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Measure clinician performance with OneView.
Our OneView™ Physician Quality package provides a comprehensive solution for CMS' clinician reporting programs. Review your MIPS scores by category for entire physician groups or individual providers. Discover detailed criteria about why a performance measure may or may not have been met using our drill-down reports. And our software implementation and ongoing support include expert consulting services, so you can be assured that your system is properly configured to optimize your electronic data capture, year after year, even as regulations and specifications change.
Certified MIPS reporting
OneView is ONC HealthIT certified to collect, report, analyze and submit data for these CMS QPP Merit-based Incentive Payment System (MIPS) categories:
- Quality
- Promoting Interoperability (PI)
- Improvement Activities
Eligible Professionals needing to attest to the Medicaid Promoting Interoperability (PI) Stage 3 can use OneView to collect data and validate the clinical quality measures and objective measures to report to their state Medicaid agency. MIPS-eligible clinicians can use OneView to report individually (by NPI) or as a group (by TIN). In addition, OneView can capture care provided in both the ambulatory and acute settings, as well as integrate with non-MEDITECH EHRs as needed to ensure data completeness.
Let Acmeware and OneView meet all your clinician quality reporting needs. Contact us today for more information.
Eligible Clinician Supported Measures
Click any item below to see details
| Measure | Description |
| CMS002 | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan |
| CMS022 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented |
| CMS050 | Closing the referral loop: receipt of specialist report |
| CMS056 | Functional Status Assessment for Hip Replacement |
| CMS066 | Functional Status Assessment for Knee Replacement |
| CMS068 | Documentation of Current Medications in the Medical Record |
| CMS069 | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up - 18-64 |
| CMS074 | Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists - 0-20 |
| CMS075 | Children Who Have Dental Decay or Cavities |
| CMS082 | Maternal Depression Screening |
| CMS117 | Childhood Immunization Status |
| CMS122 | Diabetes: Hemoglobin A1c Poor Control |
| CMS124 | Cervical Cancer Screening |
| CMS125 | Breast Cancer Screening |
| CMS127 | Pneumonia Vaccination Status for Older Adults |
| CMS128 | Anti-depressant Medication Management |
| CMS129 | Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients |
| CMS130 | Colorectal Cancer Screening |
| CMS131 | Diabetes: Eye Exam |
| CMS133 | Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery |
| CMS134 | Diabetes: Urine Protein Screening |
| CMS135 | Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) |
| CMS135-B | Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) |
| CMS136-A | ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication - Visit within 30 days |
| CMS136-B | ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication - Visit with 2+ followups |
| CMS137 | Initiation and Engagement of Alcohol and Other Drug Dependence Treatment |
| CMS138-A | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention - 18 years and older who were screened one or more times within 24 months |
| CMS138-B | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention - 18 years and older who were screened and identified as a tobacco user who received tobacco cessation intervention |
| CMS138-C | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention - 18 years and older who were screened one or more times within 24 months and identified as a tobacco user who received tobacco cessation intervention |
| CMS139 | Falls: Screening for Future Fall Risk |
| CMS142 | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care |
| CMS143 | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation |
| CMS144-A | Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) |
| CMS144-B | Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) |
| CMS145-A | Coronary Artery Disease (CAD): Beta-Blocker Therapy—Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%) - LVSD |
| CMS145-B | Coronary Artery Disease (CAD): Beta-Blocker Therapy—Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%) - prior MI |
| CMS146 | Appropriate Testing for Children with Pharyngitis |
| CMS147 | Preventive Care and Screening: Influenza Immunization |
| CMS149 | DementiaCognitive - Dementia: Cognitive Assessment |
| CMS153 | Chlamydia Screening for Women - 16-24 |
| CMS154 | Appropriate Treatment for Children with Upper Respiratory Infection (URI) |
| CMS155 | Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents |
| CMS156 | Use of High-Risk Medications in the Elderly |
