abhijeet mahajan
Nov 13, 2018, 5:37:21 PM11/13/18
to Developer Group for QPP APIs
Hi QPP Team,
Data type : XML
Input :
<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<data>
<entityType>individual</entityType>
<nationalProviderIdentifier>0004563162</nationalProviderIdentifier>
<performanceYear>2018</performanceYear>
<programName>mips</programName>
<taxpayerIdentificationNumber>000765433</taxpayerIdentificationNumber>
<measurementset>
<category>quality</category>
<submissionMethod>registry</submissionMethod>
<performanceStart>2018-01-01</performanceStart>
<performanceEnd>2018-12-31</performanceEnd>
<measurement>
<measureId>226</measureId>
<value>
<isEndToEndReported>true</isEndToEndReported>
<strata>
<eligiblePopulation>60</eligiblePopulation>
<eligiblePopulationException>0</eligiblePopulationException>
<eligiblePopulationExclusion>0</eligiblePopulationExclusion>
<performanceMet>47</performanceMet>
<performanceNotMet>13</performanceNotMet>
<stratum>screenedForUse</stratum>
</strata>
<strata>
<eligiblePopulation>147</eligiblePopulation>
<eligiblePopulationException>0</eligiblePopulationException>
<eligiblePopulationExclusion>0</eligiblePopulationExclusion>
<performanceMet>121</performanceMet>
<performanceNotMet>26</performanceNotMet>
<stratum>intervention</stratum>
</strata>
<strata>
<eligiblePopulation>86</eligiblePopulation>
<eligiblePopulationException>0</eligiblePopulationException>
<eligiblePopulationExclusion>0</eligiblePopulationExclusion>
<performanceMet>73</performanceMet>
<performanceNotMet>13</performanceNotMet>
<stratum>overall</stratum>
</strata>
</value>
</measurement>
</measurementset>
</data>
Output:
{
"data": {
"score": {
"name": "total",
"title": "Total Score",
"detail": "0.51.1",
"value": 0,
"parts": [
{
"name": "ia",
"title": "IA component of total score",
"detail": "Scoring based on weight of 15%.",
"value": 0,
"original": {
"name": "ia",
"value": 0,
"detail": "Picked the highest scoring measurement set webAttestation",
"parts": [
{
"name": "ia",
"value": 0,
"title": "Improvement Activities Score",
"detail": "webAttestation",
"parts": [],
"metadata": {
"messages": {},
"maxContribution": 40,
"measurementSetId": "fabricated-ia-1",
"measurementSetPicked": true
}
}
]
},
"metadata": {
"unroundedScoreValue": 0,
"maxContribution": 15
}
}
],
"metadata": {
"messages": {},
"maxTotalScore": 100,
"maxHighContributionIA": 20,
"maxMediumContributionIA": 10,
"maxContributionIA": 15,
"maxContributionACI": 25,
"maxContributionQuality": 50,
"maxContributionCost": 10,
"instrumentation": {
"isSubmissionFabricated": true,
"hasIAMeasures": false,
"hasQualityMeasures": false,
"hasACIMeasures": false,
"hasPIMeasures": false,
"hasCostMeasures": false,
"hasACRMeasure": false,
"hasCAHPSMeasure": false,
"hasScorableIAMeasures": false,
"hasScorableACIMeasures": false,
"hasScorablePIMeasures": false,
"hasScorableCostMeasures": false,
"hasScorableQualityMeasures": false,
"hasSkippedWIMSet": false,
"hasMergedRegistryMSet": false,
"givenIAStudyCredit": false,
"hasIAWeightStatus": "NORMAL",
"givenAPMParticipationCredit": false,
"givenIACreditPCMH": false,
"hasMinimumACIPerformancePeriod": false,
"hasMinimumPIPerformancePeriod": false,
"reasonCodes": []
},
"unroundedScoreValue": 0
},
"warnings": [
"Disclaimer: Scoring is subject to change, based on periodic policy updates, eligibility reviews, and technical integration developments."
],
"errors": []
}
}
}
Thanks,
Abhijeet
abhijeet mahajan
Nov 14, 2018, 5:27:15 PM11/14/18
to Developer Group for QPP APIs
Hi Sarah\Ivana,
Is it related to this topic for measure 226 : https://groups.google.com/forum/#!msg/qpp-apis/5NTIboB_q7Q/LVdWKd2ZAgAJ
Should we stop testing 226 for now ?
Thanks,
Abhijeet
abhijeet mahajan
Nov 15, 2018, 2:38:19 PM11/15/18
to Developer Group for QPP APIs
I found the issue with my request. Was not using camel casing while creating the measurement set element.
Should be <measurementSet> but it was <measurementset>.
