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Quality Measures User Guide

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Medicare MIPS Module: Summary | Elements of the Medicare Summary Page June 2018 Quality Measures 18.3 9-4 User Guide v1.4 The cards in this section of the Summary page include the following elements: Quality ID: The CMS registry measure number. Measure Name: The name of the measure. CMS Points: The estimated measure achievement points based on the performance rate. Performance Rate: Your performance rate for the measure, numerator over denominator, expressed as a percent- age. Decile: Each benchmark is presented in deciles, and points are awarded within each decile. Clinicians with a per- formance rate in the first or second decile receive three points. Clinicians in the third decile receive 3.0–3.9 points, and so on until the 10th decile. # of Patients to the Next Decile: When present, indicates the number of patients for whom the measure would need to be met to move the results to the next decile ranking. May read "# of visits," depending on the measure type. Measure Criteria Not Met: When present, denotes that MIPS measure criteria have not been met and the mea- sure will not be scored against performance benchmarks. Measures Cards Key At the bottom of the Top 6 Recommended Measures section, there are three symbols: Outcome (Type): Outcome measures are defined by CMS each year. The icon will turn orange if the measure is an outcome measure. High Priority: Indicates a high priority measure, such as controlling high blood pressure in this example. High priority measures are defined by CMS on an annual basis. Inverse Measure: Indicates a measure for which a lower percentage corresponds to a more desirable outcome, such as a low percentage of use of high-risk medications in the elderly. You can click on any of the six measures to view a pop-up dialog breaking down measure criteria.

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