| WoundReference enabler/ tool | ID/Subcategory name | Activity name and description | Weight | Objetive | Suggested Documentation (inclusive of dates during the selected continuous 90-day or year long reporting period)
|
TeleVisit Tool 2.0
| IA_EPA_2/ Expanded Practice Access
| Use of telehealth services that expand practice access. Create and implement a standardized process for providing telehealth services to expand access to care.
| Medium | Improve health outcomes by expanding patient access to telehealth services that are delivered through standardized processes.
| Include both of the following elements:
1)Standardized processes – Creation of standardized processes for the provision of telehealth services. Examples of documentation include a) description of standardized telehealth processes in an eligible clinician or practice procedures manual; b) workflow diagrams depicting standardized telehealth processes used regularly by an eligible clinician or practice; AND 2)Implementation documentation – Implementation of standardized processes for providing telehealth services. Examples of documentation include a) claims adjudication (may use G-codes to validate); b) electronic health record (EHR); or c) other medical record document showing specific telehealth services, consults, or referrals performed for a patient in accordance with standardized processes. |
TeleVisit Tool 2.0 with built in specialist documentation templates
| IA_CC_1/ Care Coordination
| Implementation of use of specialist reports back to referring clinician or group to close referral loop: PPerformance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.
| Medium | Improve clinician-to-clinician communication to prevent delayed and/or inappropriate treatment while increasing patient satisfaction and adherence to treatment.
| Evidence that relevant records from patient/consultant (internal or external specialist) interactions are sent to the referring eligible clinician.
Include one of the following elements: 1) Report – Evidence that the consultant always sends a report to the referring eligible clinician; OR 2) Process for capturing referral information – Evidence that the referring eligible clinician has a defined method for capturing reports in the medical record (e.g., a) reports transmitted between electronic health records [EHRs]; b) documents that are electronically scanned and linked to the patient’s EHR; or c) chart documentation of the relevant details of the consultant patient interaction such as notes written into a progress note). |
| Wound Care and Hyperbaric Oxygen Therapy Knowledge Base condition-specific care plan templates | IA_CC_9/ Care Coordination
| Implementation of practices/processes for developing regular individual care plans. Implementation of practices/processes, including a discussion on care, to develop regularly updated individual care plans for at-risk patients that are shared with the beneficiary or caregiver(s). Individual care plans should include consideration of a patient's goals and priorities, as well as desired outcomes of care.
| Medium | Individual care coordination plans including a discussion on care are regularly developed and updated for at-risk patients and shared with beneficiary or caregiver
| Evidence of processes for developing and updating individual care plans for at-risk patients and sharing them with beneficiary and/or caregiver. Areas of focus and consideration might include social determinants of health, language and communication preferences, physical or cognitive limitations, as well as desired outcomes of care. Include both of the following elements: 1) Individual care plans for at-risk patients – Documentation of process for developing individual care plans for clinician-defined at-risk patients (e.g., template care plan, standardized type of note in the health record); AND 2) Use of care plan with beneficiary – Patient medical records demonstrating the documentation of the care plan using a standardized approach. Example(s): An eligible internal medicine clinician has a population within the practice of frail elderly patients who periodically miss appointments and have not refilled prescriptions. Many are at risk of falls. A plan is developed to identify all of these patients and create a template portion of the electronic health record that asks specific questions regarding caregiver support, ability to travel to appointments and the pharmacy, and the ability to get help whenever needed. The eligible clinician and staff work to help the patient identify solutions to problems. |
| Wound Care and Hyperbaric Oxygen Therapy Knowledge Base, algorithms/ pathways, checklists, order sets | IA_BE_12/ Beneficiary Engagement
| Use evidence-based decision aids to support shared decision-making. Use evidence-based decision aids to support shared decision-making.
