Quality Measures for Merit-Based Incentive Payment System

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Quality Measures for Merit-Based Incentive Payment System
All measures listed on this page have been updated for the 2018 reporting year. The 2018 IRIS Registry QCDR measures are listed in the bottom half of the page. Scoring note: The quality category contributes 50 percent to your overall 2018 Merit-Based Incentive Payment System score, down from 60 percent in 2017.

For more information on how to read a quality measure specification, see the Quality Measure Reading Guide.
1-49 of 49 results

Measure 1: Diabetes: Hemoglobin A1c Poor Control

in Pediatric/Strabismus, EHR, Claims, Glaucoma, Intermediate outcome, Comprehensive, Cataract, Cornea, Neuro-Ophthalmology, Registry Web Portal, Group, Retina

This measure is to be reported a minimum of once per reporting period for patients aged 18-75 years of age with diabetes who had who had hemoglobin A1c > 9.0 percent seen during the reporting period. The most recent quality-data code submitted will be used for performance ca…

Comments 0

Views 352

Measure 12: Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation

in Glaucoma, Cornea, EHR, Claims, Cataract, Group, Comprehensive, Neuro-Ophthalmology, Registry, Retina, Pediatric/Strabismus, Registry Web Portal, Process

This measure is to be reported a minimum of once per reporting period for patients, aged 18 years and older, seen during the reporting period. It’s anticipated that clinicians who provide the primary management of patients with primary open-angle glaucoma (in either one or b…

Comments 0

Views 409

Measure 14: Age-Related Macular Degeneration (AMD): Dilated Macular Examination

in Comprehensive, Cataract, Group, Cornea, Process, Glaucoma, Pediatric/Strabismus, Claims, Retina, Neuro-Ophthalmology, Registry Web Portal

This measure is to be reported a minimum of once per reporting period for patients, aged 50 years and older, with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of…

Comments 0

Views 559

Measure 19: Diabetic Retinopathy: Communication with the Physician Managing On-going Diabetes Care

in High Priority, Glaucoma, Pediatric/Strabismus, Comprehensive, Retina, Registry, Group, EHR, Registry Web Portal, Cataract, Cornea, Claims, Process - High Priority

Percentage of patients 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the on-going care of the patient with diabetes mellitus regarding the findings of…

Comments 0

Views 243

Measure 110 (NQF 0041): Preventive Care and Screening: Influenza Immunization

in Group, Retina, Registry, Cornea, Comprehensive, Neuro-Ophthalmology, Glaucoma, Pediatric/Strabismus, Cataract, Claims, Oculoplastic, EHR, Process, Registry Web Portal

This measure is to be reported a minimum of once for visits for patients seen between January and March for the 2016- 2017 influenza season AND a minimum of once for visits for patients seen between October and December for the 2017-2017 influenza season. This measure is int…

Comments 0

Views 169

Measure 111 (NQF 0043): Pneumonia Vaccination Status for Older Adults

in Claims, Pediatric/Strabismus, Cornea, Cataract, Registry Web Portal, EHR, Oculoplastic, Registry, Group, Process, Retina, Neuro-Ophthalmology, Glaucoma, Comprehensive

This measure is to be reported once per reporting period for patients seen during the reporting period. Performance for this measure is not limited to the reporting period.

Comments 0

Views 173

Measure 117: Diabetes: Eye Exam

in Cornea, Registry, Neuro-Ophthalmology, Glaucoma, Cataract, Group, Comprehensive, Pediatric/Strabismus, Process, Claims, Registry Web Portal, EHR, Retina

This measure is to be reported a minimum of once per reporting period for patients with diabetes mellitus seen during the reporting period. This measure may be reported by clinicians who perform the quality actions described in the measure based on services provided and the…

Comments 0

Views 653

Measure 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up Plan

in Oculoplastic, Process, Registry, Registry Web Portal, Comprehensive, Group, Neuro-Ophthalmology, Pediatric/Strabismus, Cornea, EHR, Claims

This measure is to be reported a minimum of once per performance period for patients, aged 18 and older, with a BMI documented during the current encounter or during the previous six months AND with a BMI outside of normal parameters, a follow-up plan is documented during t…

Comments 0

Views 324

Measure 130: Documentation of Current Medications in the Medical Record

in Cataract, Process - High Priority, EHR, Claims, Oculoplastic, Group, Neuro-Ophthalmology, Glaucoma, Pediatric/Strabismus, Cornea, Retina, Registry Web Portal, Registry, Comprehensive

This measure is to be reported each visit during the reporting period. Eligible professionals meet the intent of this measure by making their best effort to document a current, complete and accurate medication list during each encounter. There is no diagnosis associated with…

Comments 0

Views 295

Measure 137: Melanoma: Continuity of Care – Recall System

in Registry Web Portal, Group, Comprehensive, Oculoplastic, Structure - High Priority

This measure is to be reported a minimum of once per reporting period for melanoma patients seen during the reporting period. It is anticipated that clinicians providing care for patients with melanoma or a history of melanoma will submit this measure.

