The list below denotes the
2016 QPP measures that may be used by
mental health professionals (including
psychologists) depending upon the
population they treat, the services they provide and the way in
which they report.
About the QCDR Mental Health (MH)
measures:
- Includes all possible combinations of
QPP measures,
(including
individual and custom QCDR measures
and any measures
within Measure Groups,
GPRO and ACO)
- Measure selection is affected by
specialty and storage method of patient records
(i.e. EHR or other method)
Instructions:
1. Use column labeled 'No EHR?' to determine
which measures to consider.
This column shows the measures applicable depending on whether or not an EHR is used at the practice.
- (E)
indicates measures used if provider uses an EHR
(or equivalent
software such as Practice Management or Billing software
that processes CPT/IDT/G codes)
- (N) indicates
measures used if no EHR utilization.
The presence of either (E)
or (N) indicates measures that meet 2016 requirements and are measures commonly used by
providers in previous QPP reporting periods.
2. Choose scope of QPP report - A
targeted patient population will control the scope of your QPP
submission. Using a measure with a
denominator with narrow parameters will reduce the number of patient records
to be tabulated for your QPP submission.
General categories of
denominator population definitions in QPP measures:
1. All patients over age
18
2. All patients over age 65
3. Patients selected by specific conditions defined by QPP
measure denominator spec
FIGURE 1: QPP Measures - Patient
population (Denominator) - Patients over age 18 (*)
No
EHR? |
Meas
# |
NQS
Domain |
Measure
description |
|
E |
128 |
CPH |
Body mass index
|
|
E |
130 |
PS |
Documentation and
verification of current medications in the medical
record |
| |
131 |
CPH |
Pain assessment
prior to initiation of patient treatment |
|
E |
134 |
CPH |
Screening for
clinical depression
(* >12 years age) |
| |
173 |
CPH |
Unhealthy alcohol
use |
|
E |
226 |
CPH |
Preventive care and
screening: tobacco use — screening and cessation
intervention |
.
FIGURE 2: QPP Measures - Patient population
(Denominator) - Patients over age 65
No
EHR? |
Meas
# |
NQS
Domain |
Measure
description |
|
E/N |
47 |
CCC |
Advanced care plan |
|
E/N |
111 |
CPH |
Pneumonia Vaccination Status for
Older Adults |
| |
181 |
PS |
Elder maltreatment
screen and follow-up plan |
|
E/NN
|
318 |
PS |
Falls: Screening for future fall
risk |
FIGURE 3: QPP Measures - Patient population
(Denominator) defined by measure
No
EHR? |
Meas
# |
NQS
Domain |
Measure
description |
| |
9 |
ECC |
Major depressive
disorder: antidepressant medication during acute phase |
|
E/N |
46 |
PS |
Patient Safety - Medication
Reconciliation (after discharge) |
| |
106 |
ECC |
Major depressive
disorder: diagnostic evaluation |
| |
107 |
ECC |
Major depressive
disorder: suicide risk assessment |
|
E/N |
182 |
CCC |
Functional Outcome Assessment (PROMIS) |
| |
247 |
ECC |
Substance use
disorders — counseling regarding psychosocial and
pharmacologic treatment options for alcohol dependence |
| |
248 |
ECC |
Substance Use Disorders: Screening
for Depression Among Patients with Substance Abuse or
Dependence |
|
E/N |
266 |
ECC |
Epilepsy: Seizure Type(s) and Current
Seizure Frequency(ies) |
|
|
280 |
CCC |
Staging of dementia |
|
E/N |
281 |
ECC |
Cognitive Assessment |
|
|
282 |
ECC |
Functional status assessment |
|
|
284 |
ECC |
Neuropsychological symptom assessment |
|
|
285 |
ECC |
Screening for depressive symptoms |
|
|
287 |
ECC |
Counseling regarding safety concerns |
|
|
288 |
ECC |
Caregiver education and support |
|
E/N |
374 |
CCC |
Closing the referral loop:
receipt of specialist report |
|
|
|
|
Post surgery counseling
referral (must include #374) |
|
E/N |
217 |
CCC |
Functional Deficit: Change in
Risk-Adjusted Functional Status for
Patients with Knee Impairments |
|
E/N |
218 |
CCC |
Functional Deficit: Change in
Risk-Adjusted Functional Status for
Patients with Hip Impairments |
|
E/N |
220 |
CCC |
Functional Deficit: Change in
Risk-Adjusted Functional Status for
Patients with Lumbar Spine
Impairments |
|
E/N |
221 |
CCC |
Functional Deficit: Change in
Risk-Adjusted Functional Status for
Patients with Shoulder Impairments |
|
|
|
|
|
Psychologists who do not find any measures in this entire
list to be applicable to their services and/or patient
population are advised to contact the CMS QualityNet Help Desk
for assistance. The QualityNet Help Desk is available Monday
through Friday, 7 a.m.-7 p.m. CST, by telephone at (866)
288-8912 (TTY (877) 715-6222). Inquiries may be sent by
email.
