CalHIPSO engages providers at all levels of performance for collaborative learning and action that accelerate healthcare quality improvement. Use the resources below to better understand and successfully implement the QPP.
CalHIPSO has assembled important Merit-Based Incentive Payment System (MIPS) Quality measure-related resources to help you stay on track.
- Anesthesiology: MIPS Quality Measures from the American Society of Anesthesiologists (ASA)
- Cardiology: Cardiology Quality Measures handout
- Emergency Medicine: MIPS Quality Measures for Emergency Physicians from CIPROMS
- Obstetrics/Gynecology (OBGYN):
- Podiatry: Clinical Quality Measures for Podiatrists
- Psychiatry: MIPS Quality Measures List from the American Psychiatric Association (APA) (available as a downloadable fact sheet)
- Radiology: MIPS Quality Measures for Radiologists from the American College of Radiologists (ACR) (available as a downloadable spreadsheet)
- Urology: MIPS Quality Measures for urologists recommended by the American Urological Association (AUA)
*Physician Quality Reporting System (PQRS)
CalHIPSO has assembled helpful IA-based resources and tools to assist you.
- Family Medicine IA from the American College of Physicians
- Prescription Drug Monitoring Program (PDMP) Training and Technical Assistance Center—Obtain PDMP-related information, including where to find your PDMP by state.
- High Priority IA: Clinicians would attest that 60 percent for the first year, or 75 percent for the second year, of consultation of prescription drug monitoring program prior to the issuance of Controlled Substance Schedule II (CSII) opioid prescription that lasts longer than three days.
- Medium Priority IA: Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS-eligible clinicians and groups must participate for a minimum of six months.
- Radiology IA from Healthcare Administrative Partners
CalHIPSO encourages your use of the following resources to help guide your understanding of ACI.
These resources are from CMS and are updated regularly as new updates come online.
The following videos created by CMS are designed to acquaint you with the new payment models. These videos range in length from 3-10 minutes in length.
- What is the Quality Payment Program?
- Introduction to the Merit-based Incentive Payment System (MIPS)
- Who participates in MIPS?
- The MIPS performance categories
- What is the scoring methodology for MIPS?
- Introduction to Advanced Payment Models (APMs)
- What are the criteria for APMs?
- What is a Qualifying APM Participant?
HSAG has also prepared a helpful video for providers who wish participate in the QPP without an electronic health record (EHR):
Health Services Advisory Group (HSAG) has prepared several tools to help you participate in the Quality Payment Program (QPP) and to pick the Merit-based Incentive Payment System (MIPS) reporting pace that works best for you:
- 2017 How to Prepare for the Quality Payment Program and Develop a Reporting Plan (also known as the QPP Toolkit)
- MIPS Steps: Test
- MIPS Steps: Partial
- MIPS Steps: Full Year
The Centers for Medicare & Medicaid Services (CMS) have assembled QPP-related resources at https://qpp.cms.gov/resources/education. These materials include a MIPS Activity Fact Sheet, MIPS participation Fact Sheet, and MIPS 2017 CMS-Approved Qualified Registries Guide (112 pages).
Be sure to visit these CMS resources:
- CMS guide to register for the CMS web interface and/or the CAHPS for MIPS Survey if you are existing Enterprise Identify Data Management (EIDM) User
- CMS Guide for obtaining a new EIDM account
- CMS Web Interface Registration Guide
- CMS Web Interface Fact Sheet
- MIPS Participation Fact Sheet
- MIPS Improvement Activities Fact Sheet