Activity Weighting: High
Subcategory Name: Care Coordination
Description: Implement a Patient Navigator Program that offers evidence-based resources and tools to reduce avoidable hospital readmissions, utilizing a patient-centered and team-based approach, leveraging evidence-based best practices to improve care for patients by making hospitalizations less stressful, and the recovery period more supportive by implementing quality improvement strategies.
- Documentation of evidenced-based resources and tools to reduce avoidable hospital readmissions; and
- Utilization of a patient-centered and team-based approach leveraging evidence-based best practices to improve care for patients by making hospitalizations less stressful; and
- Implementation of systems, tools and strategies that encourage a more supportive recovery period. Note: A certified EHR may be used for documentation purposes, but is not required unless attesting for the Promoting Interoperability (formerly ACI) bonus.
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