| Medium | Use of evidence based decision aids to support shared decision-making with beneficiary
| Documentation (e.g. checklist, algorithms, tools, screenshots) showing the use of evidence-based decision aids to support shared decision-making with beneficiary
|
| Go-no-Go Hyperbaric Risk Assessment Tool | IA_PSPA_8/ Patient Safety & Practice Assessment
| Use of patient safety tools. In order to receive credit for this activity, a MIPS eligible clinician must use tools that assist specialty practices in tracking specific measures that are meaningful to their practice. Some examples of tools that could satisfy this activity are: a surgical risk calculator; evidence based protocols, such as Enhanced Recovery After Surgery (ERAS) protocols; the Centers for Disease Control (CDC) Guide for Infection Prevention for Outpatient Settings predictive algorithms; and the opiate risk tool (ORT) or similar too
| Medium | Use of systems, tools and strategies implemented by specialty practices, for tracking specific meaningful patient safety and practice assessment (e.g., ORT or similar tools are permitted).
| Documented use of patient safety tools implemented for tracking specific patient safety and practice assessment measures that are meaningful to the eligible clinician or group (e.g., tracking HbA1c would be meaningful to an endocrinologist whereas tracking intraocular pressure would be more meaningful to an ophthalmologist). Include both of the following elements: 1) Evidence of safety tools used – Documentation of the use of patient safety tools that assist in tracking patient safety measures (e.g., practice policy or protocol, workflow diagram, screenshot); AND 2) Evidence of measures tracked – Documentation of specific patient safety measures tracked via use of tool (e.g., quality measure report, dashboard, screenshot). Example(s): - Surgical risk calculator
- Document the use of quality measures, evidence-based instruments, and other metrics that contribute to assessing the performance of co-management models, including those focused on patient outcomes, provider satisfaction, patient satisfaction, cost-effectiveness, quality of care provided
- Write policies around performance benchmarks and goals and plans for how providers and clinical practices will reach and implement these goals.
|
Wound Care and Hyperbaric Oxygen Therapy Knowledge Base, algorithms/ pathways, checklists, order sets
| IA_PSPA_16/ Patient Safety and Practice Assessment
| Use decision support - ideally platform-agnostic, interoperable clinical decision support (CDS) tools - and standardized treatment protocols to manage workflow on the care team to meet patient needs
| High | Help eligible clinicians align diagnoses and treatment plans with up-to-date, evidence-based standards and guidelines as part of routine care, thus improving the appropriateness of the care they provide and the health outcomes of their patients.
| Documented use of decision support and standardized treatment protocols and/or platform-agnostic, interoperable clinical decision support (CDS) tools to manage team workflows to meet patient needs. Include the following element: 1) Use of decision support and standardized treatment protocols and/or platform-agnostic, interoperable clinical decision support (CDS) tools – Documentation (e.g., checklist, order set, algorithm, screenshot) demonstrating use of decision support and standardized treatment protocols and/or platform-agnostic, interoperable clinical decision support (CDS) tools to manage team workflows to meet patient needs. May include use of artificial intelligence/machine learning. Example(s)/Information: An eligible clinician group, through peer review, determines that there is significant variability in clinical decision-making for a specific condition. They all agree that standardization of practice is best for patient outcomes. |
Wound Care and Hyperbaric Oxygen Therapy Knowledge Base algorithms/ pathways highlighting use of patient-reported outcomes
| IA_AHE_3/ Achieving Health Equity
| Promote use of Patient-Reported Outcome Tools. Demonstrate performance of activities for employing patient-reported outcome (PRO) tools and corresponding collection of PRO data such as the use of PHQ-2 or PHQ-9, PROMIS instruments, patient reported Wound-Quality of Life (QoL), patient reported Wound Outcome, and patient reported Nutritional Screening.
| High | Make it possible to use Patient Reported Outcomes (PRO) data as part of routine care, thus increasing patient engagement and health outcomes for all populations.
| Demonstrated performance of activities to promote use of PRO tools and corresponding collection of PRO data. Include both of the following elements: 1) Promotion of PRO tools – Evidence that eligible clinicians are promoting use of PRO tools with their patients (e.g., documented notes in electronic health record, PRO materials); AND 2) PRO data collection – Feedback reports demonstrating use of PRO tools and corresponding collection of PRO data |
