Description:
Measure 47 Advance Care Plan measures the percentage of patients aged 65 years and older who YOU HAVE ASKED if they have an advance care plan or surrogate decision maker. The discussion must be documented in the patients medical record. The patient having an advance care plan is not required, only that it be discussed during the visit.
Advance care planning is making a decision about the healthcare a patient would want to receive if they are facing a medical crisis. These are decisions to make based on the patients personal values, preferences, and discussions with your loved ones.
Advance care planning includes:
- Getting information on the types of life sustaining treatments that are available.
- Deciding what types of treatment, the patient would or would not want should the patient be diagnosed with a life-limiting illness.
- Completing advance directives to put into writing what types of treatment the patient would or would not want- and who they choose to speak make decisions for them- should they be unable to speak for themselves.
If a patient chooses not to discuss advance care planning for any reason or has not taken any steps toward advance care planning, that is acceptable. As long as you have asked the question and documented the patient's response, you have met the measure.
If you have previously documented the discussion about advance care planning, even in a prior year, you do have the documentation in your medical record, you have met the measure and are not required to ask the question again. It is up to you how often you should review the questions. It is considered appropriate to review the question should there be a significant change in the patients’ health or lifestyle status.
For most MIPS measures, you can earn a maximum of 10 points per measure. Measures that have had a high rate of adoption by providers can become “Topped Out’. When a measure is topped out the maximum score that can be achieved is 7 points.
Achieving a perfect performance on this measure is still easy, therefore this is still a good measure to do in order to protect your score in case you do not do well on six other measures. Your goal is to have 6 measures with a score of 8, 9, or 10, to get a perfect 60/60 in quality, and to report a high performance on measures specific to your specialty. Small practices will receive six bonus quality points.
Should you need assistance in understanding MIPS, selecting measures that are best for your practice or to report MIPS please reach out to Registry Clearinghouse at
https://www.registryclearinghouse.com/contact-us
Call (631) 996 9222
info@registryclearinghouse.com
Read Comments