PQRS Measures 2016
June 21, 2016
2016 PQRS: Individual Measures
| Measure 145: Fluoro Exposure Time Reporting | Document radiation exposure indices or exposure time AND number of images. Cine loop counts as one image. If no images were obtained, state no images were obtained. |
| Measure 436: Radiation Consideration for Adult CT | “All CT scans at this facility used dose modulation, iterative reconstruction, and/or weight-based dosing when appropriate to reduce radiation dose to as low as reasonably achievable. |
| Measure 225: Reminder system for Screening Mammograms, a Medical Performance Exclusion has been added | Indicate in your report that the patient was not entered into a reminder system due to a medical reason (e.g. the patient has a limited life expectancy). |
| Measure 76: CVC Insertion Protocol (Sterile Barrier) | Central venous catheter (CVC) was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound techniques followed Definitions: Maximal Sterile Barrier Technique – includes all of the following elements: Cap AND mask AND sterile gown AND sterile gloves AND sterile full body drape. Sterile Ultrasound Techniques – require sterile gel and sterile probe covers. |
| Measure 146: Screening Mammography | Document BI-RADS 0-6 |
| Measure 147: Bone Scan Correlation | Document prior studies. Must say compared to a specific date or there are no studies to compare. You can no longer state, “comparison: none” |
| Measure 195: Stenosis Measurement in Carotid Imaging Reports
Procedures to Include Measurement: Carotid Angio MRA Neck w/o MRA Neck w/wo MRA Neck w/ CTA Neck w/wo Carotid US (Bilat and Unilat) |
Include reference to distal internal carotid diameter (ie NASCET). Ex: “Severe left ICA stenosis of 70-80% by NASCET criteria” OR “Severe stenosis of 70-80% validated velocity measurements with angiographic measurements, velocity criteria are extrapolated from diameter data as defined by the Society of Radiologists in Ultrsound Consensus Conference Radiology 2003; 229;340-346”
OR “NASCET measuring was not required for this procedure” (if looking for vasospasm) |
| Measure 130: Documentation of Current Medications in the Medical Record | For E&M reports, document all prescriptions, over the-counters, herbals, and nutritional supplements and include name, dosage, frequency and route of administration. |