|
A
|
B
|
C
|
D
|
|
Measure Characteristics
|
2017
|
2018
|
P-value
|
2019
|
P-value
|
2020
|
P-value
|
|
(n=193)
|
(n=210)
|
(n=208)
|
(n=194)
|
|
Count (%)
|
|
A. Quality Measure Types
|
|
Structure
|
2
|
1.0
|
1
|
0.5 |
0.000
|
1
|
0.5
| 0.000 |
1
|
0.5
| 0.000 |
|
Process
|
173
|
89.6
|
197
|
93.8 |
195
|
93.8
|
182
|
93.8
|
|
Outcome
|
5
|
2.6
|
2
|
1.0 |
1
|
0.5
|
1
|
0.5
|
|
Intermediate Outcomes
|
10
|
5.2
|
7
|
3.3 |
8
|
3.8
|
8
|
4.1
|
|
Patient-Reported Outcomes
|
0
|
0.0
|
0
|
0.0 |
1
|
0.5
|
1
|
0.5
|
|
Efficiency
|
3
|
1.6
|
3
|
1.4 |
2
|
1.0
|
1
|
0.5
|
|
B. NQS Domains
|
|
Effective Clinical Care
|
53
|
27.5
|
55
|
26.2 |
0.258
|
48
|
23.1
| 0.000 |
42
|
21.6
| 0.028 |
|
Efficiency and Cost Reduction
|
7
|
3.6
|
8
|
3.8 |
8
|
3.8
|
7
|
3.6
|
|
Patient Safety
|
36
|
18.7
|
45
|
21.4 |
46
|
22.1
|
46
|
23.7
|
|
Communication and Care Coordination
|
30
|
15.5
|
38
|
18.1 |
38
|
18.3
|
35
|
18.0
|
|
Person- and Caregiver-centered Experience and Outcomes
|
9
|
4.7
|
8
|
3.8 |
8
|
3.8
|
4
|
2.1
|
|
Community and Population Health
|
58
|
30.1
|
56
|
26.7 |
60
|
28.8
|
60
|
30.9
|
|
C. Select MIPS Specialties
|
|
Cardiology
|
8 |
4.1
|
8
|
3.8
|
0.000
|
7
|
3.4
|
0.000
|
7
|
3.6
|
0.000
|
|
Diagnostic Radiology
|
8 |
4.1
|
8
|
3.8
|
8
|
3.8
|
8
|
4.1
|
|
Emergency Medicine
|
10 |
5.2
|
7
|
3.3
|
7
|
3.4
|
4
|
2.1
|
|
Family Medicine
|
21 |
10.9
|
25
|
11.9
|
25
|
12.0
|
24
|
12.4
|
|
Hospitalists
|
8 |
4.1
|
4
|
1.9
|
4
|
1.9
|
3
|
1.5
|
|
Internal Medicine
|
20 |
10.4
|
20
|
9.5
|
22
|
10.6
|
21
|
10.8
|
|
Mental Health
|
7 |
3.6
|
6
|
2.9
|
6
|
2.9
|
6
|
3.1
|
|
Neurology
|
9 |
4.7
|
9
|
4.3
|
11
|
5.3
|
11
|
5.7
|
|
Obstetrics/Gynecology
|
12 |
6.2
|
13
|
6.2
|
14
|
6.7
|
14
|
7.2
|
|
Ophthalmology
|
10 |
5.2
|
8
|
3.8
|
7
|
3.4
|
6
|
3.1
|
|
Otolaryngology
|
9 |
4.7
|
13
|
6.2
|
13
|
6.3
|
12
|
6.2
|
|
Pathology
|
8 |
4.1
|
8
|
3.8
|
5
|
2.4
|
5
|
2.6
|
|
Physical Medicine
|
8 |
4.1
|
10
|
4.8
|
10
|
4.8
|
8
|
4.1
|
|
Preventive Medicine
|
14 |
7.3
|
17
|
8.1
|
17
|
8.2
|
17
|
8.8
|
|
Urology
|
6 |
3.1
|
10
|
4.8
|
10
|
4.8
|
9
|
4.6
|
|
General Surgery
|
7 |
3.6
|
8
|
3.8
|
8
|
3.8
|
7
|
3.5
|
|
Orthopedic Surgery
|
8 |
4.1
|
15
|
7.1
|
15
|
7.2
|
13
|
6.6
|
|
Plastic Surgery
|
7 |
3.6
|
5
|
2.4
|
5
|
2.4
|
5
|
2.5
|
|
Thoracic Surgery
|
7 |
3.6
|
7
|
3.3
|
6
|
2.9
|
6
|
3.0
|
|
Vascular Surgery
|
6 |
3.1
|
9
|
4.3
|
8
|
3.8
|
8
|
4.0
|