Thanks,
Abhijeet
Sarah White
Nov 16, 2018, 4:38:38 PM11/16/18
to Developer Group for QPP APIs
Hi Abhijeet,
Good to hear! And sadly, measure 226 is still not updated, but will be next week. I'll post in the group when that issue is finally resolved.
SRIDHAR G
Jan 26, 2019, 2:40:23 PM1/26/19
to abhijeet mahajan, Developer Group for QPP APIs
Hi Sarah,
Any issue with Preview Score response?
Max score for all categories as per MIPS scoring
Quality Max score: 60 (50 in total MIPS score)
Pi: 100 ( 25 in total MIPS score )
IA: 40 (15 in total MIPS Score)
Cost: 10 in total MIPS score.
The response from preview score API retuning wrong Value (100 ) under Quality category (max score should be only 60 ) and rest of the categories PI and IA returning correctly (100,40)
Please let us now if this is a known issue?
Thanks
Sridhar
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SRIDHAR G
Jan 27, 2019, 1:14:47 AM1/27/19
to Developer Group for QPP APIs
Hi Sarah,
Another Preview Score Issue
If I manually add all quality scores for all the measures the score is only 23 points out of 60 but quality category total in Preview score API response is showing as 38.5
Please see below response JSON
{
"data": {
"score": {
"name": "total",
"title": "Total Score",
"detail": "0.57.4",
"value": 19.27,
"parts": [
{
"name": "quality",
"title": "QUALITY component of total score",
"detail": "Scoring based on weight of 50%.",
"value": 19.27,
"original": {
"name": "quality",
"value": 38.5,
"detail": "Picked the highest scoring measurement set registry",
"parts": [
{
"name": "quality",
"value": 38.5,
"detail": "registry",
"parts": [
{
"name": "001",
"value": 3,
"detail": "Contributing 3",
"instrumentations": [
{
"reasonCode": "QUALITY-009",
"message": "Measurement meets the minimum reporting rate for this attestation year."
},
{
"reasonCode": "QUALITY-051",
"message": "Measure is a class 1 measure, Eligible population is >= 20 and reporting rate > 60 and has benchmarks"
},
{
"reasonCode": "QUALITY-076",
"message": "Applied minimum decile score."
},
{
"reasonCode": "QUALITY-091",
"message": "Class 1 measures receive a higher weight than the rest."
},
{
"reasonCode": "QUALITY-093",
"message": "Default end to end bonus score of 0."
},
{
"reasonCode": "QUALITY-111",
"message": "Measure contributed points to total score."
},
{
"reasonCode": "QUALITY-113",
"message": "Measure contributed bonus points to total score."
},
{
"reasonCode": "QUALITY-117",
"message": "Measurement points for PICKED measure include decile score with all bonus points."
}
],
"metadata": {
"performanceRate": 84.99,
"reportingRate": 100,
"measureClass": "Class 1",
"measureTitle": "Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)",
"highPriorityBonusEligible": true,
"endToEndBonusEligible": false,
"endToEndBonus": 0,
"outcomeOrPatientExperienceBonus": 0,
"highPriorityBonus": 0,
"highPriorityBonusIgnored": true,
"decileScore": 3,
"performanceDenominator": 473,
"performanceNumerator": 402,
"eligiblePopulation": 478,
"partialDecileScore": 0,
"partialPoints": 0,
"decile": -1,
"deciles": [
100,
57.89,
42.36,
31.58,
25.77,
20.93,
16.81,
12.77,
7.69
],
"processingStatus": "PICKED",
"totalMeasurementPoints": 3,
"totalBonusPoints": 0,
"messages": {
"benchmarkType": "Did not override registry benchmark because measure is missing EHR submission method or spec and not an eCQM measure",
"measurementClass": "Eligible population is greater than or equal to 20, reporting rate is greater than 60% and has benchmarks",
"decileScore": "Applied minimum decile score",
"e2eBonusScore": "Default E2E bonus score",
"highPriorityBonus": "Measure having highest decile score (preference given to outcome, intermediate outcome, intermediate outcome and process) is not eligible for high priority bonus",
"measurementPicker": "Picked at 1",
"totalMeasurementPoints": "Measurement points for PICKED measure include decile score with all bonus points"
},
"noBenchmarks": false,
"benchmarkType": "registry",
"eMeasureId": "CMS122v6",
"cpcPlusGroup": "Outcome_Measure",
"toppedOut": false,
"isGhost": false,
"unroundedScoreValue": 3
}
},
{
"name": "110",
"value": 9.1,
"detail": "Contributing 9.1",
"instrumentations": [
{
"reasonCode": "QUALITY-009",
"message": "Measurement meets the minimum reporting rate for this attestation year."
