2020 MIPS Quality Performance Category

Quality Measures Finalized for Removal in 2020 Reporting Year



  • #46 - Medication Reconciliation Post-Discharge
  • #51 - Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
  • #68 - Hematology: Myelodysplastic Syndrome (MDS): Documentation of Iron Stores in Patients Receiving Erythropoietin Therapy
  • #91 - Acute Otitis Externa (AOE): Topical Therapy
  • ​#109 - Osteoarthritis (OA): Function and Pain Assessment
  • ​#131 - Pain Assessment and Follow-Up
  • ​#160 - HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis:
  • #165 - Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate
  • #166 - Coronary Artery Bypass Graft (CABG): Stroke
  • #179 - Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis
  • #192 - Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures
  • #223 - Functional Status Change for Patients with General Orthopedic Impairments
  • #255 - Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure
  • #262 - Image Confirmation of Successful Excision of Image-Localized Breast Lesion:
  • #271 - Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury - Bone Loss Assessment
  • #325 - Adult Major Depressive Disorder (MDD): Coordination of Care of Patients with Specific Comorbid Conditions
  • #328 - Pediatric Kidney Disease: ESRD Patients Receiving Dialysis: Hemoglobin Level < 10g/dL
  • #329 - Adult Kidney Disease: Catheter Use at Initiation of Hemodialysis
  • #330 - Adult Kidney Disease: Catheter Use for Greater Than or Equal to 90 Days
  • #343 - Screening Colonoscopy Adenoma Detection Rate
  • #345 - Rate of Asymptomatic Patients Undergoing Carotid Artery Stenting (CAS) Who Are Stroke Free or Discharged Alive
  • #346 - Rate of Asymptomatic Patients Undergoing Carotid Endarterectomy (CEA) Who Are Stroke Free or Discharged Alive
  • #347 - Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) Who Are Discharged Alive
  • #352 - Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet
  • #353 - Total Knee Replacement: Identification of Implanted Prosthesis in Operative Report
  • #361 - Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry
  • #362 - Optimizing Patient Exposure to Ionizing Radiation: Computed Tomography (CT) Images Available for Patient Follow-up and Comparison Purposes
  • #371 - Depression Utilization of the PHQ-9 Tool
  • #372 - Maternal Depression Screening:
  • #388 - Cataract Surgery with Intra-Operative Complications (Unplanned Rupture of Posterior Capsule Requiring Unplanned Vitrectomy)
  • #403 - Adult Kidney Disease: Referral to Hospice
  • #407 - Appropriate Treatment of Methicillin-Susceptible Staphylococcus Aureus (MSSA) Bacteremia
  • #411 - Depression Remission at Six Months
  • #417 - Rate of Open Repair of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) Where Patients Are Discharged Alive
  • #428 - Pelvic Organ Prolapse: Preoperative Assessment of Occult Stress Urinary Incontinence
  • #442 - Persistence of Beta-Blocker Treatment After a Heart Attack
  • #446 - Operative Mortality Stratified by the Five STS-EACTS Mortality Categories
  • #449 - HER2 Negative or Undocumented Breast Cancer Patients Spared Treatment with HER2-Targeted Therapies
  • #456 - Percentage of Patients Who Died From Cancer Not Admitted To Hospice (lower score - better)
  • #467 - Developmental Screening in the First Three Years of Life
  • #474 - Zoster (Shingles) Vaccination