Allergy Immunology (14)

Includes the following individual measures:

#	Measure Title	Submission Methods
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
238	Use of High-Risk Medications in Older Adults	Electronic Health Record, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
331	Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)	Registry
332	Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)	Registry
338	HIV Viral Load Suppression	Registry
340	HIV Medical Visit Frequency	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
398	Optimal Asthma Control	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
444	Medication Management for People with Asthma	Registry

Anesthesiology (7)

Includes the following individual measures:

#	Measure Title	Submission Methods
044	Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery	Registry
076	Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections	Claims, Registry
404	Anesthesiology Smoking Abstinence	Registry
424	Perioperative Temperature Management	Registry
430	Prevention of Post-Operative Nausea and Vomiting (PONV) – Combination Therapy	Registry
463	Prevention of Post-Operative Vomiting (POV) – Combination Therapy (Pediatrics)	Registry
477	Multimodal Pain Management	Registry

Audiology (9)

Includes the following individual measures:

#	Measure Title	Submission Methods
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
182	Functional Outcome Assessment	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
261	Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness	Claims, Registry
318	Falls: Screening for Future Fall Risk	Electronic Health Record, Cms Web Interface

Cardiology (25)

Includes the following individual measures:

#	Measure Title	Submission Methods
005	Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
006	Coronary Artery Disease (CAD): Antiplatelet Therapy	Registry
007	Coronary Artery Disease (CAD): Beta-Blocker Therapy – Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%)	Electronic Health Record, Registry
008	Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
047	Advance Care Plan	Claims, Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
118	Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%)	Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
236	Controlling High Blood Pressure	Claims, Electronic Health Record, Cms Web Interface, Registry
238	Use of High-Risk Medications in Older Adults	Electronic Health Record, Registry
243	Cardiac Rehabilitation Patient Referral from an Outpatient Setting	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
322	Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low-Risk Surgery Patients	Registry
323	Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI)	Registry
324	Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients	Registry
326	Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy	Claims, Registry
344	Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2)	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	Electronic Health Record, Cms Web Interface, Registry
441	Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)	Registry

Chiropractic Medicine (8)

Includes the following individual measures:

#	Measure Title	Submission Methods
182	Functional Outcome Assessment	Claims, Registry
217	Functional Status Change for Patients with Knee Impairments	Registry
218	Functional Status Change for Patients with Hip Impairments	Registry
219	Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments	Registry
220	Functional Status Change for Patients with Low Back Impairments	Registry
221	Functional Status Change for Patients with Shoulder Impairments	Registry
222	Functional Status Change for Patients with Elbow, Wrist or Hand Impairments	Registry
478	Functional Status Change for Patients with Neck Impairments	Registry

Clinical Social Work (15)

Includes the following individual measures:

#	Measure Title	Submission Methods
047	Advance Care Plan	Claims, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
281	Dementia: Cognitive Assessment	Electronic Health Record
282	Dementia: Functional Status Assessment	Registry
283	Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management	Registry
286	Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia	Registry
288	Dementia: Education and Support of Caregivers for Patients with Dementia	Registry
370	Depression Remission at Twelve Months	Electronic Health Record, Cms Web Interface, Registry
382	Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record
383	Adherence to Antipsychotic Medications For Individuals with Schizophrenia	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry

Dentistry (2)

Includes the following individual measures:

#	Measure Title	Submission Methods
378	Children Who Have Dental Decay or Cavities	Electronic Health Record
379	Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists	Electronic Health Record

Dermatology (11)

Includes the following individual measures:

#	Measure Title	Submission Methods
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
137	Melanoma: Continuity of Care – Recall System	Registry
138	Melanoma: Coordination of Care	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
265	Biopsy Follow-Up	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
337	Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis on a Biological Immune Response Modifier	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
410	Psoriasis: Clinical Response to Systemic Medications	Registry
440	Skin Cancer: Biopsy Reporting Time – Pathologist to Clinician	Registry

Diagnostic Radiology (9)

Includes the following individual measures:

#	Measure Title	Submission Methods
145	Radiology: Exposure Dose Indices or Exposure Time and Number of Images Reported for Procedures Using Fluoroscopy	Claims, Registry
147	Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy	Claims, Registry
195	Radiology: Stenosis Measurement in Carotid Imaging Reports	Claims, Registry
225	Radiology: Reminder System for Screening Mammograms	Claims, Registry
360	Optimizing Patient Exposure to Ionizing Radiation: Count of Potential High Dose Radiation Imaging Studies: Computed Tomography (CT) and Cardiac Nuclear Medicine Studies	Registry
364	Optimizing Patient Exposure to Ionizing Radiation: Appropriateness: Follow-up CT Imaging for Incidentally Detected Pulmonary Nodules According to Recommended Guidelines	Registry
405	Appropriate Follow-up Imaging for Incidental Abdominal Lesions	Claims, Registry
406	Appropriate Follow-up Imaging for Incidental Thyroid Nodules in Patients	Claims, Registry
436	Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques	Claims, Registry

Electrophysiology Cardiac Specialist (2)

Includes the following individual measures:

#	Measure Title	Submission Methods
392	Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation	Registry
393	Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision	Registry

Emergency Medicine (11)

Includes the following individual measures:

#	Measure Title	Submission Methods
066	Appropriate Testing for Pharyngitis	Electronic Health Record, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy – Avoidance of Inappropriate Use	Claims, Registry
107	Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record
116	Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis	Registry
187	Stroke and Stroke Rehabilitation: Thrombolytic Therapy	Registry
254	Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain	Claims, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
331	Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)	Registry
332	Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)	Registry
415	Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older	Registry
416	Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years	Claims, Registry

Endocrinology (17)

Includes the following individual measures:

#	Measure Title	Submission Methods
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	Claims, Electronic Health Record, Cms Web Interface, Registry
039	Screening for Osteoporosis for Women Aged 65-85 Years of Age	Claims, Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
117	Diabetes: Eye Exam	Claims, Electronic Health Record, Registry
118	Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%)	Registry
119	Diabetes: Medical Attention for Nephropathy	Electronic Health Record, Registry
126	Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological Evaluation	Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
236	Controlling High Blood Pressure	Claims, Electronic Health Record, Cms Web Interface, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
418	Osteoporosis Management in Women Who Had a Fracture	Claims, Registry
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	Electronic Health Record, Cms Web Interface, Registry
462	Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy	Electronic Health Record

Family Medicine (65)

Includes the following individual measures:

#	Measure Title	Submission Methods
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	Claims, Electronic Health Record, Cms Web Interface, Registry
005	Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
006	Coronary Artery Disease (CAD): Antiplatelet Therapy	Registry
007	Coronary Artery Disease (CAD): Beta-Blocker Therapy – Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%)	Electronic Health Record, Registry
008	Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
009	Anti-Depressant Medication Management	Electronic Health Record
024	Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older	Claims, Registry
039	Screening for Osteoporosis for Women Aged 65-85 Years of Age	Claims, Registry
047	Advance Care Plan	Claims, Registry
048	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Registry
050	Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
065	Appropriate Treatment for Upper Respiratory Infection (URI)	Electronic Health Record, Registry
066	Appropriate Testing for Pharyngitis	Electronic Health Record, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy – Avoidance of Inappropriate Use	Claims, Registry
107	Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
112	Breast Cancer Screening	Claims, Electronic Health Record, Cms Web Interface, Registry
113	Colorectal Cancer Screening	Claims, Electronic Health Record, Cms Web Interface, Registry
116	Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis	Registry
117	Diabetes: Eye Exam	Claims, Electronic Health Record, Registry
119	Diabetes: Medical Attention for Nephropathy	Electronic Health Record, Registry
126	Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological Evaluation	Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
182	Functional Outcome Assessment	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
236	Controlling High Blood Pressure	Claims, Electronic Health Record, Cms Web Interface, Registry
238	Use of High-Risk Medications in Older Adults	Electronic Health Record, Registry
243	Cardiac Rehabilitation Patient Referral from an Outpatient Setting	Registry
305	Initiation and Engagement of Alcohol and Other Drug Dependence Treatment	Electronic Health Record
309	Cervical Cancer Screening	Electronic Health Record
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
318	Falls: Screening for Future Fall Risk	Electronic Health Record, Cms Web Interface
321	CAHPS for MIPs Clinician/Group Survey	Certified Survey Vendor
326	Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy	Claims, Registry
331	Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)	Registry
332	Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)	Registry
337	Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis on a Biological Immune Response Modifier	Registry
338	HIV Viral Load Suppression	Registry
342	Pain Brought Under Control Within 48 Hours	Registry
370	Depression Remission at Twelve Months	Electronic Health Record, Cms Web Interface, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
377	Functional Status Assessments for Congestive Heart Failure	Electronic Health Record
383	Adherence to Antipsychotic Medications For Individuals with Schizophrenia	Registry
387	Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users	Registry
394	Immunizations for Adolescents	Registry
398	Optimal Asthma Control	Registry
400	One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk	Registry
401	Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
418	Osteoporosis Management in Women Who Had a Fracture	Claims, Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	Electronic Health Record, Cms Web Interface, Registry
441	Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)	Registry
443	Non-Recommended Cervical Cancer Screening in Adolescent Females	Registry
444	Medication Management for People with Asthma	Registry
464	Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use	Registry
468	Continuity of Pharmacotherapy for Opioid Use Disorder (OUD)	Registry
472	Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture	Electronic Health Record
475	HIV Screening	Electronic Health Record