| CMS157-A | Oncology: Medical and Radiation – Face to Face Encounter with Ongoing Chemotherapy |
| CMS157-B | Oncology: Medical and Radiation – Radiation Treatment with Cancer Diagnosis |
| CMS159 | Depression Remission at Twelve Months |
| CMS161 | Adult Major Depressive Disorder (MDD): Suicide Risk Assessment |
| CMS165 | Controlling High Blood Pressure |
| CMS177 | Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment |
| CMS347-A | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease - Patients aged >= 21 years with clinical ASCVD diagnosis |
| CMS347-B | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease - Patients aged >= 21 years laboratory result of LDL-C >=190 mg/dL |
| CMS347-C | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
| CMS645 |
Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy |
| Measure | Description | |
| PI_EP_1 | e-Prescribing | Generate and transmit permissible prescriptions electronically |
| PI_EP_2 | Query of Prescription Drug Monitoring Program (PDMP) | For at least one Schedule II opioid electronically prescribed using CEHRT during the performance period, the MIPS eligible clinician uses data from CEHRT to conduct a query of a PDMP for prescription drug history, except where prohibited and in accordance with applicable law. |
| PI_HIE_1 | Support Electronic Referral Loops by Sending Health Information | Creates or electronically exchanges a SOC record for transitions of care and referrals or new patients |
| PI_HIE_4 | Support Electronic Referral Loops by Receiving and Incorporating Health Information | Perform a clinical information reconciliation (medications, allergies, problem lists) where at least one SOC was received for transitions of care, referrals, or new patients |
| PI_PEA_1 | Provide Patients Electronic Access to Their Health Information | Provide patients the ability to view online, download, and transmit their health information |
| PI_PHCDRR_1 | Immunization Registry | Actively engaged to submit Immunization data and receive forecasts from the registry or IIS |
| PI_PHCDRR_1_M | Immunization Registry (Multiple Submissions) | Actively engaged to submit Immunization data and receive forecasts from multiple registries or IIS |
| PI_PHCDRR_2 | Syndromic Surveillance | Actively engaged to submit syndromic surveillance data from an urgent care setting |
| PI_PHCDRR_2_M | Syndromic Surveillance (Multiple Submissions) | Actively engaged to submit syndromic surveillance data from an urgent care setting to multiple Public Health Agencies |
| PI_PHCDRR_3 | Electronic Case | Actively engaged to submit case reporting of reportable conditions |
| PI_PHCDRR_3_M | Electronic Case (Multiple Submissions) | Actively engaged to submit case reporting of reportable conditions to multiple Public Health Agencies |
| PI_PHCDRR_4 | Public Health Registry | Actively engaged to submit data to a Public Health Registry |
| PI_PHCDRR_4_M | Public Health Registry (Multiple Submissions) | Actively engaged to submit data to multiple Public Health Registries |
| PI_PHCDRR_5 | Clinical Data Registry | Actively engaged to submit data to a Clinical Data Registry |
| PI_PHCDRR_5_M | Clinical Data Registry (Multiple Submissions) | Actively engaged to submit data to multiple Clinical Data Registries |
| PI_PPHI_1 | Security Risk Analysis | Protect ePHI by implementing appropriate technical, administrative and physical safeguards |
| Measure | Description |
| View, Download or Transmit (VDT) | Actively engage with the electronic health record made accessible by the provider |
| Secure Messaging | Send a secure electronic message using CEHRT to the patient, or respond to a secure message sent by the patient |
| Patient Generated Health Data | Patient generated health data or data from a nonclinical setting is incorporated into the CEHRT for unique patients discharged during the reporting period |
| CDS Interventions | Use clinical decision support (5 interventions) to improve performance on high-priority health conditions |
| Drug Interaction | Implement drug-drug and drug-allergy interaction checks |
| CPOE Medications | Use computerized provider order entry (CPOE) for medication orders |
| CPOE Laboratory | Use computerized provider order entry (CPOE) for laboratory orders |
| CPOE Diagnostic Imaging | Use computerized provider order entry (CPOE) for diagnostic imaging orders |
| e-Prescribing | Generate and transmit permissible prescriptions electronically |
| Send a Summary of Care | Creates or electronically exchanges a SOC record for transitions of care and referrals or new patients |
| Request/Accept Summary of Care | Requests or accepts an electronic SOC record for transitions of care and referrals or new patients |
| Clinical Information Reconciliation | Perform a clinical information reconciliation (medications, allergies, problem lists) for transitions of care and referrals |
