitted via EHR only

#201Ischemic Vascular Disease (IVD): Blood Pressure Management Control

Report via: Claim, Registry, EHR, Measure Group

This measure is can be reported as part of the following groups:
• Ischemic Vascular Disease (IVD) Group

#204Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Ischemic Vascular Disease (IVD) Group
• Cardiovascular Prevention Group

#205HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia and Gonorrhea

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#206HIV/AIDS: Screening for High Risk Sexual Behaviors

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#207HIV/AIDS: Screening for Injection Drug Use

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#208HIV/AIDS: Sexually Transmitted Disease Screening for Syphilis

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• HIV/AIDS Group

#209Functional Communication Measure - Spoken Language Comprehension

This measure may be submitted via Registry only

#210Functional Communication Measure - Attention

This measure may be submitted via Registry only

#211Functional Communication Measure - Memory

This measure may be submitted via Registry only

#212Functional Communication Measure - Motor Speech

This measure may be submitted via Registry only

#213Functional Communication Measure - Reading

This measure may be submitted via Registry only

#214Functional Communication Measure - Spoken Language Expression

This measure may be submitted via Registry only

#215Functional Communication Measure - Writing

This measure may be submitted via Registry only

#216Functional Communication Measure - Swallowing

This measure may be submitted via Registry only

#217Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Knee Impairments

This measure may be submitted via Registry only

#218Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Hip Impairments

This measure may be submitted via Registry only

#219Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lower Leg, Foot or Ankle Impairments

This measure may be submitted via Registry only

#220Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lumbar Spine Impairments

This measure may be submitted via Registry only

#221Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Shoulder Impairments

This measure may be submitted via Registry only

#222Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Elbow, Wrist or Hand Impairments

This measure may be submitted via Registry only

#223Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Neck, Cranium, Mandible, Thoracic Spine, Ribs, or Other General Orthopedic Impairments

This measure may be submitted via Registry only

#224Melanoma: Overutilization of Imaging Studies in Melanoma

This measure may be submitted via Registry only

#225Radiology: Reminder System for Mammograms

Report via: Claim, Registry

#226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Preventive Care Group
• Heart Failure (HF) Group
• Coronary Artery Disease (CAD) Group
• Ischemic Vascular Disease (IVD) Group
• Chronic Obstructive Pulmonary Disease (COPD) Group
• Inflammatory Bowel Disease (IBD) Group
• Cardiovascular Prevention Group

#228Heart Failure (HF): Left Ventricular Function (LVF) Testing

Report via: Registry, GPRO I

#231Asthma: Tobacco Use: Screening - Ambulatory Care Setting

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Asthma Group

#232Asthma: Tobacco Use: Intervention - Ambulatory Care Setting

Report via: Claim, Registry, Measure Group

This measure is can be reported as part of the following groups:
• Asthma Group

#233Thoracic Surgery: Recording of Performance Status Prior to Lung or Esophageal Cancer Resection

This measure may be submitted via Registry only

#234Thoracic Surgery: Pulmonary Function Tests Before Major Anatomic Lung Resection (Pneumonectomy, Lobectomy, or Formal Segmentectomy)

This measure may be submitted via Registry only

#235Hypertension (HTN): Plan of Care

Report via: Claim, Registry

#236Hypertension (HTN): Controlling High Blood Pressure

Report via: EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Cardiovascular Prevention Group

#237Hypertension (HTN): Blood Pressure Measurement

This measure may be submitted via EHR only

#238Drugs to be Avoided in the Elderly

This measure may be submitted via EHR only

#239Weight Assessment and Counseling for Children and Adolescents

This measure may be submitted via EHR only

#240Childhood Immunization Status

This measure may be submitted via EHR only

#241Ischemic Vascular Disease (IVD): Complete Lipid Panel and Low Density Lipoprotein (LDL-C) Control

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Ischemic Vascular Disease (IVD) Group
• Cardiovascular Prevention Group

#242Coronary Artery Disease (CAD): Symptom Management

This measure may be submitted via Registry only

#243Cardiac Rehabilitation Patient Referral from an Outpatient Setting

This measure may be submitted via Registry only

#244Hypertension: Blood Pressure Management

This measure may be submitted via Registry only

#245Chronic Wound Care: Use of Wound Surface Culture Technique in Patients with Chronic Skin Ulcers

Report via: Claim, Registry

#246Chronic Wound Care: Use of Wet to Dry Dressings in Patients with Chronic Skin Ulcers

Report via: Claim, Registry

#247Substance Use Disorders: Counseling Regarding Psychosocial and Pharmacologic Treatment Options for Alcohol Dependence

Report via: Claim, Registry

#248Substance Use Disorders: Screening for Depression Among Patients with Substance Abuse or Dependence

Report via: Claim, Registry

#249Barrett's Esophagus

Report via: Claim, Registry

#250Radical Prostatectomy Pathology Reporting

Report via: Claim, Registry

#251Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients

Report via: Claim, Registry

#252Anticoagulation for Acute Pulmonary Embolus Patients

Report via: Claim, Registry

#253Pregnancy Test for Female Abdominal Pain Patients

Report via: Claim, Registry

#254Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain

Report via: Claim, Registry

#255Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure

Report via: Claim, Registry

#256Surveillance after Endovascular Abdominal Aortic Aneurysm Repair (EVAR)

This measure may be submitted via Registry only

#257Statin Therapy at Discharge after Lower Extremity Bypass (LEB)

This measure may be submitted via Registry only

#258Rate of Open Elective Repair of Small or Moderate Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #7)

This measure may be submitted via Registry only

#259Rate of Elective Endovascular Aortic Repair (EVAR) of Small or Moderate Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #2)

