PM 15 - Implementation of Episodic Care Management Practice Improvements

Activity Weighting: Medium

Subcategory Name: Population Management

Description: Provide episodic care management, including management across transitions and referrals that could include one or more of the following:

Routine and timely follow-up to hospitalizations, ED visits and stays in other institutional settings, including symptom and disease management, and medication reconciliation and management; and/or

Managing care intensively through new diagnoses, injuries and exacerbation of illness.

Supporting Documentation

1. Follow-Up on Hospitalizations, ED or Other Visits and Medication Management - Routine and timely follow-up to hospitalizations, ED or other institutional visits, and medication reconciliation and management (e.g. documented in medical record or EHR); or
2. New diagnoses, Injuries and Exacerbations - Care management through new diagnoses, injuries and exacerbation of illness (medical record).

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