MIPS Improvement Activities for year one of the QPP
A Technical Expert Panel (TEP) was convened by CMS to review the 93 MIPS improvement activities (IAs) for the first year of the Quality Payment Program. Stephen Davidow, MBA-HCM, CPHQ, APR, Director, Quality Improvement, served on the panel representing PCPI.
This CMS TEP provided feedback around the effectiveness and accuracy of the IAs included in the transition year of the QPP. It’s work focused on:
The relevance of the current set of IAs to patients and caregivers
The weighting of the IAs category in MIPS scoring
The TEP performed a review of selected IAs, especially those for which the QPP Service Center received comments and questions. CMS seeks to engage program participants in the design of these IAs and solicited feedback with the goal of ensuring that the IAs are valid, weighted correctly and have the right set of qualifications for credit. Also discussed was the issue of burden for eligible clinicians to implement or participate in improvement activities. View the full report here.
PCPI’s Expertise & Available Services
In addition to the support that PCPI’s expert staff provide through their participation in high-value external committees and speaking engagements at national conferences and meetings, we offer customized consulting services, training & education, and downloadable resources for your more complex needs.
Our consulting services offer tailored solutions that address your needs in the areas of
performance measurement, registries and quality improvement, including:
Reviewing available evidence, performance gaps and the measurement landscape to prioritize concepts for measure development
Specifying measures, in accordance with widely adopted standards and tools including Clinical Quality Language (CQL), which entails identifying or developing value sets and/or relevant coding and composing measure logic
Testing measures for feasibility, reliability and validity
Submitting measures for endorsement and shepherding them through the review process
Conducting needs analysis for organizations interested in developing or enhancing registry programs
Registry selection assistance
Advising and managing QI programs and initiatives including learning collaboratives
Other professional services to meet your needs
Discounts are available for member organizations; contact us for more information.
& Education Opportunities
PCPI offers practical training opportunities delivered both in-person and electronically. Take advantage of these education offerings coming in the next few months:
NOTE: Webinars are free for all to attend live; the webinar recordings library is available to PCPI members.
New resources are constantly under development. Check out these latest resources, published through PCPI or externally by our staff authors:
Closing the Referral Loop Tool Kit - Through participation in a quality improvement collaborative, dyads were able to increase the number of closed referrals from 40% to 70%, and significantly improve physician satisfaction with the referral process. Learn more and access the CRL tool kit here.
Common Clinical Registry Framework Domain Analysis Model - This Health Level Seven® International (HL7®) publication describes a general clinical registry from a data standards and interoperability perspective. Learn more and access the DAM here.
Measure specification resources - The PCPI Measurement Science team has created several internal, and collected several external resources, and made them available to you here.
PCPI-stewarded measures - PCPI stewards select measure(s) in several clinical conditions or topic areas. These measures are listed in order by condition or topic area here.
Qualified Clinical Data Registries in MACRA - This fact sheet explains the basics of the QCDR program and may be helpful to QCDR stewards in creating educational collateral for your participants. Learn more and access the QCDR fact sheet here.
Interested in learning more about our consulting services, education & training opportunities, and downloadable resources? Contact PCPI Membership Manager, Bevin Rousopoulos at email@example.com.