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Merge pull request #680 from CMSgov/QPPA-7672
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QPPA-7672: add pre prod PI measures
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@ckawell-sb
ckawell-sb authored May 8, 2023
2 parents 4b812fe + 0b89d79 commit 2d5f883
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320 changes: 320 additions & 0 deletions measures/2023/measures-data.json
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Original file line number Diff line number Diff line change
Expand Up @@ -2248,6 +2248,326 @@
"exclusion": null,
"allowedPrograms": []
},
{
"category": "pi",
"measureId": "PI_PHCDRR_1_PRE",
"title": "Immunization Registry Reporting Active Engagement Level 1",
"description": "Option 1 – Pre-Production and Validation: The MIPS eligible clinician must first register to submit data with the PHA or, where applicable, the clinical data registry (CDR) to which the information is being submitted. Registration must be completed within 60 days after the start of the performance period, while awaiting an invitation from the PHA or CDR to begin testing and validation. Upon completion of the initial registration, the MIPS eligible clinician must begin the process of testing and validation of the electronic submission of data. The MIPS eligible clinician must respond to requests from the PHA or, where applicable, the CDR within 30 days; failure to respond twice within a performance period would result in the MIPS eligible clinician not meeting the measure.",
"isRequired": true,
"metricType": "boolean",
"firstPerformanceYear": 2023,
"lastPerformanceYear": null,
"objective": "publicHealthAndClinicalDataExchange",
"isBonus": false,
"reportingCategory": "required",
"substitutes": [
"PI_PHCDRR_1_PROD"
],
"measureSets": [],
"exclusion": null,
"allowedPrograms": [
"G0053",
"G0054",
"G0055",
"G0056",
"G0057",
"G0058",
"G0059",
"M0001",
"M0005",
"M0002",
"M0003",
"M0004"
]
},
{
"category": "pi",
"measureId": "PI_PHCDRR_1_PROD",
"title": "Immunization Registry Reporting Active Engagement Level 2",
"description": "Option 2 – Validated Data Production: The MIPS eligible clinician has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.",
"isRequired": true,
"metricType": "boolean",
"firstPerformanceYear": 2023,
"lastPerformanceYear": null,
"objective": "publicHealthAndClinicalDataExchange",
"isBonus": false,
"reportingCategory": "required",
"substitutes": [
"PI_PHCDRR_1_PRE"
],
"measureSets": [],
"exclusion": null,
"allowedPrograms": [
"G0053",
"G0054",
"G0055",
"G0056",
"G0057",
"G0058",
"G0059",
"M0001",
"M0005",
"M0002",
"M0003",
"M0004"
]
},
{
"category": "pi",
"measureId": "PI_PHCDRR_2_PRE",
"title": "Syndromic Surveillance Reporting Active Engagement Level 1",
"description": "Option 1 – Pre-Production and Validation: The MIPS eligible clinician must first register to submit data with the PHA or, where applicable, the clinical data registry (CDR) to which the information is being submitted. Registration must be completed within 60 days after the start of the performance period, while awaiting an invitation from the PHA or CDR to begin testing and validation. Upon completion of the initial registration, the MIPS eligible clinician must begin the process of testing and validation of the electronic submission of data. The MIPS eligible clinician must respond to requests from the PHA or, where applicable, the CDR within 30 days; failure to respond twice within a performance period would result in the MIPS eligible clinician not meeting the measure.",
"isRequired": true,
"metricType": "boolean",
"firstPerformanceYear": 2023,
"lastPerformanceYear": null,
"objective": "publicHealthAndClinicalDataExchange",
"isBonus": true,
"reportingCategory": "bonus",
"substitutes": [
"PI_PHCDRR_2_PROD"
],
"measureSets": [],
"exclusion": null,
"allowedPrograms": [
"G0053",
"G0054",
"G0055",
"G0056",
"G0057",
"G0058",
"G0059",
"M0001",
"M0005",
"M0002",
"M0003",
"M0004"
]
},
{
"category": "pi",
"measureId": "PI_PHCDRR_2_PROD",
"title": "Syndromic Surveillance Reporting Active Engagement Level 2",
"description": "Option 2 – Validated Data Production: The MIPS eligible clinician has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.",
"isRequired": true,
"metricType": "boolean",
"firstPerformanceYear": 2023,
"lastPerformanceYear": null,
"objective": "publicHealthAndClinicalDataExchange",
"isBonus": true,
"reportingCategory": "bonus",
"substitutes": [
"PI_PHCDRR_2_PRE"
],
"measureSets": [],
"exclusion": null,
"allowedPrograms": [
"G0053",
"G0054",
"G0055",
"G0056",
"G0057",
"G0058",
"G0059",
"M0001",
"M0005",
"M0002",
"M0003",
"M0004"
]
},
{
"category": "pi",
"measureId": "PI_PHCDRR_3_PRE",
"title": "Electronic Case Reporting Active Engagement Level 1",
"description": "Option 1 – Pre-Production and Validation: The MIPS eligible clinician must first register to submit data with the PHA or, where applicable, the clinical data registry (CDR) to which the information is being submitted. Registration must be completed within 60 days after the start of the performance period, while awaiting an invitation from the PHA or CDR to begin testing and validation. Upon completion of the initial registration, the MIPS eligible clinician must begin the process of testing and validation of the electronic submission of data. The MIPS eligible clinician must respond to requests from the PHA or, where applicable, the CDR within 30 days; failure to respond twice within a performance period would result in the MIPS eligible clinician not meeting the measure.",
