2018 “Topped Out” Quality Measures

CMS has identified 6 MIPS quality measures as being “topped out” for 2018 reporting.  This means that performance on the measures has been historically very high that they will be phased out over several years.

These measures are available for reporting in 2018, however the maximum score a practice may receive is capped at 7 points each.

The topped-out measures are:

▪ Perioperative Care: Selection of Prophylactic Antibiotic-First or Second
Generation Cephalosporin. (Quality Measure ID: 21)
▪ Melanoma: Overutilization of Imaging Studies in Melanoma. (Quality
Measure ID: 224)
▪ Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When
Indicated in ALL Patients). (Quality Measure ID: 23)
▪ Image Confirmation of Successful Excision of Image-Localized Breast
Lesion. (Quality Measure ID: 262)
▪ Optimizing Patient Exposure to Ionizing Radiation: Utilization of a
Standardized Nomenclature for Computerized Tomography (CT) Imaging
Description. (Quality Measure ID: 359)
▪ Chronic Obstructive Pulmonary Disease (COPD): Inhaled Bronchodilator
Therapy. (Quality Measure ID: 52)