},
{
"reasonCode": "QUALITY-051",
"message": "Measure is a class 1 measure, Eligible population is >= 20 and reporting rate > 60 and has benchmarks"
},
{
"reasonCode": "QUALITY-078",
"message": "Applied default decile scoring."
},
{
"reasonCode": "QUALITY-091",
"message": "Class 1 measures receive a higher weight than the rest."
},
{
"reasonCode": "QUALITY-093",
"message": "Default end to end bonus score of 0."
},
{
"reasonCode": "QUALITY-105",
"message": "Measure eligible for high priority bonus with minimum performance rate and eligible populations reached."
},
{
"reasonCode": "QUALITY-111",
"message": "Measure contributed points to total score."
},
{
"reasonCode": "QUALITY-113",
"message": "Measure contributed bonus points to total score."
},
{
"reasonCode": "QUALITY-117",
"message": "Measurement points for PICKED measure include decile score with all bonus points."
}
],
"metadata": {
"performanceRate": 84.57,
"reportingRate": 100,
"measureClass": "Class 1",
"measureTitle": "Preventive Care and Screening: Influenza Immunization",
"highPriorityBonusEligible": false,
"endToEndBonusEligible": false,
"endToEndBonus": 0,
"outcomeOrPatientExperienceBonus": 0,
"highPriorityBonus": 0,
"decileScore": 9.14,
"performanceDenominator": 473,
"performanceNumerator": 400,
"eligiblePopulation": 478,
"partialDecileScore": 0.1,
"partialPoints": 1.86,
"decile": 9,
"deciles": [
0,
26.89,
40.49,
50,
57.07,
64.79,
73.08,
82.71,
96.44
],
"processingStatus": "PICKED",
"totalMeasurementPoints": 9.14,
"totalBonusPoints": 0,
"messages": {
"benchmarkType": "Did not override registry benchmark because measure is missing EHR submission method or spec and not an eCQM measure",
"measurementClass": "Eligible population is greater than or equal to 20, reporting rate is greater than 60% and has benchmarks",
"e2eBonusScore": "Default E2E bonus score",
"measurementPicker": "Picked at 2",
"totalMeasurementPoints": "Measurement points for PICKED measure include decile score with all bonus points"
},
"noBenchmarks": false,
"benchmarkType": "registry",
"eMeasureId": "CMS147v7",
"cpcPlusGroup": "Other_Measure",
"toppedOut": false,
"isGhost": false,
"unroundedScoreValue": 9.14
}
},
{
"name": "109",
"value": 7.9,
"detail": "Contributing 7.9",
"instrumentations": [
{
"reasonCode": "QUALITY-009",
"message": "Measurement meets the minimum reporting rate for this attestation year."
},
{
"reasonCode": "QUALITY-051",
"message": "Measure is a class 1 measure, Eligible population is >= 20 and reporting rate > 60 and has benchmarks"
},
{
"reasonCode": "QUALITY-078",
"message": "Applied default decile scoring."
},
{
"reasonCode": "QUALITY-091",
"message": "Class 1 measures receive a higher weight than the rest."
},
{
"reasonCode": "QUALITY-096",
"message": "If measure is end to end reported, then end to end bonus score is applied."
},
{
"reasonCode": "QUALITY-105",
"message": "Measure eligible for high priority bonus with minimum performance rate and eligible populations reached."
},
{
"reasonCode": "QUALITY-110",
"message": "Allotted high priority bonus point."
},
{
"reasonCode": "QUALITY-111",
"message": "Measure contributed points to total score."
},
{
"reasonCode": "QUALITY-113",
"message": "Measure contributed bonus points to total score."
},
{
"reasonCode": "QUALITY-117",
"message": "Measurement points for PICKED measure include decile score with all bonus points."
}
],
"metadata": {
"performanceRate": 84.57,
"reportingRate": 100,
"measureClass": "Class 1",
"measureTitle": "Osteoarthritis (OA): Function and Pain Assessment",
"highPriorityBonusEligible": true,
"endToEndBonusEligible": true,
"endToEndBonus": 1,
"outcomeOrPatientExperienceBonus": 0,
"highPriorityBonus": 1,
"decileScore": 5.98,
"performanceDenominator": 473,
"performanceNumerator": 400,
"eligiblePopulation": 478,
"partialDecileScore": 0.9,
"partialPoints": 19.57,
"decile": 5,
"deciles": [
0,
15.38,
35.33,
65,
84.9,
95.19,
100,
100,
100
],
"processingStatus": "PICKED",
"totalMeasurementPoints": 7.98,
"totalBonusPoints": 2,
"messages": {
"benchmarkType": "Did not override registry benchmark as eHR benchmark was not found",
"measurementClass": "Eligible population is greater than or equal to 20, reporting rate is greater than 60% and has benchmarks",
"e2eBonusScore": "Bonus from isEndToEndReported",
"highPriorityBonus": "Allotting 1 point to high priority bonus for measure type 'process'",
"measurementPicker": "Picked at 3",
"totalMeasurementPoints": "Measurement points for PICKED measure include decile score with all bonus points"
},
"noBenchmarks": false,
"benchmarkType": "registry",
"eMeasureId": null,
"toppedOut": true,
"isGhost": false,
"unroundedScoreValue": 7.98
}
},
{
"name": "102",
"value": 3,
"detail": "Contributing 3",
"instrumentations": [
{
"reasonCode": "QUALITY-009",
"message": "Measurement meets the minimum reporting rate for this attestation year."