| Provide Patient Access | Provide patients the ability to view online, download, and transmit their health information within 36 hours of hospital discharge |
| Patient-Specific Education | Provide patient-specified educational resources |
| Immunization Registry | Actively engaged to submit Immunization data and receive forecasts from the registry or IIS |
| Immunization Registry (Multiple Submissions) | Actively engaged to submit Immunization data and receive forecasts from multiple registries or IIS |
| Syndromic Surveillance | Actively engaged to submit syndromic surveillance data from an urgent care setting |
| Syndromic Surveillance (Multiple Submissions) | Actively engaged to submit syndromic surveillance data from an urgent care setting to multiple Public Health Agencies |
| Electronic Case | Actively engaged to submit case reporting of reportable conditions |
| Electronic Case (Multiple Submissions) | Actively engaged to submit case reporting of reportable conditions to multiple Public Health Agencies |
| Public Health Registry | Actively engaged to submit data to a Public Health Registry |
| Public Health Registry (Multiple Submissions) | Actively engaged to submit data to multiple Public Health Registries |
| Clinical Data Registry | Actively engaged to submit data to a Clinical Data Registry |
| Clinical Data Registry (Multiple Submissions) | Actively engaged to submit data to multiple Clinical Data Registries |
| Security Risk Analysis | Protect ePHI by implementing appropriate technical, administrative and physical safeguards |
| Activity | Description |
| IA_AHE_1 | Engagement of New Medicaid Patients and Follow-up |
| IA_AHE_3 | Promote Use of Patient-Reported Outcome Tools |
| IA_AHE_5 | MIPS Eligible Clinician Leadership in Clinical Trials or CBPR |
| IA_AHE_6 | Provide Education Opportunities for New Clinicians |
| IA_AHE_7 | Comprehensive Eye Exams |
| IA_BE_1 | Use of certified EHR to capture patient reported outcomes |
| IA_BE_12 | Use evidence-based decision aids to support shared decision-making. |
| IA_BE_13 | Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. |
| IA_BE_14 | Engage patients and families to guide improvement in the system of care. |
| IA_BE_15 | Engagement of patients, family and caregivers in developing a plan of care |
| IA_BE_16 | Evidenced-based techniques to promote self-management into usual care |
| IA_BE_17 | Use of tools to assist patient self-management |
| IA_BE_18 | Provide peer-led support for self-management. |
| IA_BE_19 | Use group visits for common chronic conditions (e.g., diabetes). |
| IA_BE_20 | Implementation of condition-specific chronic disease self-management support programs |
| IA_BE_21 | Improved practices that disseminate appropriate self-management materials |
| IA_BE_22 | Improved practices that engage patients pre-visit |
| IA_BE_23 | Integration of patient coaching practices between visits |
| IA_BE_24 | Financial Navigation Program |
| IA_BE_25 | Drug Cost Transparency |
| IA_BE_3 | Engagement with QIN-QIO to implement self-management training programs |
| IA_BE_4 | Engagement of patients through implementation of improvements in patient portal |
| IA_BE_5 | Enhancements/regular updates to practice websites/tools that also include considerations for patients with cognitive disabilities |
| IA_BE_6 | Collection and follow-up on patient experience and satisfaction data on beneficiary engagement |
| IA_BE_7 | Participation in a QCDR, that promotes use of patient engagement tools. |
| IA_BE_8 | Participation in a QCDR, that promotes collaborative learning network opportunities that are interactive. |
| IA_BMH_1 | Diabetes screening |
| IA_BMH_10 | Completion of Collaborative Care Management Training Program |
| IA_BMH_2 | Tobacco use |
| IA_BMH_4 | Depression screening |
| IA_BMH_5 | MDD prevention and treatment interventions |
| IA_BMH_6 | Implementation of co-location PCP and MH services |
| IA_BMH_7 | Implementation of Integrated Patient Centered Behavioral Health Model |
| IA_BMH_8 | Electronic Health Record Enhancements for BH data capture |
| IA_BMH_9 | Unhealthy Alcohol Use for Patients with Co-occurring Conditions of Mental Health and Substance Abuse and Ambulatory Care Patients |
| IA_CC_1 | Implementation of use of specialist reports back to referring clinician or group to close referral loop |
| IA_CC_10 | Care transition documentation practice improvements |
| IA_CC_11 | Care transition standard operational improvements |
| IA_CC_12 | Care coordination agreements that promote improvements in patient tracking across settings |
| IA_CC_13 | Practice improvements for bilateral exchange of patient information |
| IA_CC_14 | Practice improvements that engage community resources to support patient health goals |
| IA_CC_15 | PSH Care Coordination |
| IA_CC_16 | Primary Care Physician and Behavioral Health Bilateral Electronic Exchange of Information for Shared Patients |