Gastroenterology (14)

Includes the following individual measures:

#	Measure Title	Submission Methods
047	Advance Care Plan	Claims, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
185	Colonoscopy Interval for Patients with a History of Adenomatous Polyps – Avoidance of Inappropriate Use	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
275	Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
320	Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients	Claims, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
401	Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
425	Photodocumentation of Cecal Intubation	Claims, Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
439	Age Appropriate Screening Colonoscopy	Registry

General Practice Family Medicine (10)

Includes the following individual measures:

#	Measure Title	Submission Methods
CAHPS_1	CAHPS for MIPS SSM: Getting Timely Care, Appointments, and Information	Certified Survey Vendor
CAHPS_2	CAHPS for MIPS SSM: How Well Providers Communicate	Certified Survey Vendor
CAHPS_3	CAHPS for MIPS SSM: Patient’s Rating of Provider	Certified Survey Vendor
CAHPS_4	CAHPS for MIPS SSM: Access to Specialists	Certified Survey Vendor
CAHPS_5	CAHPS for MIPS SSM: Health Promotion and Education	Certified Survey Vendor
CAHPS_6	CAHPS for MIPS SSM: Shared Decision Making	Certified Survey Vendor
CAHPS_7	CAHPS for MIPS SSM: Health Status and Functional Status	Certified Survey Vendor
CAHPS_8	CAHPS for MIPS SSM: Care Coordination	Certified Survey Vendor
CAHPS_9	CAHPS for MIPS SSM: Courteous and Helpful Office Staff	Certified Survey Vendor
CAHPS_11	CAHPS for MIPS SSM: Stewardship of Patient Resources	Certified Survey Vendor

General Surgery (15)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic – First OR Second-Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
047	Advance Care Plan	Claims, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
264	Sentinel Lymph Node Biopsy for Invasive Breast Cancer	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
354	Anastomotic Leak Intervention	Registry
355	Unplanned Reoperation within the 30 Day Postoperative Period	Registry
356	Unplanned Hospital Readmission within 30 Days of Principal Procedure	Registry
357	Surgical Site Infection (SSI)	Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry

Geriatrics (19)

Includes the following individual measures:

#	Measure Title	Submission Methods
039	Screening for Osteoporosis for Women Aged 65-85 Years of Age	Claims, Registry
047	Advance Care Plan	Claims, Registry
048	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Registry
050	Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
238	Use of High-Risk Medications in Older Adults	Electronic Health Record, Registry
281	Dementia: Cognitive Assessment	Electronic Health Record
282	Dementia: Functional Status Assessment	Registry
283	Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management	Registry
286	Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia	Registry
288	Dementia: Education and Support of Caregivers for Patients with Dementia	Registry
370	Depression Remission at Twelve Months	Electronic Health Record, Cms Web Interface, Registry
455	Percentage of Patients Who Died from Cancer Admitted to the Intensive Care Unit (ICU) in the Last 30 Days of Life (lower score – better)	Registry
476	Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia	Electronic Health Record

Hospitalists (5)

Includes the following individual measures:

#	Measure Title	Submission Methods
005	Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
008	Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
047	Advance Care Plan	Claims, Registry
076	Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections	Claims, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry

Infectious Disease (7)

Includes the following individual measures:

#	Measure Title	Submission Methods
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
205	HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis	Registry
338	HIV Viral Load Suppression	Registry
340	HIV Medical Visit Frequency	Registry
475	HIV Screening	Electronic Health Record

Internal Medicine (61)

Includes the following individual measures:

#	Measure Title	Submission Methods
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	Claims, Electronic Health Record, Cms Web Interface, Registry
005	Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
006	Coronary Artery Disease (CAD): Antiplatelet Therapy	Registry
007	Coronary Artery Disease (CAD): Beta-Blocker Therapy – Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%)	Electronic Health Record, Registry
008	Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
009	Anti-Depressant Medication Management	Electronic Health Record
024	Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older	Claims, Registry
039	Screening for Osteoporosis for Women Aged 65-85 Years of Age	Claims, Registry
047	Advance Care Plan	Claims, Registry
048	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Registry
050	Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy – Avoidance of Inappropriate Use	Claims, Registry
107	Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
116	Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis	Registry
117	Diabetes: Eye Exam	Claims, Electronic Health Record, Registry
119	Diabetes: Medical Attention for Nephropathy	Electronic Health Record, Registry
126	Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological Evaluation	Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
236	Controlling High Blood Pressure	Claims, Electronic Health Record, Cms Web Interface, Registry
238	Use of High-Risk Medications in Older Adults	Electronic Health Record, Registry
243	Cardiac Rehabilitation Patient Referral from an Outpatient Setting	Registry
277	Sleep Apnea: Severity Assessment at Initial Diagnosis	Registry
279	Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy	Registry
305	Initiation and Engagement of Alcohol and Other Drug Dependence Treatment	Electronic Health Record
309	Cervical Cancer Screening	Electronic Health Record
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
318	Falls: Screening for Future Fall Risk	Electronic Health Record, Cms Web Interface
321	CAHPS for MIPs Clinician/Group Survey	Certified Survey Vendor
326	Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy	Claims, Registry
331	Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)	Registry
332	Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)	Registry
337	Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis on a Biological Immune Response Modifier	Registry
338	HIV Viral Load Suppression	Registry
342	Pain Brought Under Control Within 48 Hours	Registry
370	Depression Remission at Twelve Months	Electronic Health Record, Cms Web Interface, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
377	Functional Status Assessments for Congestive Heart Failure	Electronic Health Record
383	Adherence to Antipsychotic Medications For Individuals with Schizophrenia	Registry
387	Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users	Registry
391	Follow-Up After Hospitalization for Mental Illness (FUH)	Registry
398	Optimal Asthma Control	Registry
400	One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk	Registry
401	Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
418	Osteoporosis Management in Women Who Had a Fracture	Claims, Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	Electronic Health Record, Cms Web Interface, Registry
441	Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)	Registry
443	Non-Recommended Cervical Cancer Screening in Adolescent Females	Registry
444	Medication Management for People with Asthma	Registry
468	Continuity of Pharmacotherapy for Opioid Use Disorder (OUD)	Registry
472	Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture	Electronic Health Record
475	HIV Screening	Electronic Health Record

Interventional Radiology (8)

Includes the following individual measures:

#	Measure Title	Submission Methods
076	Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections	Claims, Registry
145	Radiology: Exposure Dose Indices or Exposure Time and Number of Images Reported for Procedures Using Fluoroscopy	Claims, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
409	Clinical Outcome Post Endovascular Stroke Treatment	Registry
413	Door to Puncture Time for Endovascular Stroke Treatment	Registry
420	Varicose Vein Treatment with Saphenous Ablation: Outcome Survey	Registry
421	Appropriate Assessment of Retrievable Inferior Vena Cava (IVC) Filters for Removal	Registry
465	Uterine Artery Embolization Technique: Documentation of Angiographic Endpoints and Interrogation of Ovarian Arteries	Registry

Mental Behavioral Health (22)

Includes the following individual measures:

#	Measure Title	Submission Methods
009	Anti-Depressant Medication Management	Electronic Health Record
107	Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
281	Dementia: Cognitive Assessment	Electronic Health Record
282	Dementia: Functional Status Assessment	Registry
283	Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management	Registry
286	Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia	Registry
288	Dementia: Education and Support of Caregivers for Patients with Dementia	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
366	Follow-Up Care for Children Prescribed ADHD Medication (ADD)	Electronic Health Record
370	Depression Remission at Twelve Months	Electronic Health Record, Cms Web Interface, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
382	Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record
383	Adherence to Antipsychotic Medications For Individuals with Schizophrenia	Registry
391	Follow-Up After Hospitalization for Mental Illness (FUH)	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
468	Continuity of Pharmacotherapy for Opioid Use Disorder (OUD)	Registry

Nephrology (10)

Includes the following individual measures:

#	Measure Title	Submission Methods
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	Claims, Electronic Health Record, Cms Web Interface, Registry
047	Advance Care Plan	Claims, Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
119	Diabetes: Medical Attention for Nephropathy	Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
182	Functional Outcome Assessment	Claims, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
318	Falls: Screening for Future Fall Risk	Electronic Health Record, Cms Web Interface
400	One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk	Registry