Comments 0

Views 47

Measure 138: Melanoma: Coordination of Care

in Registry Web Portal, Comprehensive, Group, Process - High Priority, Oculoplastic

This measure is to be reported at each visit occurring during the reporting period for melanoma patients seen during the reporting period. It is anticipated that clinicians providing care for patients with melanoma will submit this measure.

Comments 0

Views 47

Measure 140: Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement

in Process, Claims, Registry Web Portal, Cornea, Group, Glaucoma, Retina, Cataract, Comprehensive

This measure is to be reported a minimum of once per reporting period for AMD patients seen during the reporting period. It is anticipated that clinicians who provide the primary management of patients with AMD will submit this measure.

Comments 0

Views 191

Measure 141: Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15 Percent or Documentation of a Plan of Care

in Registry Web Portal, Claims, Comprehensive, Cornea, Cataract, Outcome, Group, Glaucoma, Retina

This measure is to be reported a minimum of once per reporting period for glaucoma patients seen during the reporting period. It is anticipated that clinicians who provide the primary management of patients with POAG will submit this measure.

Comments 0

Views 181

Measure 191 Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

in Cataract, Glaucoma, Comprehensive, EHR, Cornea, Registry, Group, Registry Web Portal, Outcome

This measure is to be calculated each time a procedure for uncomplicated cataracts is performed during the reporting period. This measure is intended to reflect the quality of services provided for the patients receiving uncomplicated cataract surgery.

Comments 0

Views 172

Measure 192: Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures

in Registry, Cataract, Cornea, Group, Comprehensive, Outcome, Registry Web Portal, EHR, Glaucoma

This measure is to be calculated each time a procedure for non-complicated cataracts is performed during the reporting period. This measure is intended to reflect the quality of services provided for the patients receiving uncomplicated cataract surgery.

Comments 0

Views 103

Measure 224: Melanoma: Overutilization of Imaging Studies in Melanoma

in Comprehensive, Group, Registry Web Portal, Oculoplastic, Process - High Priority

This measure is to be reported once per reporting period for patients with a current diagnosis of melanoma or a history of melanoma who are seen for an office visit during the reporting period. This measure is intended to reflect the quality of services provided for the pri…

Comments 0

Views 28

Measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

in Cornea, Process, Comprehensive, Oculoplastic, Group, Registry Web Portal, Glaucoma, EHR, Pediatric/Strabismus, Claims, Cataract, Registry, Neuro-Ophthalmology, Retina

This measure is to be reported once per reporting period for patients aged 18 years and older seen during the reporting period and were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco u…

Comments 0

Views 539

Measure 238: Use of High-Risk Medications in the Elderly

in Group, Process - High Priority, Cataract, EHR, Retina, Comprehensive, Registry, Glaucoma, Registry Web Portal, Oculoplastic, Pediatric/Strabismus, Neuro-Ophthalmology, Cornea

This measure is to be reported a minimum of once per reporting period for patients seen during the reporting period.

Comments 0

Views 182

Measure 265: Biopsy Follow-Up

in Cornea, Comprehensive, Registry Web Portal, Oculoplastic, Group, Process

This measure is to be reported once per reporting period for patients who are seen for an office visit and have a biopsy performed during the reporting period. This measure may be reported by clinicians who perform the quality actions described in the measure based on the se…

Comments 0

Views 60

Measure 317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

in Process, Comprehensive, Pediatric/Strabismus, Neuro-Ophthalmology, Cataract, Group, Retina, Oculoplastic, Glaucoma, Registry Web Portal, Claims, Cornea, EHR

This measure is to be reported a minimum of once per reporting period for patients, aged 18 years and older, seen during the reporting period. Eligible professionals who report the measure must perform the blood pressure screening at the time of a qualifying visit and may no…

Comments 0

Views 451

Measure 384: Adult Primary Rhegmatogenous Retinal Detachment: No Return to the Operating Room Within 90 Days of Surgery

in Outcome, Retina, Registry Web Portal, Group

This measure is to be calculated each time a procedure for primary rhegmatogenous retinal detachment is performed in the sample during the reporting period. This measure is intended to reflect the quality of services provided for the patient receiving primary rhegmatogenous…