"isRequired": true,
"metricType": "boolean",
"firstPerformanceYear": 2023,
"lastPerformanceYear": null,
"objective": "publicHealthAndClinicalDataExchange",
"isBonus": false,
"reportingCategory": "required",
"substitutes": [
"PI_PHCDRR_3_PROD"
],
"measureSets": [],
"exclusion": null,
"allowedPrograms": [
"G0053",
"G0054",
"G0055",
"G0056",
"G0057",
"G0058",
"G0059",
"M0001",
"M0005",
"M0002",
"M0003",
"M0004"
]
},
{
"category": "pi",
"measureId": "PI_PHCDRR_3_PROD",
"title": "Electronic Case Reporting Active Engagement Level 2",
"description": "Option 2 – Validated Data Production: The MIPS eligible clinician has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.",
"isRequired": true,
"metricType": "boolean",
"firstPerformanceYear": 2023,
"lastPerformanceYear": null,
"objective": "publicHealthAndClinicalDataExchange",
"isBonus": false,
"reportingCategory": "required",
"substitutes": [
"PI_PHCDRR_3_PRE"
],
"measureSets": [],
"exclusion": null,
"allowedPrograms": [
"G0053",
"G0054",
"G0055",
"G0056",
"G0057",
"G0058",
"G0059",
"M0001",
"M0005",
"M0002",
"M0003",
"M0004"
]
},
{
"category": "pi",
"measureId": "PI_PHCDRR_4_PRE",
"title": "Public Health Registry Reporting Active Engagement Level 1",
"description": "Option 1 – Pre-Production and Validation: The MIPS eligible clinician must first register to submit data with the PHA or, where applicable, the clinical data registry (CDR) to which the information is being submitted. Registration must be completed within 60 days after the start of the performance period, while awaiting an invitation from the PHA or CDR to begin testing and validation. Upon completion of the initial registration, the MIPS eligible clinician must begin the process of testing and validation of the electronic submission of data. The MIPS eligible clinician must respond to requests from the PHA or, where applicable, the CDR within 30 days; failure to respond twice within a performance period would result in the MIPS eligible clinician not meeting the measure.",
"isRequired": true,
"metricType": "boolean",
"firstPerformanceYear": 2023,
"lastPerformanceYear": null,
"objective": "publicHealthAndClinicalDataExchange",
"isBonus": true,
"reportingCategory": "bonus",
"substitutes": [
"PI_PHCDRR_4_PROD"
],
"measureSets": [],
"exclusion": null,
"allowedPrograms": [
"G0053",
"G0054",
"G0055",
"G0056",
"G0057",
"G0058",
"G0059",
"M0001",
"M0005",
"M0002",
"M0003",
"M0004"
]
},
{
"category": "pi",
"measureId": "PI_PHCDRR_4_PROD",
"title": "Public Health Registry Reporting Active Engagement Level 2",
"description": "Option 2 – Validated Data Production: The MIPS eligible clinician has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.",
"isRequired": true,
"metricType": "boolean",
"firstPerformanceYear": 2023,
"lastPerformanceYear": null,
"objective": "publicHealthAndClinicalDataExchange",
"isBonus": true,
"reportingCategory": "bonus",
"substitutes": [
"PI_PHCDRR_4_PRE"
],
"measureSets": [],
"exclusion": null,
"allowedPrograms": [
"G0053",
"G0054",
"G0055",
"G0056",
"G0057",
"G0058",
"G0059",
"M0001",
"M0005",
"M0002",
"M0003",
"M0004"
]
},
{
"category": "pi",
"measureId": "PI_PHCDRR_5_PRE",
"title": "Clinical Data Registry Reporting Active Engagement Level 1",
"description": "Option 1 – Pre-Production and Validation: The MIPS eligible clinician must first register to submit data with the PHA or, where applicable, the clinical data registry (CDR) to which the information is being submitted. Registration must be completed within 60 days after the start of the performance period, while awaiting an invitation from the PHA or CDR to begin testing and validation. Upon completion of the initial registration, the MIPS eligible clinician must begin the process of testing and validation of the electronic submission of data. The MIPS eligible clinician must respond to requests from the PHA or, where applicable, the CDR within 30 days; failure to respond twice within a performance period would result in the MIPS eligible clinician not meeting the measure.",
"isRequired": true,
"metricType": "boolean",
"firstPerformanceYear": 2023,
"lastPerformanceYear": null,
"objective": "publicHealthAndClinicalDataExchange",
"isBonus": true,
"reportingCategory": "bonus",
"substitutes": [
"PI_PHCDRR_5_PROD"
],
"measureSets": [],
"exclusion": null,
"allowedPrograms": [
"G0053",
"G0054",
"G0055",
"G0056",
"G0057",
"G0058",
"G0059",
"M0001",
"M0005",
"M0002",
"M0003",
"M0004"
]
},
{
"category": "pi",
"measureId": "PI_PHCDRR_5_PROD",
"title": "Clinical Data Registry Reporting Active Engagement Level 2",
"description": "Option 2 – Validated Data Production: The MIPS eligible clinician has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.",
"isRequired": true,
"metricType": "boolean",
"firstPerformanceYear": 2023,
"lastPerformanceYear": null,
"objective": "publicHealthAndClinicalDataExchange",
"isBonus": true,
"reportingCategory": "bonus",
"substitutes": [
"PI_PHCDRR_5_PRE"
],
"measureSets": [],
"exclusion": null,
"allowedPrograms": [
"G0053",
"G0054",
"G0055",
"G0056",
"G0057",
"G0058",
"G0059",
"M0001",
"M0005",
"M0002",
"M0003",
"M0004"
]
},
{
"title": "Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)",
"eMeasureId": "CMS122v11",
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