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Quality & Practice

Below is the list of approved measures for the Registry, all of which can be used for 2018 quality reporting. Click here to access the full non-MIPS measures specifications for 2018.

  • SQOD #1: Assessment and Management of Muscle Spasticity—Inpatient Setting
  • SQOD #2: Management of Muscle Spasticity--Outpatient
  • SQOD #3: Post-Acute Brain Injury: Depression Screening and Follow-Up Plan of Care
  • SQOD #4: Family Training—Inpatient Rehabilitation/Skilled Nursing Facility—Discharged to Home 
  • SQOD #5: Functional Assessment to Determine Rehabilitation Needs 
  • NPAGSC3: Functional Outcome Assessment for Spine Intervention
  • NPAGSC4: Quality‐of‐Life Assessment for Spine Intervention
  • NPAGSC5: Patient Satisfaction with Spine Care 
  • NPAGSC6: Depression and Anxiety Assessment Prior to Spine‐Related Therapies
  • NPAGSC7: Narcotic Pain Medicine Management Prior to and Following Spine Therapy
  • NPAGSC8: Complication Following Percutaneous Spine‐Related Procedure
  • NPAGSC9: Unplanned Admission to Hospital Following Percutaneous Spine Procedure within the 30‐Day Post‐procedure Period
  • NPAGSC10: Spine/Extremity Pain Assessment
  • QPP #47: Care Plan
  • QPP #109: Osteoarthritis (OA): Function and Pain Assessment
  • QPP #110: Preventive Care and Screening: Influenza Immunization
  • QPP #111: Pneumococcal Vaccination Status for Older Adults
  • QPP #128: Preventive Care and Screening: Body Mass Index (BMI Screening and Follow-Up Plan)
  • QPP #130: Documentation of Current Medications in the Medical Record
  • QPP #131: Pain Assessment and Follow-Up
  • QPP #154: Falls: Risk Assessment
  • QPP #155: Falls: Plan of Care
  • QPP #182: Functional Outcome Assessment
  • QPP #226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
  • QPP #317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
  • QPP #374: Closing the Referral Loop: Receipt of Specialist Report
  • QPP #402: Tobacco Use and Help with Quitting Among Adolescents
  • QPP #408: Opioid Therapy Follow-up Evaluation
  • QPP #412: Documentation of Signed Opioid Treatment Agreement
  • QPP #414: Evaluation or Interview for Risk of Opioid Misuse
  • QPP #431: Preventive Care and Screening: Unhealthy Alcohol Use: Screening and Brief Counseling
  • QPP #459: Average Change in Back Pain Following Lumbar Discectomy/Laminotomy
  • QPP #460: Average Change in Back Pain Following Lumbar Fusion
  • QPP #461: Average Change in Leg Pain Following Lumbar Discectomy and/or Laminotomy