Comments 0

Views 51

Measure 385: Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery

in Outcome, Retina, Group, Registry Web Portal

This measure is to be calculated each time a procedure for primary rhegmatogenous retinal detachment is performed in the sample during the reporting period. This measure is intended to reflect the quality of services provided for the patient receiving primary rhegmatogenous…

Comments 0

Views 30

Measure 388: Cataract Surgery with Intra-Operative Complications (Unplanned Rupture of Posterior Capsule requiring unplanned vitrectomy)

in Cataract, Registry Web Portal, Outcome, Glaucoma, Group, Cornea, Comprehensive

This measure is to be calculated when a procedure for cataracts is performed in the sample during the reporting period. This measure is intended to reflect the quality of services provided for the patient receiving cataract surgery.

Comments 0

Views 75

Measure 389: Cataract Surgery: Difference Between Planned and Final Refraction

in Cornea, Glaucoma, Cataract, Group, Registry Web Portal, Outcome, Comprehensive

This measure is to be calculated when a procedure for cataracts is performed in the sample during the reporting period. This measure is intended to reflect the quality of services provided for the patient receiving cataract surgery.

Comments 0

Views 76

Measure 397: Melanoma Reporting

in Oculoplastic, Claims, Group, Outcome, Registry Web Portal, Comprehensive

This measure is to be reported each time a patient, aged 18 years and older, whose pathology report addresses specimens with a diagnosis of malignant cutaneous melanoma; however, only one QDC per date of service for a patient is required. This measure may be reported by elig…

Comments 0

Views 45

Measure 402: Tobacco Use and Help with Quitting Among Adolescents

in Comprehensive, Pediatric/Strabismus, Group, Cataract, Oculoplastic, Neuro-Ophthalmology, Cornea, Glaucoma, Process, Registry Web Portal, Retina

This measure is to be reported once per reporting period for patients seen during the reporting period. This measure is intended to reflect the quality of services provided for preventive screening for tobacco use.

Comments 0

Views 59

Measure 419: Overuse of Neuroimaging for Patients with Primary Headache and a Normal Neurological Examination

in Claims, Cornea, Efficiency - High Priority, Group, Neuro-Ophthalmology, Comprehensive, Registry Web Portal

Percentage of patients with a diagnosis of primary headache disorder whom advanced brain imaging was not ordered.

Comments 0

Views 64

IRIS1: Endothelial Keratoplasty - Post-operative improvement in best corrected visual acuity to 20/40 or greater (better)

in Registry Web Portal, Cornea

Percentage of endothelial keratoplasty patients with a best corrected visual acuity of 20/40 or greater at 90 days after surgery

Comments 0

Views 34

IRIS2: Glaucoma – Intraocular Pressure (IOP) Reduction

in Outcome, Glaucoma, Registry Web Portal

Percentage of glaucoma patient visits where their IOP was below a threshold level based on the severity of their diagnosis.

Comments 0

Views 99

IRIS3: Glaucoma – Visual Field Progression in Glaucoma

in Registry Web Portal, Glaucoma, Outcome

Percentage of eyes, in patients with a diagnosis of glaucoma, with a mean deviation loss of 3dB or more from their baseline.

Comments 0

Views 56

IRIS4: Glaucoma – Intraocular Pressure Reduction Following Laser Trabeculoplasty

in Outcome, Glaucoma, Registry Web Portal

Percentage of patients who underwent laser trabeculoplasty who had IOP reduced by 20% from their pretreatment level.

Comments 0

Views 48

IRIS5: Surgery for Acquired Involutional Ptosis: Patients with an improvement of marginal reflex distance (MRD)

in Registry Web Portal, Oculoplastic, Registry, Outcome

Percentage of surgical ptosis patients with an improvement of MRD postoperatively

Comments 0

Views 46

IRIS6: Acquired Involutional Entropion: Normalized lid position after surgical repair

in Registry Web Portal, Oculoplastic, Outcome

Percentage of surgical entropion patients with normalized lid position within 90 days postoperatively

Comments 0

Views 27

IRIS7: Amblyopia: Interocular visual acuity

in Registry Web Portal, Pediatric/Strabismus, Outcome

Percentage of newly diagnosed amblyopic patients with a corrected interocular visual acuity difference of less than 0.23 logMAR 6 months after first diagnosis.

Comments 0

Views 41

IRIS8: Surgical Esotropia: Postoperative alignment

in Pediatric/Strabismus, Registry Web Portal

Percentage of surgical esotropia patients with a postoperative alignment of 15 prism diopters (PD) or less.

