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  1. eCQM Issue Tracker
  2. CQM-7451

How is the MIPS Quality measure of CMS 156 calculated as a single value when it has multiple populations?

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Fixed
    • Icon: Moderate Moderate
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    • None
    • Steven Loyd Stallings
    • 9128197641
    • St. Joseph's/Candler Health Services
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      Hello, thank you for your question related to CMS156v12 and CMS138v12. Please refer to the measure specifications to determine how your patients are eligible for each rate: https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS156v12.html, https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS138v13.html You may also refer to the “2024 Quality Benchmarks” resource (https://qpp.cms.gov/benchmarks) accessible via the eCQI Resource Center (https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs) to find more information on benchmarks, when and how measures are scored, and scoring examples for the 2024 MIPS performance period; for example, for multiple rate measure CMS156v12, the 1st performance rate is used for benchmarking. For any inquiries about CMS quality program reporting requirements or measure scoring, please review the QPP website or contact the QPP Helpdesk at QPP@cms.hhs.gov.
      Show
      Hello, thank you for your question related to CMS156v12 and CMS138v12. Please refer to the measure specifications to determine how your patients are eligible for each rate: https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS156v12.html, https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS138v13.html You may also refer to the “2024 Quality Benchmarks” resource ( https://qpp.cms.gov/benchmarks ) accessible via the eCQI Resource Center ( https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs ) to find more information on benchmarks, when and how measures are scored, and scoring examples for the 2024 MIPS performance period; for example, for multiple rate measure CMS156v12, the 1st performance rate is used for benchmarking. For any inquiries about CMS quality program reporting requirements or measure scoring, please review the QPP website or contact the QPP Helpdesk at QPP@cms.hhs.gov .
    • CMS0156v12
    • How is the score calculated as one score when multiple values are involved? The same holds for the CMS 138 which has three or four values under it.

      When looking at quality measures some have multiple parts to them that are for different patient populations. How is the final score calculated when you have multiple patient populations, but only get a single score?

            AIR EC eCQM Team AIR EC eCQM Team
            stevedmd1960 Steven Loyd Stallings (Inactive)
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