Donate For Public and Patients Store Search

American Academy of Dermatology Logo
Welcome!
Advertisement
Advertisement

Measure 47


Advance Care Plan

Description: The percentage of patients aged 65 years or older who have documentation of an advance care plan or surrogate decision maker.

Measure ID: 47

Type: Process

CMS Derm Specialty Set: No

Priority: Yes

Topped out: Yes

Reporting methods: Registry/QCDR or Claims

Maximum points: 10

Measure purpose: This measure encourages physicians to discuss advance care planning and surrogate decision makers with patients who are 65 or older.

Calculation

The numerator: The number of patients who have an advance care plan or surrogate decision maker documented in the medical record, or who have refused to create an advance care plan or name a surrogate decision maker

÷

The denominator: All patients aged 65 years or older.

Measure calculation example

Dr. Roberts saw 168 patients who are 65 years or older during the reporting period. This is the denominator.

Three patients are excluded from the denominator because they received hospice service during the measurement period.

Of the remaining 165 patients, Dr. Roberts communicated and established an advance care plan — or the patient declined to adopt such a plan — for 162 patients. This is the numerator.

Quality of patient care = 162/165. Dr. Roberts has a score of 98.2% for this measure. This score translated to 8.0 to 8.9 points when reporting by registry.

Important note

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 performance scores that fall below 24.3% if reporting by registry. For example, if Dr. Roberts reported on one patient encounter, he would earn 3 points.


Click on the image to download PDF

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.

Benchmarks for registry submissions

The table below shows CMS benchmarks for registry submissions. 

Below 3 Decile 3Decile 4Decile 5Decile  6Decile 7Decile 8Decile 9Decile 10 
Performance rate  1 patient  24.33 - 45.01 45.02 - 65.74 65.75 - 82.16
82.17 - 91.89
91.90 - 97.31  97.32 - 99.71 99.72 - 99.99 100% 
Points  3 points  3 - 3.9  4 - 4.9 5 - 5.9 6 - 6.9 7 - 7.9 8 - 8.9 9 - 9.9 10
Benchmarks for claims submissions

The table below shows CMS benchmarks for claims submissions. 

Below 3 Decile 3Decile 4Decile 5Decile 6Decile 7Decile 8Decile 9Decile 10 
Performance rate  1 patient  50.32 - 82.60
 82.61 - 92.88 92.89 - 97.45
97.46 - 99.30
99.31 - 99.99  -
-
100% 
Points  3 points  3 - 3.9  4 - 4.9 5 - 5.9 6 - 6.9 7 - 7.9 8 - 8.9 9 - 9.9 10

Advertisement
Advertisement