Neurology (24)

Includes the following individual measures:

#	Measure Title	Submission Methods
047	Advance Care Plan	Claims, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
268	Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy	Registry
277	Sleep Apnea: Severity Assessment at Initial Diagnosis	Registry
279	Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy	Registry
281	Dementia: Cognitive Assessment	Electronic Health Record
282	Dementia: Functional Status Assessment	Registry
283	Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management	Registry
286	Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia	Registry
288	Dementia: Education and Support of Caregivers for Patients with Dementia	Registry
290	Parkinson’s Disease: Psychiatric Symptoms Assessment for Patients with Parkinson’s Disease	Registry
291	Parkinson’s Disease: Cognitive Impairment or Dysfunction Assessment for Patients with Parkinson's Disease	Registry
293	Parkinson’s Disease: Rehabilitative Therapy Options	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
386	Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
419	Overuse of Imaging for the Evaluation of Primary Headache	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry

Neurosurgical (15)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic – First OR Second-Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
187	Stroke and Stroke Rehabilitation: Thrombolytic Therapy	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
260	Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home by Post-Operative Day #2)	Registry
344	Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2)	Registry
409	Clinical Outcome Post Endovascular Stroke Treatment	Registry
413	Door to Puncture Time for Endovascular Stroke Treatment	Registry
459	Back Pain After Lumbar Discectomy/Laminectomy	Registry
460	Back Pain After Lumbar Fusion	Registry
461	Leg Pain After Lumbar Discectomy/Laminectomy	Registry
469	Functional Status After Lumbar Fusion	Registry
471	Functional Status After Lumbar Discectomy/Laminectomy	Registry
473	Leg Pain After Lumbar Fusion	Registry

Nutrition Dietician (5)

Includes the following individual measures:

#	Measure Title	Submission Methods
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
239	Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents	Electronic Health Record
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry

Obstetrics Gynecology (29)

Includes the following individual measures:

#	Measure Title	Submission Methods
047	Advance Care Plan	Claims, Registry
048	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Registry
050	Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
112	Breast Cancer Screening	Claims, Electronic Health Record, Cms Web Interface, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
236	Controlling High Blood Pressure	Claims, Electronic Health Record, Cms Web Interface, Registry
265	Biopsy Follow-Up	Registry
309	Cervical Cancer Screening	Electronic Health Record
310	Chlamydia Screening for Women	Electronic Health Record
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
335	Maternity Care: Elective Delivery or Early Induction Without Medical Indication at < 39 Weeks (Overuse)	Registry
336	Maternity Care: Postpartum Follow-up and Care Coordination	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
418	Osteoporosis Management in Women Who Had a Fracture	Claims, Registry
422	Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury	Claims, Registry
429	Pelvic Organ Prolapse: Preoperative Screening for Uterine Malignancy	Claims, Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
432	Proportion of Patients Sustaining a Bladder Injury at the Time of any Pelvic Organ Prolapse Repair	Registry
433	Proportion of Patients Sustaining a Bowel Injury at the time of any Pelvic Organ Prolapse Repair	Registry
434	Proportion of Patients Sustaining a Ureter Injury at the Time of Pelvic Organ Prolapse Repair	Registry
443	Non-Recommended Cervical Cancer Screening in Adolescent Females	Registry
448	Appropriate Workup Prior to Endometrial Ablation	Registry
472	Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture	Electronic Health Record
475	HIV Screening	Electronic Health Record

Oncology (22)

Includes the following individual measures:

#	Measure Title	Submission Methods
047	Advance Care Plan	Claims, Registry
067	Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow	Registry
070	Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry	Registry
102	Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients	Electronic Health Record, Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
143	Oncology: Medical and Radiation – Pain Intensity Quantified	Electronic Health Record, Registry
144	Oncology: Medical and Radiation - Plan of Care for Pain	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
250	Radical Prostatectomy Pathology Reporting	Claims, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
450	Appropriate Treatment for Patients with Stage I (T1c) - III HER2 Positive Breast Cancer	Registry
451	RAS (KRAS and NRAS) Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who receive Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibody Therapy	Registry
452	Patients with Metastatic Colorectal Cancer and RAS (KRAS or NRAS) Gene Mutation Spared Treatment with Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibodies	Registry
453	Percentage of Patients Who Died from Cancer Receiving Chemotherapy in the Last 14 Days of Life (lower score – better)	Registry
455	Percentage of Patients Who Died from Cancer Admitted to the Intensive Care Unit (ICU) in the Last 30 Days of Life (lower score – better)	Registry
457	Percentage of Patients Who Died from Cancer Admitted to Hospice for Less than 3 days (lower score – better)	Registry
462	Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy	Electronic Health Record

