Melanoma: Continuity of Care–Recall System
Description: The percentage of patient visits with a current diagnosis or history of melanoma whose information was entered into a recall system to achieve consistent follow-up.
Measure ID: 137
CMS Derm Specialty Set: Yes
High priority: Yes
Topped out: No
Reporting methods: Registry/QCDR
Maximum Points: 10
Measure purpose: This measure ensures that clinicians use a recall system for patients with a current diagnosis or history of melanoma, to achieve consistent follow-up with patients who either miss a scheduled appointment or did not schedule an appointment within a specified timeframe.
The numerator: The number of patients whose information is entered into a recall system that includes a target date for the next complete physical exam and a process to follow up with patients who either did not make an appointment within the specified timeframe or who missed a scheduled appointment
The denominator: All patients with a current diagnosis of melanoma or a history of melanoma.
Measure calculation example
Dr. Lòpez saw 157 patients during the reporting period who were diagnosed with melanoma or who have a history of melanoma. This is the denominator.
Dr. Lòpez entered patient information into a recall system 153 times. This is the numerator.
Quality of patient care = 153/155. Dr. Lòpez has a score of 98.7% for this measure. This translates to 4.0 to 4.9 points.
Because of how this measure is structured, physicians score 3 points even if they report on only one patient. Physicians receive no additional score for reporting scores that fall below 83.83%. For example, if Dr. Lòpez reported on 1 patient encounter, she would earn 3 points. A score of 99.9% earns 5.9 points, while a score of 100% earns 10 points. In effect, there is a large gap in earned points between a nearly perfect score and a perfect score.
Quality measure score benchmark
CMS will award points based on a comparison of your performance rate to CMS benchmarks listed below. Reach the performance rate listed to achieve the corresponding points per measure. Points achieved for the Quality category will account for 45% of the overall MIPS score.
|Below 3||Decile 3||Decile 4||Decile 5||Decile 6||Decile 7||Decile 8||Decile 9||Decile 10|
|Performance rate||1 patient||83.83 -
| 94.34 -
|98.80 - 99.99||--||--||--||--||100%|
|Points||3||3 - 3.9||4 - 4.9||5 - 5.9||6 - 6.9||7 - 7.9||8 - 8.9||9 - 9.9||10|