This measure may be submitted via Registry only

#260Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home Post-Operative Day #2)

This measure may be submitted via Registry only

#261Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness

Report via: Claim, Registry

#262Image Confirmation of Successful Excision of Image-Localized Breast Lesion

Report via: Claim, Registry

#263Preoperative Diagnosis of Breast Cancer

Report via: Claim, Registry

#264Sentinel Lymph Node Biopsy for Invasive Breast Cancer

This measure may be submitted via Registry only

#265Biopsy Follow-Up

This measure may be submitted via Registry only

#266Epilepsy: Seizure Type(s) and Current Seizure Frequency(ies)

Report via: Claim, Registry

#267Epilepsy: Documentation of Etiology of Epilepsy or Epilepsy Syndrome

Report via: Claim, Registry

#268Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy

Report via: Claim, Registry

#269Inflammatory Bowel Disease (IBD): Type, Anatomic Location and Activity All Documented

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

#270Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Sparing Therapy

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

#271Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury - Bone Loss Assessment

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

#272Inflammatory Bowel Disease (IBD): Preventive Care: Influenza Immunization

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

#273Inflammatory Bowel Disease (IBD): Preventive Care: Pneumococcal Immunization

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

#274Inflammatory Bowel Disease (IBD): Testing for Latent Tuberculosis (TB) Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

#275Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Inflammatory Bowel Disease (IBD) Group

#276Sleep Apnea: Assessment of Sleep Symptoms

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Sleep Apnea Group

#277Sleep Apnea: Severity Assessment at Initial Diagnosis

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Sleep Apnea Group

#278Sleep Apnea: Positive Airway Pressure Therapy Prescribed

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Sleep Apnea Group

#279Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Sleep Apnea Group

#280Dementia: Staging of Dementia

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#281Dementia: Cognitive Assessment

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#282Dementia: Functional Status Assessment

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#283Dementia: Neuropsychiatric Symptom Assessment

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#284Dementia: Management of Neuropsychiatric Symptoms

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#285Dementia: Screening for Depressive Symptoms

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#286Dementia: Counseling Regarding Safety Concerns

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#287Dementia: Counseling Regarding Risks of Driving

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#288Dementia: Caregiver Education and Support

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Dementia Group

#289Parkinson's Disease: Annual Parkinson's Disease Diagnosis Review

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Parkinson's Disease Group

#290Parkinson's Disease: Psychiatric Disorders or Disturbances Assessment

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Parkinson's Disease Group

#291Parkinson's Disease: Cognitive Impairment or Dysfunction Assessment

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Parkinson's Disease Group

#292Parkinson's Disease: Querying about Sleep Disturbances

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Parkinson's Disease Group

#293Parkinson's Disease: Rehabilitative Therapy Options

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Parkinson's Disease Group

#294Parkinson's Disease: Parkinson's Disease Medical and Surgical Treatment Options Reviewed

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Parkinson's Disease Group

#295Hypertension: Appropriate Use of Aspirin or Other Antiplatelet or Anticoagulant Therapy

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension Group

#296Hypertension: Complete Lipid Profile

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension Group

#297Hypertension: Urine Protein Test

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension Group

#298Hypertension: Annual Serum Creatinine Test

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension Group

#299Hypertension: Diabetes Mellitus Screening Test

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension Group

#300Hypertension: Blood Pressure Control

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension Group

#301Hypertension: Low Density Lipoprotein (LDL-C) Control

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension Group

#302Hypertension: Dietary and Physical Activity Modifications Appropriately Prescribed

This measure may be submitted via Measure Group only

This measure is can be reported as part of the following groups:
• Hypertension Group

#303Cataracts: Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Cataracts Group

#304Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery

Report via: Registry, Measure Group

This measure is can be reported as part of the following groups:
• Cataracts Group

#305Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: (a) Initiation, (b) Engagement

This measure may be submitted via EHR only

#306Prenatal Care: Screening for Human Immunodeficiency Virus (HIV)

This measure may be submitted via EHR only

#307Prenatal Care: Anti-D Immune Globulin

This measure may be submitted via EHR only

#308Smoking and Tobacco Use Cessation, Medical Assistance: a. Advising Smokers and Tobacco Users to Quit, b. Discussing Smoking and Tobacco Use Cessation Medications, c. Discussing Smoking and Tobacco Use Cessation Strategies

This measure may be submitted via EHR only

#309Cervical Cancer Screening

This measure may be submitted via EHR only

#310Chlamydia Screening for Women

This measure may be submitted via EHR only

#311Use of Appropriate Medications for Asthma

This measure may be submitted via EHR only

#312Low Back Pain: Use of Imaging Studies

This measure may be submitted via EHR only

#313Diabetes Mellitus: Hemoglobin A1c Control (<8%)

Report via: EHR, GPRO I

#314Diabetes Mellitus: Daily Aspirin Use for Patients with Diabetes and Ischemic Vascular Disease

This measure may be submitted via GPRO I only

#315Diabetes Mellitus: Tobacco Non Use

This measure may be submitted via GPRO I only

#316Preventive Care and Screening: Cholesterol - Fasting Low Density Lipoprotein (LDL) Test Performed AND Risk-Stratified Fasting LDL

This measure may be submitted via EHR only

#317Preventive Care and Screening: Screening for High Blood Pressure

Report via: Claim, Registry, EHR, GPRO I, Measure Group

This measure is can be reported as part of the following groups:
• Cardiovascular Prevention Group

#318Falls: Screening for Future Fall Risk

This measure may be submitted via GPRO I only