Melanoma: Coordination of Care
Description: The percentage of patient visits with a new occurrence of melanoma that have a treatment plan communicated to physicians providing continuing care within one month.
Measure ID: 138
CMS derm specialty set: Yes
High priority: Yes
Topped out: No
Reporting methods: Registry/QCDR
Maximum points: 10
Measure purpose: This measure encourages physicians to provide coordinated care to patients who have a new occurrence of melanoma.
The numerator: The number of patients with a new diagnosis of melanoma where a treatment plan is communicated to physicians providing continuing care within one month of the melanoma diagnosis.
The denominator: All patients diagnosed with a new occurrence of melanoma.
Measure calculation example
Dr. Zhao saw 100 patients who were diagnosed with melanoma during the reporting period. This is the denominator.
Three of these patients ask Dr. Zhao not to communicate their treatment plan to their PCP. These patients are removed from the denominator because they meet exclusions for this measure.
Of the remaining 97 patients, Dr. Zhao communicated the patient treatment plan to the patient’s PCP or the referring physician 67 times. This is the numerator.
Quality of patient care = 67/97. Dr. Zhao has a score of 69.1% 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. As a result, physicians receive no additional score for reporting scores that fall below 49.44%. She would need to score more than 49% to earn additional points.
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||49.44 - 63.63
||63.64 - 78.25||78.26 - 92.58
||92.59 - 99.99
|Points||3||3 - 3.9||4 - 4.9||5 - 5.9||6 - 6.9||7 - 7.9||8 - 8.9||9 - 9.9||10|