Comments 0

Views 44

IRIS9: Diabetic Retinopathy - Documentation of the Presence or Absence of Macular Edema and the Level of Severity of Retinopathy

in Process, EHR, Registry Web Portal, Retina, Registry

Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during one or more off…

Comments 0

Views 116

IRIS10: Exudative Age-Related Macular Degeneration: Loss of Visual Acuity

in Retina, Outcome, Registry Web Portal

Percentage of patients with a diagnosis of exudative age-related macular degeneration, being treated with anti-VEGF agents, with of loss of less than 0.3 logMar of visual acuity within the past 12 months.

Comments 0

Views 56

IRIS11: Nonexudative Age-Related Macular Degeneration: Loss of Visual Acuity

in Outcome, Retina, Registry, Registry Web Portal

Percentage of patients with a diagnosis of nonexudative age-related macular degeneration and taking AREDS supplements with of loss of less than 0.3 logMar of visual acuity within the past 12 months.

Comments 0

Views 54

IRIS13: Diabetic Macular Edema: Loss of Visual Acuity

in Retina, Registry Web Portal, Registry, Outcome

Percentage of patients with a diagnosis of diabetic macular edema with of loss of less than 0.3 logMar of visual acuity within the past 12 months.

Comments 0

Views 44

IRIS16: Acute Anterior Uveitis: Post-treatment visual acuity

in Registry Web Portal, Uveitis

Percentage of acute anterior uveitis patients with a post-treatment best corrected visual acuity of 20/40 or greater OR patients whose visual acuity had returned to their baseline value prior to onset of uveitis.

Comments 0

Views 16

IRIS17: Acute Anterior Uveitis: Post-treatment Grade 0 anterior chamber cells

in Uveitis, Registry Web Portal, High Priority

Percentage of patients with acute anterior uveitis post-treatment with Grade 0 anterior chamber cells.

Comments 0

Views 28

IRIS18: Chronic Anterior Uveitis - Post-treatment visual acuity

in Uveitis, Registry Web Portal, Outcome

Percentage of chronic anterior uveitis patients with a post-treatment best corrected visual acuity of 20/40 or greater OR patients whose visual acuity had returned to their baseline value prior to onset of uveitis.

Comments 0

Views 15

IRIS20: Idiopathic Intracranial Hypertension: No worsening or improvement of mean deviation

in Outcome, Registry Web Portal, Neuro-Ophthalmology

Percentage of patients with no worsening of perimetric mean deviation by > 3dB at 6 months or improvement in mean deviation at 6 months.

Comments 0

Views 27

IRIS21: Ocular Myasthenia Gravis: Improvement of ocular deviation or absence of diplopia or functional improvement

in Outcome, Registry Web Portal, Neuro-Ophthalmology, Registry

Percentage of patients with a diagnosis of ocular myasthenia gravis who had an improvement of ocular deviation OR were absent of diplopia in primary gaze OR had functional improvement of ptosis 6 months after initial treatment.

Comments 0

Views 24

IRIS22: Giant Cell Arteritis: Absence of fellow eye involvement after treatment

in Neuro-Ophthalmology, Outcome, Registry Web Portal

Percentage of patients without fellow eye involvement 1-26 weeks after initiating treatment in patients with unilateral visual loss.

Comments 0

Views 21

IRIS23: Refractive Surgery: Patients with a postoperative uncorrected visual acuity (UCVA) of 20/20 or better

in EHR, Registry Web Portal, Refractive Surgery, Outcome, Registry

Percentage of patients with an uncorrected visual acuity of 20/20 or better

Comments 0

Views 16

IRIS24: Refractive Surgery: Patients with a postoperative correction within ± 0.5 Diopter (D) of the intended correction

in Registry Web Portal, Outcome, Refractive Surgery

Percentage of patients with an actual spherical equivalent within ± 0.5 D of the intended correction or SE

Comments 0

Views 27

IRIS25: Avoidance of antibiotic treatment in patients diagnosed with adenoviral conjunctivitis

in Registry Web Portal, High Priority, Cornea, Resource Use

The percentage of patients who received antibiotic treatment for adenoviral conjunctivitis.

Comments 0

Views 25

IRIS26: Avoidance of routine antibiotic use in patients before or after intravitreal injections

in Retina, Registry Web Portal, Resource Use

The percentage of patients, aged 18 years and older, who received topical or systemic antibiotics before or after intravitreal injections.

Comments 0

Views 59

1-49 of 49 results

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