September 20, 2024 Release Highlights Copied

09/20/20242024 VBCRelease note

Practice Insights is pleased to announce updates in the application to support the Merit-Based Incentive Payment System (MIPS).

MIPS Quality Measures Dashboard

New MIPS #001: Diabetes Hemoglobin A1c (HbA1c) Poor Control (>9%) (Inverse Measure)

The following measure has been added to the dashboard:

Measure	Update	Practice Impact
MIPS #001: Diabetes Hemoglobin A1c (HbA1c) Poor Control (>9%) (Inverse Measure)	Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.	Numerator: Patients whose most recent HbA1c level (performed during the measurement period) is >9.0%, or is missing, or was not performed during the measurement period. Denominator: Initial population. Exclusions: Exclude patients in hospice care for any part of the measurement period. Exclude patients 66 and older by the end of the measurement period who are living long-term in a nursing home at any time on or before the end of the measurement period. Exclude patients 66 and older by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria: Advanced illness with two outpatient encounters during the measurement period or the year prior Advanced illness with one inpatient encounter during the measurement period or the year prior Taking dementia medications during the measurement period or the year prior Patients in hospice or receiving palliative care for any part of the measurement period

Measure

Update

Practice Impact

MIPS #001: Diabetes Hemoglobin A1c (HbA1c) Poor Control (>9%) (Inverse Measure)

Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.

Numerator: Patients whose most recent HbA1c level (performed during the measurement period) is >9.0%, or is missing, or was not performed during the measurement period.

Denominator: Initial population.

Exclusions: Exclude patients in hospice care for any part of the measurement period.

Exclude patients 66 and older by the end of the measurement period who are living long-term in a nursing home at any time on or before the end of the measurement period.

Exclude patients 66 and older by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria:

Advanced illness with two outpatient encounters during the measurement period or the year prior
Advanced illness with one inpatient encounter during the measurement period or the year prior
Taking dementia medications during the measurement period or the year prior
Patients in hospice or receiving palliative care for any part of the measurement period

Additional MIPS Measure Updates

The dashboard has been updated to reflect the refinement(s) for:

Measure	Update	Practice Impact
MIPS Promoting Interoperability – PDMP	The measure will now include Schedule II opioids, all Schedule III drugs, and all Schedule IV drugs.	Practices will notice numerator or denominator changes.

Status of Dashboard Updates for 2024

CMS releases updates to the quality measure specifications annually for the MIPS program. These measure specifications have been reviewed, and Practice Insights is working on the required technical updates to align with the revised requirements. McKesson will continue to notify practices once measures have been updated based on the current 2024 requirements. The measures listed below either have no 2024 update required or have been updated.

Measure	Description
MIPS Quality Measures Dashboard
#001	Diabetes Hemoglobin A1c (HbA1c) Poor Control (>9%) (Inverse Measure)
#047	Advance Care Plan
#104	Adjuvant Hormonal Therapy for High Risk or Very High Risk Prostate Cancer
#128	BMI (This measure is no longer a MIPS Traditional Measure)
#130	Current Medications
#134 eCQM	Preventive Care Screening: Screening for Depression and Follow-Up Plan
#134 CQM / Registry	Preventive Care Screening: Screening for Depression and Follow-Up Plan
#143	Pain Intensity Quantified
#144	Pain Care Plan
#236	Controlling High Blood Pressure
#374	Closing the Referral Loop
#450	Trastuzumab Received by Patients with AJCC Stage I (T1c), II and III and HER2+ Breast Cancer Receiving Adjuvant Chemotherapy
#451	RAS (KRAS & NRAS) Testing Performed for Patients with Metastatic Colorectal Cancer who Received Anti-EGFT Monoclonal Antibody Therapy
#452	Percentage of Adult Patients (aged 18 or older) with Metastatic Colorectal Cancer and RAS (KRAS & NRAS) Gene MutationSpared Treatment with Anti-EGFR Monoclonal Antibodies
#453	Percentage of Patients Who Died from Cancer Receiving Systemic Cancer-Directed Therapy in the Last 14 Days of Life (Inverse Measure)
#457	Percentage of Patients Who Died from Cancer Admitted to Hospice for Less than 3 days (Inverse Measure)
#462	Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy
PIMSH #1	Advance Care Planning in Stage 4 Disease
PIMSH #2	Utilization of GCSF in Metastatic Colon/Rectal Cancer (Inverse Measure)
PIMSH #4	Patient-Reported Pain Improvement
PIMSH #9	Supportive Care Drug Utilization in the Last 14 Days of Life (Inverse Measure)
PIMSH #10	Hepatitis B Serology Testing for Prophylactic Treatment Prior to Receiving Anti-CD20 Targeting Drugs
PIMSH #13	Proportion of Stage IV nsNSCLC Patients Tested for Actionable Biomarkers and Received Mutation-Targeted Therapy (EGFR, BRAF, ROS1, ALK, PD-L1)
PIMSH #15	Antiemetic Therapy for Low-and-Minimal-Emetic Risk Antineoplastic Agents in the Infusion Center-Avoidance of Overuse (Inverse Measure)
PIMSH #16	Appropriate Antiemetic Therapy for High-and Moderate-Emetic-Risk Antineoplastic Agents in the Infusion Center