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Improvement Activities (2018)

Last Updated: Sep 05, 2018 03:53PM PDT

Improvement Activities performance category gauges your participation in activities that improve clinical practice. Only a few can be achieved in Elation. We recommend completing this performance category outside of Elation. You can also reference the attached documents for more detailed information on this performance category.
 

Reporting Requirements:

  • For practices with < 15 clinicians
    • 1 high-weighted activity (any subcategory) OR
    • 2 medium-weighted activities (any subcategory)
  • For practices with 15 or more clinicians
    • 2 high-weighted activities (any subcategory) OR
    • 1 high-weighted activity and 2 medium-weighted activities (any subcategory) OR
    • 4 medium-weighted activities (any subcategory)

Improvement Activities in Elation

  1. Engagement of patients through implementation of improvements in patient portal
    • Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence.
    • How to measure: Number of registered patients with Patient Passport
  2. Implementation of falls screening and assessment programs
    • ​​Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence.
    • How to measure: EP performance in [NQF 0101] Falls: Screening for Future Fall Risk
  3. Population Empanelment
    • ​​​Empanel (assign responsibility for) the total population, linking each patient to a MIPS eligible clinician or group or care team. Effective empanelment requires identification of the "active population" of the practice: those patients who identify and use your practice as a source for primary care. Definition of "active patients" includes patients who have sought care within the last 24 to 36 months, allowing inclusion of younger patients who have minimal acute or preventive health care.
    • How to measure: Completing “Provider Assigned in Practice” field and running Patient List
  4. Tobacco Use
    • ​​Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence.
    • How to measure: Number of patients who “meet criteria” for NQF 0028
  5. Use of Certified EHR to capture patient reported outcomes
    • ​​In support of improving patient access, performing additional activities that enable capture of patient reported outcomes (e.g., home blood pressure, blood glucose logs, food diaries, at-risk health factors such as tobacco or alcohol use, etc.) or patient activation measures through use of certified EHR technology, containing this data in a separate queue for clinician recognition and review.
    • How to measure: Use of patient tags to track documents or reports that contain specific patient reported outcome

       
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