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Reg-ent℠ MIPS Improvement Activities (IA) Reporting

Reg-ent℠ MIPS Improvement Activities (IA) Reporting

The Reg-ent registry will contain all 92 Improvement Activities offered by CMS for MIPS 2017 reporting and Reg-ent participants will be able to review assigned points for each IA, make selections, review scores, and then submit to CMS through the Reg-ent MIPS dashboard.

We have also compiled a list of Registry Recommended Activities, which you can see below. For the full descriptions of these activities, visit the CMS Quality Payment Program webpage on Improvement Activities.

For additional information on IA reporting requirements, visit the Academy's MIPS Improvement Activities page

Registry Recommended Improvement Activities

Expanded Practice Access

  • IA_EPA_1 - Provide 24/7 access to eligible clinicians or groups who have real-time access to patient's medical record**
  • IA_EPA_2 - Use of telehealth services that expand practice access

Population Management

  • IA_PM_10 - Use of QCDR data for quality improvement such as comparative analysis reports across patient populations
  • IA_PM_15 - Implementation of episodic care management practice improvements

Care Coordination

  • IA_CC_1 - Implementation of use of specialist reports back to referring clinician or group to close referral loop
  • IA_CC_6 - Use of QCDR to promote standard practices, tools and processes in practice for improvement of care coordination
  • IA_CC_7 - Regular training in care coordination
  • IA_CC_12 - Care coordination agreements that promote improvements in patient tracking across settings

Beneficiary Engagement

  • IA_BE_2 - Use of QCDR to support clinical decision making
  • IA_BE_5 - Enhancements/regular updates to practice websites/tools that also include considerations for patients with cognitive disabilities.
  • IA_BE_6 - Collection and follow-up on patient experience and satisfaction data on beneficiary engagement**
  • IA_BE_7 - Participation in a QCDR, that promotes use of patient engagement tools.
  • IA_BE_9 - Use of QCDR patient experience data to inform and advance improvements in beneficiary engagement.
  • IA_BE_10 - Participation in a QCDR, that promotes implementation of patient self-action plans.
  • IA_BE_13 - Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms
  • IA_BE_15 - Engage patients, family and caregivers in developing a plan of care

Patient Safety and Practice Assessment

  • IA_PSPA_1 - Participation in an AHRQ-listed patient safety organization.
  • IA_PSPA_2 - Participation in MOC Part IV
  • IA_PSPA_7 - Use of QCDR data, for ongoing practice assessment and improvements in patient safety.
  • IA_PSPA_8 - Use of Patient Safety Tools
  • IA_PSPA_12 - Participation in private payer CPIA
  • IA_PSPA_18 - Measurement and improvement at the practice and panel level
  • IA_PSPA_19 - Implementation of formal quality improvement methods, practice changes or other practice improvement processes
  • IA_PSPA_20 - Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes

Achieving Health Equity

  • IA_AHE_3 - Leveraging a QCDR to promote use of patient-reported outcome tools 
  • IA_AHE_4 - Leveraging a QCDR for use of standard questionnaires

Emergency Response and Preparedness

  • IA_ERP_1 - Participation on Disaster Medical Assistance Team, registered for 6 months
  • IA_ERP_2 - Participation in a 60-day or greater effort to support domestic or international humanitarian needs**

** Denotes Highly Weighted Activities