Ophthalmology (15)

Includes the following individual measures:

#	Measure Title	Submission Methods
012	Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation	Electronic Health Record
014	Age-Related Macular Degeneration (AMD): Dilated Macular Examination	Claims, Registry
019	Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care	Electronic Health Record, Registry
117	Diabetes: Eye Exam	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
141	Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care	Claims, Registry
191	Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery	Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
238	Use of High-Risk Medications in Older Adults	Electronic Health Record, Registry
303	Cataracts: Improvement in Patient’s Visual Function within 90 Days Following Cataract Surgery	Registry
304	Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
384	Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery	Registry
385	Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery	Registry
389	Cataract Surgery: Difference Between Planned and Final Refraction	Registry

Orthopedic Surgery (37)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic – First OR Second-Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
024	Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older	Claims, Registry
047	Advance Care Plan	Claims, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
178	Rheumatoid Arthritis (RA): Functional Status Assessment	Registry
180	Rheumatoid Arthritis (RA): Glucocorticoid Management	Registry
182	Functional Outcome Assessment	Claims, Registry
217	Functional Status Change for Patients with Knee Impairments	Registry
218	Functional Status Change for Patients with Hip Impairments	Registry
219	Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments	Registry
220	Functional Status Change for Patients with Low Back Impairments	Registry
221	Functional Status Change for Patients with Shoulder Impairments	Registry
222	Functional Status Change for Patients with Elbow, Wrist or Hand Impairments	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
318	Falls: Screening for Future Fall Risk	Electronic Health Record, Cms Web Interface
350	Total Knee Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy	Registry
351	Total Knee Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation	Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
375	Functional Status Assessment for Total Knee Replacement	Electronic Health Record
376	Functional Status Assessment for Total Hip Replacement	Electronic Health Record
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
418	Osteoporosis Management in Women Who Had a Fracture	Claims, Registry
459	Back Pain After Lumbar Discectomy/Laminectomy	Registry
460	Back Pain After Lumbar Fusion	Registry
461	Leg Pain After Lumbar Discectomy/Laminectomy	Registry
469	Functional Status After Lumbar Fusion	Registry
470	Functional Status After Primary Total Knee Replacement	Registry
471	Functional Status After Lumbar Discectomy/Laminectomy	Registry
473	Leg Pain After Lumbar Fusion	Registry
478	Functional Status Change for Patients with Neck Impairments	Registry

Otolaryngology (26)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic – First OR Second-Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
047	Advance Care Plan	Claims, Registry
065	Appropriate Treatment for Upper Respiratory Infection (URI)	Electronic Health Record, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy – Avoidance of Inappropriate Use	Claims, Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
265	Biopsy Follow-Up	Registry
277	Sleep Apnea: Severity Assessment at Initial Diagnosis	Registry
279	Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
318	Falls: Screening for Future Fall Risk	Electronic Health Record, Cms Web Interface
331	Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)	Registry
332	Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)	Registry
357	Surgical Site Infection (SSI)	Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
398	Optimal Asthma Control	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
464	Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use	Registry

Pathology (6)

Includes the following individual measures:

#	Measure Title	Submission Methods
249	Barrett’s Esophagus	Claims, Registry
250	Radical Prostatectomy Pathology Reporting	Claims, Registry
395	Lung Cancer Reporting (Biopsy/Cytology Specimens)	Claims, Registry
396	Lung Cancer Reporting (Resection Specimens)	Claims, Registry
397	Melanoma Reporting	Claims, Registry
440	Skin Cancer: Biopsy Reporting Time – Pathologist to Clinician	Registry

Pediatrics (21)

Includes the following individual measures:

#	Measure Title	Submission Methods
065	Appropriate Treatment for Upper Respiratory Infection (URI)	Electronic Health Record, Registry
066	Appropriate Testing for Pharyngitis	Electronic Health Record, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy – Avoidance of Inappropriate Use	Claims, Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
116	Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis	Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
205	HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis	Registry
239	Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents	Electronic Health Record
240	Childhood Immunization Status	Electronic Health Record
305	Initiation and Engagement of Alcohol and Other Drug Dependence Treatment	Electronic Health Record
310	Chlamydia Screening for Women	Electronic Health Record
366	Follow-Up Care for Children Prescribed ADHD Medication (ADD)	Electronic Health Record
370	Depression Remission at Twelve Months	Electronic Health Record, Cms Web Interface, Registry
379	Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists	Electronic Health Record
382	Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment	Electronic Health Record
391	Follow-Up After Hospitalization for Mental Illness (FUH)	Registry
394	Immunizations for Adolescents	Registry
398	Optimal Asthma Control	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
444	Medication Management for People with Asthma	Registry
464	Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use	Registry

