PM 11 - Regular Review Practices in Place on Targeted Patient Population Needs

Activity Weighting: Medium

Subcategory Name: Population Management

Description: Implementation of regular reviews of targeted patient population needs, such as structured clinical case reviews, which includes access to reports that show unique characteristics of eligible clinician’s patient population, identification of vulnerable patients, and how clinical treatment needs are being tailored, if necessary, to address unique needs and what resources in the community have been identified as additional resources.

Supporting Documentation

1. Targeted Patient Population Identification - Documentation of method for identification and ongoing monitoring/review for a targeted patient population; and
2. Report with Unique Characteristics - Reports that show unique characteristics of patient population and identification of vulnerable patients; and
3. Tailored Clinical Treatments - Medical records demonstrating ways clinical treatment needs are being tailored to meet unique needs including additional community resources, if necessary.

Resources

2018 Improvement Activities Requirements

2019 Improvement Activities Requirements

2018 MIPS Improvement Activities Fact Sheet

Scores for Improvement Activities for MIPS APMs in the 2018 Performance Period Fact Sheet