2014 PQRS Quality Measures

2014 PQRS Quality Measures

Individual Measures:

The 2013 PQRS includes 28 individual measures claims and registry-based reporting that are most applicable to an otolaryngology practice. However, every practice should decide which of the PQRS measures are most applicable to their practice by reviewing the entire list of measures. Links to these individual measures are provided below.

Measures Groups:

Measures groups are a subset of four or more Physician Quality Reporting measures that have a particular clinical condition or focus in common. PQRS includes 22 measures groups for 2014, three of which are potentially applicable to a practicing otolaryngologist. Links to these measures groups are provided below.

Measures Information

Title: 
Measure Changes for 2014
Body: 

Added: Measure #331: Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Appropriate Use)

Measure #332: Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)

Measure #333: Adult Sinusitis: Computerized Tomography for Acute Sinusitis (Overuse)

Measure #334: Adult Sinusitis: More than 1 Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)

Retired Measures and Modifications to Reporting Options for 2014 (may or may not currently be reported by Otolaryngologists):

Retired Measures:

Functional Communication measures # 209-216

Measure #237: Hypertension (HTN) Blood Pressure Management

Measure #244: Hypertension:  Blood Pressure Management

Measure #308: Smoking and Tobacco Use Cessation, Medical Assistance: a. Advising Smokers and Tobacco Users to Quit, b. Discussing Smoking and Tobacco Use Cessation Medications, c. Discussing Smoking and Tobacco Use Cessation Strategies

Measure #321: Participation by a Hospital, Physician or Other Clinician in a Systematic Clinical Database Registry that Includes Consensus Endorsed Quality

Modifications to reporting options for 2014:

Measure #53: Asthma: Pharmacologic Therapy for Persistent Asthma – Ambulatory Care Setting (Claims Reporting Option Removed)

Measure #64: Asthma: Assessment of Asthma Control – Ambulatory Care Setting (Claims and EHR Reporting Options Removed)

Measure #66: Appropriate Testing for Children with Pharyngitis (Claims Reporting Option Removed)

Measure #116: Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis (Claims Reporting Option Removed)

Measure #130: Documentation of Current Medications in the Medical Record (EHR Reporting Option Added)

Measure #143: Oncology: Medical and Radiation – Pain Intensity Quantified (EHR Reporting Option Added)

Title: 
Individual Quality Measures
Body: 

Acute Otitis Externa (AOE) Measures
Measure #91: AOE: Topical Therapy
Measure #93: AOE: Systemic Antimicrobial Therapy-Avoidance of Inappropriate Use
 
Adult Sinusitis Measures
Measure #331: Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Appropriate Use)
Measure #332: Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)
Measure #333: Adult Sinusitis: Computerized Tomography for Acute Sinusitis (overuse)
Measure #334: Adult Sinusitis: More than 1 Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)
 
Asthma Measures
Measure #53: Asthma: Pharmacologic Therapy for Persistent Asthma – Ambulatory Care Setting
Measure #64: Asthma: Assessment of Asthma Control – Ambulatory Care Setting
Measure #231: Asthma: Tobacco Use: Screening - Ambulatory Care Setting
Measure #232: Asthma: Tobacco Use Intervention - Ambulatory Care Setting
 
Documentation of Current Medications Measure
Measure #130: Documentation of Current Medications in the Medical Record
 
Falls Measures
Measure #154: Falls: Risk Assessment
Measure #155: Falls: Plan of Care
 
Hypertension Measure
Measure #244: Hypertension: Blood Pressure Management
 
Medication Reconciliation Measure
Measure #46: Medication Reconciliation: Reconciliation After Discharge from an Inpatient Facility
 
Oncology Measures
Measure # 143: Oncology: Medical and Radiation - Pain Intensity Quantified
Measure #144: Oncology: Medical and Radiation - Plan of Care for Pain
 
Outcome Assessment
Measure #182: Functional Outcome Assessment

Preventative Care
Measure #110: Preventative Care and Screening: Influenza Immunization
Measure #111: Preventative Care and Screening: Pneumonia Vaccination for Patients 65 and Older
Measure #128: Preventative Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
Measure #173: Preventative Care and Screening: Unhealthy Alcohol Use - Screening
Measure #226: Preventative Care and Screening: Tobacco Use Screening: Screening and Cessation Intervention
Measure #317: Preventative Care and Screening: Screening for High Blood Pressure
 
Pain Assessment Measure
Measure #131: Pain Assessment and Follow-Up
 
Participation in a Clinical Database Registry
Measure #321: Participation by a Hospital, Physician or Other Clinician in a Systematic Clinical Database Registry that Includes Consensus Endorsed Quality
 
Perioperative Care Measures
Measure #20: Perioperative Care: Timing of Antibiotic Prophylaxis - Ordering Physician
Measure #21: Perioperative Care: Selection of Prophylactic Antibiotic First OR Second Generation Cephalosporin
Measure #22: Perioperative Care: Discontinuation of Prophylactic Antibiotics (Non-Cardiac Procedures)
Measure #23: Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Measure #30: Perioperative Care: Timely Adminstration of Prophylactic Parenteral Antibiotics
 
Testing Children for Pharyngitis Measure
Measure #66: Appropriate Testing for Children with Pharyngitis

Title: 
Quality Measures Groups
Body: 

Asthma Measures Group
Measure #53: Pharmacologic Therapy for Persistent Asthma
Measure #64: Assessment of Asthma Control
Measure #231: Tobacco Use Screening - Ambulatory Care Setting
Measure #232: Tobacco Use Intervention - Ambulatory Care Setting

Perioperative Measures Group
Measure #20: Timing of Antibiotic Prophylaxis - Ordering Physician
Measure #21: Selection of Prophylactic Antibiotic First OR Second Generation Cephalosporin
Measure #22: Discontinuation of Prophylactic Antibiotics (Non-Cardiac Procedures)
Measure #23: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Measure #30: Timely Adminstration of Prophylactic Parenteral Antibiotics

Sleep Apnea Measures Group (Registry Reporting Only)
Measure #276: Assessment of Sleep Symptoms
Measure #277: Severity Assessment at Initial Diagnosis
Measure #278: Positive Prescribed
Measure #279: Assessment of Adherance to Positive Airway Pressure Therapy