Year:  2017 2018 2019 2020 2021 2022 2023 2024 

QPP Measure Sets

Internal Medicine

Includes the following individual measures:
#Measure TitleSubmission Methods
001Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)Claims, Electronic Health Record, Cms Web Interface, Registry
005Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)Electronic Health Record, Registry
006Coronary Artery Disease (CAD): Antiplatelet TherapyRegistry
007Coronary Artery Disease (CAD): Beta-Blocker Therapy - Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%)Electronic Health Record, Registry
008Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)Electronic Health Record, Registry
009Anti-Depressant Medication ManagementElectronic Health Record, Registry
024Communication with the Physician or Other Clinician Managing On-going Care Post-Fracture for Men and Women Aged 50 Years and OlderClaims, Registry
039Screening for Osteoporosis for Women Aged 65-85 Years of AgeClaims, Registry
047Care PlanClaims, Registry
048Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and OlderClaims, Registry
050Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and OlderClaims, Registry
091Acute Otitis Externa (AOE): Topical TherapyClaims, Registry
093Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate UseClaims, Registry
117Diabetes: Eye ExamClaims, Electronic Health Record, Cms Web Interface, Registry
119Diabetes: Medical Attention for NephropathyElectronic Health Record, Registry
126Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological EvaluationRegistry
128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up PlanClaims, Electronic Health Record, Cms Web Interface, Registry
130Documentation of Current Medications in the Medical RecordClaims, Electronic Health Record, Registry
134Preventive Care and Screening: Screening for Depression and Follow-Up PlanClaims, Electronic Health Record, Cms Web Interface, Registry
154Falls: Risk AssessmentClaims, Registry
155Falls: Plan of CareClaims, Registry
163Diabetes: Foot ExamElectronic Health Record, Registry
181Elder Maltreatment Screen and Follow-Up PlanClaims, Registry
204Ischemic Vascular Disease (IVD): Use of Aspirin or Another AntiplateletClaims, Electronic Health Record, Cms Web Interface, Registry
226Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionClaims, Electronic Health Record, Cms Web Interface, Registry
238Use of High-Risk Medications in the ElderlyElectronic Health Record, Registry
243Cardiac Rehabilitation Patient Referral from an Outpatient SettingRegistry
305Initiation and Engagement of Alcohol and Other Drug Dependence TreatmentElectronic Health Record, Registry
309Cervical Cancer ScreeningElectronic Health Record, Registry
317Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up DocumentedClaims, Electronic Health Record, Registry
321CAHPS for MIPs Clinician/Group SurveyCertified Survey Vendor
326Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation TherapyClaims, Registry
331Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)Registry
332Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)Registry
333Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)Registry
334Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)Registry
337Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response ModifierRegistry
338HIV Viral Load SuppressionRegistry
342Pain Brought Under Control Within 48 HoursRegistry
370Depression Remission at Twelve MonthsElectronic Health Record, Cms Web Interface, Registry
371Depression Utilization of the PHQ-9 ToolElectronic Health Record, Registry
373Hypertension: Improvement in Blood PressureElectronic Health Record, Registry
374Closing the Referral Loop: Receipt of Specialist ReportElectronic Health Record, Registry
377Functional Status Assessments for Congestive Heart FailureElectronic Health Record, Registry
383Adherence to Antipsychotic Medications For Individuals with SchizophreniaRegistry
387Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug UsersRegistry
398Optimal Asthma ControlRegistry
400One-Time Screening for Hepatitis C Virus (HCV) for Patients at RiskRegistry
401Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with CirrhosisRegistry
402Tobacco Use and Help with Quitting Among AdolescentsRegistry
408Opioid Therapy Follow-up EvaluationRegistry
412Documentation of Signed Opioid Treatment AgreementRegistry
414Evaluation or Interview for Risk of Opioid MisuseRegistry
418Osteoporosis Management in Women Who Had a FractureClaims, Registry
431Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief CounselingRegistry
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseElectronic Health Record, Cms Web Interface, Registry
441Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)Registry
442Persistence of Beta-Blocker Treatment After a Heart AttackRegistry
443Non-Recommended Cervical Cancer Screening in Adolescent FemalesRegistry
444Medication Management for People with AsthmaRegistry
447Chlamydia Screening and Follow UpRegistry
ACO321CAHPS for ACOs Clinician/Group SurveyCertified Survey Vendor
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