Infectious Disease MIPS Specialty Measure Set (2018)

This measure set was for 2018 MIPS Quality reporting. View 2019 version ->

CMS specialty measure sets may be reported as an alternative to reporting 6 separate quality measures. If a measure set has less than 6 measures, eligible groups and clinicians must report all measures in the set. However, if a set has more than 6 measures, participants may choose the 6 measures that best fit their practice. Remember, at least one outcome measure must be reported, regardless of whether or not an outcome measure is included in a measure set.

Quality IdMeasure NameHigh PriorityMeasure TypeMeasure DescriptionFull Specifications
066Appropriate Testing for Children with PharyngitisNoProcessPercentage of children 3-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episodeRead More
091Acute Otitis Externa (AOE): Topical TherapyNoProcessPercentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparationsRead More
093Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy – Avoidance of Inappropriate UseNoProcessPercentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapyRead More
110Preventive Care and Screening: Influenza ImmunizationNoProcessPercentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunizationRead More
111Pneumococcal Vaccination Status for Older AdultsNoProcessPercentage of patients 65 years of age and older who have ever received a pneumococcal vaccineRead More
065Appropriate Treatment for Children with Upper Respiratory Infection (URI)NoProcessPercentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episodeRead More
130Documentation of Current Medications in the Medical RecordYesProcessPercentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications’ name, dosage, frequency and route of administrationRead More
128Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up PlanNoProcessPercentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI ≥ 18.5 and < 25 kg/m2Read More
116Avoidance of Antibiotic Treatment in Adults With Acute BronchitisNoProcessThe percentage of adults 18–64 years of age with a diagnosis of acute bronchitis who were not prescribed or dispensed an antibiotic prescriptionRead More
176Rheumatoid Arthritis (RA): Tuberculosis ScreeningNoProcessPercentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have documentation of a tuberculosis (TB) screening performed and results interpreted within 6 months prior to receiving a first course of therapy using a biologic disease-modifying anti-rheumatic drug (DMARD)Read More
205HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and SyphilisNoProcessPercentage of patients aged 13 years and older with a diagnosis of HIV/AIDS for whom chlamydia, gonorrhea, and syphilis screenings were performed at least once since the diagnosis of HIV infectionRead More
226Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionNoProcessPercentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco userRead More
275Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) TherapyNoProcessPercentage of patients with a diagnosis of inflammatory bowel disease (IBD) who had Hepatitis B Virus (HBV) status assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapyRead More
332Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)NoProcessPercentage 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 diagnosisRead More
340HIV Medical Visit FrequencyYesProcessPercentage of patients, regardless of age with a diagnosis of HIV who had at least one medical visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between medical visitsRead More
338HIV Viral Load SuppressionYesOutcomeThe percentage of patients, regardless of age, with a diagnosis of HIV with a HIV viral load less than 200 copies/mL at last HIV viral load test during the measurement yearRead More
337Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response ModifierNoProcessPercentage of patients whose providers are ensuring active tuberculosis prevention either through yearly negative standard tuberculosis screening tests or are reviewing the patient’s history to determine if they have had appropriate management for a recent or prior positive testRead More
334Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)NoEfficiencyPercentage of patients aged 18 years and older with a diagnosis of chronic sinusitis who had more than one CT scan of the paranasal sinuses ordered or received within 90 days after date of diagnosisRead More
333Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)NoEfficiencyPercentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosisRead More
331Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)NoProcessPercentage 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 symptomsRead More
387Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug UsersNoProcessPercentage of patients, regardless of age, who are active injection drug users who received screening for HCV infection within the 12 month reporting periodRead More
390Hepatitis C: Discussion and Shared Decision Making Surrounding Treatment OptionsYesProcessPercentage of patients aged 18 years and older with a diagnosis of hepatitis C with whom a physician or other qualified healthcare professional reviewed the range of treatment options appropriate to their genotype and demonstrated a shared decision making approach with the patient. To meet the measure, there must be documentation in the patient record of a discussion between the physician or other qualified healthcare professional and the patient that includes all of the following: treatment choices appropriate to genotype, risks and benefits, evidence of effectiveness, and patient preferences toward treatmentRead More
394Immunizations for AdolescentsNoProcessThe percentage of adolescents 13 years of age who had the recommended immunizations by their 13th birthdayRead More
400One-Time Screening for Hepatitis C Virus (HCV) for Patients at RiskNoProcessPercentage of patients aged 18 years and older with one or more of the following: a history of injection drug use, receipt of a blood transfusion prior to 1992, receiving maintenance hemodialysis, OR birthdate in the years 1945-1965 who received one-time screening for hepatitis C virus (HCV) infectionRead More
401Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with CirrhosisNoProcessPercentage of patients aged 18 years and older with a diagnosis of chronic hepatitis C cirrhosis who underwent imaging with either ultrasound, contrast enhanced CT or MRI for hepatocellular carcinoma (HCC) at least once within the 12 month reporting periodRead More
407Appropriate Treatment of Methicillin-Sensitive Staphylococcus Aureus (MSSA) BacteremiaNoProcessPercentage of patients with sepsis due to MSSA bacteremia who received beta-lactam antibiotic (e.g. nafcillin, oxacillin or cefazolin) as definitive therapyRead More
447Chlamydia Screening and Follow UpNoProcessThe percentage of female adolescents 16 years of age who had a chlamydia screening test with proper follow-up during the measurement periodRead More
464Otitis Media with Effusion (OME): Systemic Antimicrobials- Avoidance of Inappropriate UseYesProcessPercentage of patients aged 2 months through 12 years with a diagnosis of OME who were not prescribed systemic antimicrobialsRead More

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