Physical Medicine (12)

Includes the following individual measures:

#	Measure Title	Submission Methods
047	Advance Care Plan	Claims, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
182	Functional Outcome Assessment	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
468	Continuity of Pharmacotherapy for Opioid Use Disorder (OUD)	Registry

Physical Therapy Occupational Therapy (22)

Includes the following individual measures:

#	Measure Title	Submission Methods
126	Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological Evaluation	Registry
127	Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention – Evaluation of Footwear	Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
182	Functional Outcome Assessment	Claims, Registry
217	Functional Status Change for Patients with Knee Impairments	Registry
218	Functional Status Change for Patients with Hip Impairments	Registry
219	Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments	Registry
220	Functional Status Change for Patients with Low Back Impairments	Registry
221	Functional Status Change for Patients with Shoulder Impairments	Registry
222	Functional Status Change for Patients with Elbow, Wrist or Hand Impairments	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
281	Dementia: Cognitive Assessment	Electronic Health Record
283	Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management	Registry
286	Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia	Registry
288	Dementia: Education and Support of Caregivers for Patients with Dementia	Registry
318	Falls: Screening for Future Fall Risk	Electronic Health Record, Cms Web Interface
478	Functional Status Change for Patients with Neck Impairments	Registry

Plastic Surgery (9)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic – First OR Second-Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
355	Unplanned Reoperation within the 30 Day Postoperative Period	Registry
356	Unplanned Hospital Readmission within 30 Days of Principal Procedure	Registry
357	Surgical Site Infection (SSI)	Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry

Podiatry (7)

Includes the following individual measures:

#	Measure Title	Submission Methods
126	Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological Evaluation	Registry
127	Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention – Evaluation of Footwear	Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
318	Falls: Screening for Future Fall Risk	Electronic Health Record, Cms Web Interface

Preventive Medicine (25)

Includes the following individual measures:

#	Measure Title	Submission Methods
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	Claims, Electronic Health Record, Cms Web Interface, Registry
024	Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older	Claims, Registry
039	Screening for Osteoporosis for Women Aged 65-85 Years of Age	Claims, Registry
047	Advance Care Plan	Claims, Registry
048	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
112	Breast Cancer Screening	Claims, Electronic Health Record, Cms Web Interface, Registry
113	Colorectal Cancer Screening	Claims, Electronic Health Record, Cms Web Interface, Registry
116	Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis	Registry
119	Diabetes: Medical Attention for Nephropathy	Electronic Health Record, Registry
126	Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological Evaluation	Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
182	Functional Outcome Assessment	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	Electronic Health Record, Cms Web Interface, Registry
475	HIV Screening	Electronic Health Record

Pulmonology (15)

Includes the following individual measures:

#	Measure Title	Submission Methods
047	Advance Care Plan	Claims, Registry
052	Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy	Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
236	Controlling High Blood Pressure	Claims, Electronic Health Record, Cms Web Interface, Registry
238	Use of High-Risk Medications in Older Adults	Electronic Health Record, Registry
277	Sleep Apnea: Severity Assessment at Initial Diagnosis	Registry
279	Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
398	Optimal Asthma Control	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
444	Medication Management for People with Asthma	Registry

Radiation Oncology (3)

Includes the following individual measures:

#	Measure Title	Submission Methods
102	Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients	Electronic Health Record, Registry
143	Oncology: Medical and Radiation – Pain Intensity Quantified	Electronic Health Record, Registry
144	Oncology: Medical and Radiation - Plan of Care for Pain	Registry

Rheumatology (17)

Includes the following individual measures:

#	Measure Title	Submission Methods
024	Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older	Claims, Registry
039	Screening for Osteoporosis for Women Aged 65-85 Years of Age	Claims, Registry
047	Advance Care Plan	Claims, Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
176	Tuberculosis Screening Prior to First Course Biologic Therapy	Registry
177	Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity	Registry
178	Rheumatoid Arthritis (RA): Functional Status Assessment	Registry
180	Rheumatoid Arthritis (RA): Glucocorticoid Management	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
236	Controlling High Blood Pressure	Claims, Electronic Health Record, Cms Web Interface, Registry
238	Use of High-Risk Medications in Older Adults	Electronic Health Record, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry

Skilled Nursing Facility (13)

Includes the following individual measures:

#	Measure Title	Submission Methods
006	Coronary Artery Disease (CAD): Antiplatelet Therapy	Registry
007	Coronary Artery Disease (CAD): Beta-Blocker Therapy – Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%)	Electronic Health Record, Registry
008	Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	Electronic Health Record, Registry
047	Advance Care Plan	Claims, Registry
110	Preventive Care and Screening: Influenza Immunization	Claims, Electronic Health Record, Cms Web Interface, Registry
111	Pneumococcal Vaccination Status for Older Adults	Claims, Electronic Health Record, Registry
118	Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%)	Registry
154	Falls: Risk Assessment	Claims, Registry
155	Falls: Plan of Care	Claims, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
238	Use of High-Risk Medications in Older Adults	Electronic Health Record, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
326	Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy	Claims, Registry

Speech Language Pathology (5)

Includes the following individual measures:

#	Measure Title	Submission Methods
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
134	Preventive Care and Screening: Screening for Depression and Follow-Up Plan	Claims, Electronic Health Record, Cms Web Interface, Registry
181	Elder Maltreatment Screen and Follow-Up Plan	Claims, Registry
182	Functional Outcome Assessment	Claims, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry

Thoracic Surgery (14)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic – First OR Second-Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
044	Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery	Registry
047	Advance Care Plan	Claims, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
164	Coronary Artery Bypass Graft (CABG): Prolonged Intubation	Registry
167	Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure	Registry
168	Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration	Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
445	Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG)	Registry

Urgent Care (12)

Includes the following individual measures:

#	Measure Title	Submission Methods
065	Appropriate Treatment for Upper Respiratory Infection (URI)	Electronic Health Record, Registry
066	Appropriate Testing for Pharyngitis	Electronic Health Record, Registry
093	Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy – Avoidance of Inappropriate Use	Claims, Registry
116	Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis	Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
331	Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)	Registry
332	Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)	Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
464	Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use	Registry

Urology (21)

Includes the following individual measures:

#	Measure Title	Submission Methods
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
047	Advance Care Plan	Claims, Registry
048	Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older	Registry
050	Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older	Claims, Registry
102	Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients	Electronic Health Record, Registry
104	Prostate Cancer: Combination Androgen Deprivation Therapy for High Risk or Very High Risk Prostate Cancer	Registry
119	Diabetes: Medical Attention for Nephropathy	Electronic Health Record, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
265	Biopsy Follow-Up	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
429	Pelvic Organ Prolapse: Preoperative Screening for Uterine Malignancy	Claims, Registry
431	Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	Registry
432	Proportion of Patients Sustaining a Bladder Injury at the Time of any Pelvic Organ Prolapse Repair	Registry
433	Proportion of Patients Sustaining a Bowel Injury at the time of any Pelvic Organ Prolapse Repair	Registry
434	Proportion of Patients Sustaining a Ureter Injury at the Time of Pelvic Organ Prolapse Repair	Registry
462	Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy	Electronic Health Record
476	Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia	Electronic Health Record

Vascular Surgery (18)

Includes the following individual measures:

#	Measure Title	Submission Methods
021	Perioperative Care: Selection of Prophylactic Antibiotic – First OR Second-Generation Cephalosporin	Claims, Registry
023	Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)	Claims, Registry
047	Advance Care Plan	Claims, Registry
128	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	Claims, Electronic Health Record, Registry
130	Documentation of Current Medications in the Medical Record	Claims, Electronic Health Record, Registry
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Claims, Electronic Health Record, Cms Web Interface, Registry
236	Controlling High Blood Pressure	Claims, Electronic Health Record, Cms Web Interface, Registry
258	Rate of Open Repair of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #7)	Registry
259	Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #2)	Registry
260	Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home by Post-Operative Day #2)	Registry
317	Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	Claims, Electronic Health Record, Registry
344	Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2)	Registry
357	Surgical Site Infection (SSI)	Registry
358	Patient-Centered Surgical Risk Assessment and Communication	Registry
374	Closing the Referral Loop: Receipt of Specialist Report	Electronic Health Record, Registry
402	Tobacco Use and Help with Quitting Among Adolescents	Registry
420	Varicose Vein Treatment with Saphenous Ablation: Outcome Survey	Registry
441	Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)	Registry