Choosing MIPS Quality Measures Wisely for Optimal Performance
As we jump into a new year, it's crucial for practitioners to carefully consider and select the most appropriate Merit-based Incentive Payment System (MIPS) Quality measures. The range of available Quality measures and their specification and points potential nuance is constantly evolving and 2024 is no different. What worked well in previous years may not be as relevant or effective in the current healthcare environment. Thus, it becomes imperative for practitioners to regularly review and update their selection of MIPS quality measures.
That’s why we are revealing HOW we select the right quality measures for all of our exceptional-performer clients. Whether MIPS is an internal effort or you're working with a great consultant (wink), ensuring you pick the right measure can be the difference between failure and performance year maximum incentives.
Quality has been and will remain a huge component of your overall score. So how do we pick all the “right measures”? It’s a quick 5 step recipe.
What system do you use to gather quality measures and how will you be reported?
You cannot report a measure that you do not have the means to collect. While there are HUNDREDS of measures available, not all can be reported via a registry, EHR, or claims. So right off the bat you likely have a limited list unless you’re willing to use a different means or mechanism to collect and report your quality data.
Determine where clinical opportunities exist.
Each measure has specifications. If you do not see a patient for a certain need, or a type of encounter or procedure code, you may not be able to use that measure. Review the broad or detailed specs and see what “applies” to the group or individual physician.
Examine the point potential.
Check the decile possibilities on this limited list. Based on each measure and how it’s reported, you can check how well you will have to do to earn maximum points. The measure on your list may not have benchmarks or be topped out and limit your overall point potential. You may want to remove or place a question mark next to those that could hinder your overall performance.
Consider data of burden collection.
The list you have should be relatively isolated now. So the next step in the recipe is to consider how easy or complex it may be to gather the data. For example, a stroke measure about a patient's last known “well time” and intervention time can be more difficult to gather than a “Yes” or “No” selection on a patient intake form.
The last step – take your shortlist to the clinical stakeholders.
Now that the program category diligence is done and you have reasoned through what measures are possible along with why they may or may not be a good fit – now (and only now) should you ask the docs which ones they prefer.
Once you have your list all set, you can get started training on workflow, gathering data, and monitoring performance. Whether you submit as an individual or group the recipe for Quality measure selection is the same! Want more help and inside track on how to succeed?
The Bottomline
Selecting the appropriate MIPS quality measures is a strategic decision that can significantly impact the success of a practice. By acknowledging the limitations of previous measures and embracing the need for adaptation, healthcare professionals can navigate the complexities of MIPS with confidence, delivering high-quality care that aligns with the current needs of their patient population.
Do you want a winning 2024 Quality strategy that takes into account all of the QPP program, policy, vendor, registry, and staff nuances in your practice? Call us today to learn more about our month-to-month MIPS program to have a dedicated expert you can connect with by Zoom, phone, or email anytime!
