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Explore Measures & Activities page

Explore Measures & Activities

How to Use This Tool

This tool has been created to help you get familiar with the available measures and activities for each performance category under traditional MIPS. It’s for planning purposes only and will not submit anything to CMS. To get the most out of the tool, follow the steps below:

  1. Explore (Search, browse, or filter) available measures
  2. Add measures you’re interested in to your list
  3. Download your list of interested measures for reference

Performance Year

Select your performance year to view across all tabs.

2024 Quality Measures: Traditional MIPS

30% of final score

This percentage can change due to special statuses, exception applications, Alternative Payment Model (APM) Entity participation, or reweighting of other performance categories.

You must collect measure data for the 12-month performance period (January 1 - December 31, 2024). The amount of data that you must submit (‘data completeness’) depends on the collection type of the measure.

NEW: Beginning in the 2024 performance period, the data completeness threshold has increased to 75%.

TIP: Make sure that your selected quality measures can be reliably scored against a benchmark. Reporting a measure that doesn't meet case minimum, data completeness, or a benchmark (historical or performance period) is unavailable will result in 0 out of 10 points (3 points for small practices).

Read more about quality requirements for traditional MIPS.

Note: This tool does not include these QCDR Measures (XLSX)

196 Quality Measures |
  • Acute posterior vitreous detachment and acute vitreous hemorrhage appropriate examination and follow-up

    Percentage of patients with a diagnosis of acute posterior vitreous detachment (PVD) and acute vitreous hemorrhage in either eye who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks.

    Collection Type and Documentation

  • Acute posterior vitreous detachment appropriate examination and follow-up

    Percentage of patients with a diagnosis of acute posterior vitreous detachment (PVD) in either eye who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks.

    Collection Type and Documentation

  • Adherence to Antipsychotic Medications For Individuals with Schizophrenia

    High Priority Measure:Intermediate Outcome
    Percentage of individuals at least 18 years of age as of the beginning of the performance period with schizophrenia or schizoaffective disorder who had at least two prescriptions filled for any antipsychotic medication and who had a Proportion of Days Covered (PDC) of at least 0.8 for antipsychotic medications during the performance period.

    Collection Type and Documentation

  • Adult Immunization Status

    Percentage of patients 19 years of age and older who are up-to-date on recommended routine vaccines for influenza; tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap); zoster; and pneumococcal.

    Collection Type and Documentation

  • Adult Kidney Disease: Angiotensin Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy

    Percentage of patients aged 18 years and older with a diagnosis of chronic kidney disease (CKD) (Stages 1-5, not receiving Renal Replacement Therapy (RRT)) and proteinuria who were prescribed ACE inhibitor or ARB therapy within a 12-month period.

    Collection Type and Documentation

  • Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery

    High Priority Measure:Outcome
    Patients aged 18 years and older who had surgery for primary rhegmatogenous retinal detachment who did not require a return to the operating room within 90 days of surgery.

    Collection Type and Documentation

  • Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery

    High Priority Measure:Outcome
    Patients aged 18 years and older who had surgery for primary rhegmatogenous retinal detachment and achieved an improvement in their visual acuity, from their preoperative level, within 90 days of surgery in the operative eye.

    Collection Type and Documentation

  • Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

    High Priority Measure:Process
    Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms.

    Collection Type and Documentation

  • Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)

    High Priority Measure:Process
    Percentage of patients aged 18 years and older with a diagnosis of acute bacterial sinusitis that were prescribed amoxicillin, with or without clavulanate, as a first line antibiotic at the time of diagnosis.

    Collection Type and Documentation

  • Advance Care Plan

    High Priority Measure:Process
    Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan.

    Collection Type and Documentation