The Quality category asks that clinicians report on 6 measures at least 70% of the time that they apply.
Scoring
Each of those 6 measures counts anywhere from 1 to 10 points. A 3 point minimum score will be assigned to solo clinicians and groups of 15 or fewer for any measure that:
- does not satisfy the 70% reporting frequency requirement
- lacks 20 cases in the denominator
If each of the above is false, the actual performance on the measure will be considered by comparing the clinician’s score to a benchmark comprised all all-clinician performance two years earlier.
Ultimately, a clinician or small group’s Quality score is based on the sum of points for the 6 best scoring measures reported.
Bonus Points
The Quality performance category offers a number of opportunities to earn bonus points:
- Small practice bonus (6 points)
- Submit additional outcomes measures (2 points each)
- Submit high-priority measures (1 point each)
- Submit measures via CEHRT (1 point each)
- Year-over-year improvement in the Quality category (up to 10 points)
Importantly, to earn bonus points for additional outcome or high-priority measures, the measure needs to be reported successfully (i.e. ≥70% of applicable cases and have at least 20 cases in the denominator). Planning to include additional high priority measures and/or via CEHRT, then, is a way to plan for higher scoring. A full list of all available measures is available on the Quality Payment Program website.
Reporting data from RevolutionEHR by electronic measures represents a path to qualify for many of these opportunities. For more information on this concept, see Electronic Clinical Quality Measures (eCQMs)