| IA_CC_17 | Patient Navigator Program |
| IA_CC_18 | Patient Navigator Program |
| IC_CC_19 | Tracking of clinician's relationship to and responsibility for a patient by reporting MACRA patient relationship codes. |
| IA_CC_2 | Implementation of improvements that contribute to more timely communication of test results |
| IA_CC_5 | CMS partner in Patients Hospital Improvement Innovation Networks |
| IA_CC_7 | Regular training in care coordination |
| IA_CC_8 | Implementation of documentation improvements for practice/process improvements |
| IA_CC_9 | Implementation of practices/processes for developing regular individual care plans |
| IA_EPA_1 | Provide 24/7 access to eligible clinicians or groups who have real-time access to patient's medical record |
| IA_EPA_2 | Use of telehealth services that expand practice access |
| IA_EPA_3 | Collection and use of patient experience and satisfaction data on access |
| IA_EPA_4 | Additional improvements in access as a result of QIN/QIO TA |
| IA_EPA_5 | Participation in User Testing of the Quality Payment Program Website (https://qpp.cms.gov/) |
| IA_ERP_1 | Participation on Disaster Medical Assistance Team, registered for 6 months. |
| IA_ERP_2 | Participation in a 60-day or greater effort to support domestic or international humanitarian needs. |
| IA_PCMH | Patient Centered Medical Home Option |
| IA_PM_11 | Regular review practices in place on targeted patient population needs |
| IA_PM_12 | Population empanelment |
| IA_PM_13 | Chronic care and preventative care management for empanelled patients |
| IA_PM_14 | Implementation of methodologies for improvements in longitudinal care management for high risk patients |
| IA_PM_15 | Implementation of episodic care management practice improvements |
| IA_PM_16 | Implementation of medication management practice improvements |
| IA_PM_17 | Participation in Population Health Research |
| IA_PM_18 | Provide Clinical-Community Linkages |
| IA_PM_19 | Glycemic Screening Services |
| IA_PM_2 | Anticoagulant management improvements |
| IA_PM_20 | Glycemic Referring Services |
| IA_PM_21 | Advance Care Planning |
| IA_PM_3 | RHC, IHS or FQHC quality improvement activities |
| IA_PM_4 | Glycemic management services |
| IA_PM_5 | Engagement of community for health status improvement |
| IA_PM_6 | Use of toolsets or other resources to close healthcare disparities across communities |
| IA_PM_7 | Use of QCDR for feedback reports that incorporate population health |
| IA_PSPA_1 | Participation in an AHRQ-listed patient safety organization. |
| IA_PSPA_10 | Completion of training and receipt of approved waiver for provision opioid medication-assisted treatments |
| IA_PSPA_11 | Participation in CAHPS or other supplemental questionnaire |
| IA_PSPA_12 | Participation in private payer CPIA |
| IA_PSPA_13 | Participation in Joint Commission Evaluation Initiative |
| IA_PSPA_15 | Implementation of antibiotic stewardship program |
| IA_PSPA_16 | Use of decision support and standardized treatment protocols |
| IA_PSPA_17 | Implementation of analytic capabilities to manage total cost of care for practice population |
| IA_PSPA_18 | Measurement and improvement at the practice and panel level |
| IA_PSPA_19 | Implementation of formal quality improvement methods, practice changes or other practice improvement processes |
| IA_PSPA_2 | Participation in MOC Part IV |
| IA_PSPA_20 | Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes |
| IA_PSPA_21 | Implementation of fall screening and assessment programs |
| IA_PSPA_22 | CDC Training on CDC’s Guideline for Prescribing Opioids for Chronic Pain |
| IA_PSPA_23 | Completion of CDC Training on Antibiotic Stewardship |
| IA_PSPA_25 | Cost Display for Laboratory and Radiographic Orders |
| IA_PSPA_26 | Communication of Unscheduled Visit for Adverse Drug Event and Nature of Event |
| IA_PSPA_27 | Invasive Procedure or Surgery Anticoagulation Medication Management |
| IA_PSPA_28 | Completion of an Accredited Safety or Quality Improvement Program |
| IA_PSPA_29 | Consulting AUC Using Clinical Decision Support when Ordering Advanced |
| IA_PSPA_3 | Participate in IHI Training/Forum Event; National Academy of Medicine, AHRQ Team STEPPS(R) or other similar activity. |
| IA_PSPA_30 | PCI Bleeding Campaign |
| IA_PSPA_31 | Patient Medication Risk Education |
| IA_PSPA_32 | Use of CDC Guideline for Clinical Decision Support to Prescribe Opioids for Chronic Pain via Clinical Decision Support |
| IA_PSPA_4 | Administration of the AHRQ Survey of Patient Safety Culture |
| IA_PSPA_6 | Consultation of the Prescription Drug Monitoring program |
| IA_PSPA_7 | Use of QCDR data for ongoing practice assessment and improvements |
| IA_PSPA_8 | Use of patient safety tools |
| IA_PSPA_9 | Completion of the AMA STEPS Forward program |
View or download all Eligible Clinician supported measures. 