},
{
"reasonCode": "QUALITY-051",
"message": "Measure is a class 1 measure, Eligible population is >= 20 and reporting rate > 60 and has benchmarks"
},
{
"reasonCode": "QUALITY-076",
"message": "Applied minimum decile score."
},
{
"reasonCode": "QUALITY-091",
"message": "Class 1 measures receive a higher weight than the rest."
},
{
"reasonCode": "QUALITY-093",
"message": "Default end to end bonus score of 0."
},
{
"reasonCode": "QUALITY-105",
"message": "Measure eligible for high priority bonus with minimum performance rate and eligible populations reached."
},
{
"reasonCode": "QUALITY-111",
"message": "Measure contributed points to total score."
},
{
"reasonCode": "QUALITY-113",
"message": "Measure contributed bonus points to total score."
},
{
"reasonCode": "QUALITY-117",
"message": "Measurement points for PICKED measure include decile score with all bonus points."
},
{
"reasonCode": "QUALITY-005",
"message": "If measure is found to be in a clinical cluster the measure will be labeled with its EMA relationship"
}
],
"metadata": {
"performanceRate": 84.99,
"reportingRate": 100,
"measureClass": "Class 1",
"measureTitle": "Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients",
"highPriorityBonusEligible": false,
"endToEndBonusEligible": false,
"endToEndBonus": 0,
"outcomeOrPatientExperienceBonus": 0,
"highPriorityBonus": 0,
"decileScore": 3,
"performanceDenominator": 473,
"performanceNumerator": 402,
"eligiblePopulation": 478,
"partialDecileScore": 0,
"partialPoints": 0,
"decile": -1,
"deciles": [
0,
98.92,
100,
100,
100,
100,
100,
100,
100
],
"processingStatus": "PICKED",
"totalMeasurementPoints": 3,
"totalBonusPoints": 0,
"messages": {
"benchmarkType": "Did not override registry benchmark as eHR benchmark was not found",
"measurementClass": "Eligible population is greater than or equal to 20, reporting rate is greater than 60% and has benchmarks",
"decileScore": "Applied minimum decile score",
"e2eBonusScore": "Default E2E bonus score",
"measurementPicker": "Picked at 4",
"totalMeasurementPoints": "Measurement points for PICKED measure include decile score with all bonus points"
},
"noBenchmarks": false,
"benchmarkType": "registry",
"eMeasureId": "CMS129v7",
"toppedOut": true,
"isGhost": false,
"unroundedScoreValue": 3
}
}
],
"instrumentations": [
{
"reasonCode": "QUALITY-031",
"message": "EMA eligible specialty sets have between one and five EMA eligible measures"
},
{
"reasonCode": "QUALITY-032",
"message": "EMA eligible specialty sets do not contain QCDR measurements"
},
{
"reasonCode": "QUALITY-060",
"message": "Not EMA eligible because measurement set does not match a specialty set exactly"
},
{
"reasonCode": "QUALITY-025",
"message": "EMA eligible clinical clusters have between one and five EMA eligible measures"
},
{
"reasonCode": "QUALITY-026",
"message": "EMA eligible clinical clusters do not contain QCDR measurements"
},
{
"reasonCode": "QUALITY-027",
"message": "EMA eligible clinical clusters belong to a single clinical cluster"
},
{
"reasonCode": "QUALITY-071",
"message": "At least 1 high or outcome or patient experience measure available, so denominator is 60."
},
{
"reasonCode": "QUALITY-100",
"message": "Measure having highest decile score (preference given to outcome, intermediate outcome, intermediate outcome and process) is not eligible for high priority bonus."
},
{
"reasonCode": "QUALITY-116",
"message": "Applicable measurement points summed."
}
],
"metadata": {
"messages": {
"denominator": "At least 1 high or outcome or patient experience measure available. So denominator is 60",
"totalDecileScore": "Decile score points for measurements included in measurement set score, excluding bonus points",
"totalBonusPoints": "Sum of measurement bonus points included in the measurement set score",
"totalMeasurementPoints": "Sum of applicable measurement points."
},
"maxContribution": 100,
"measuresPicked": [
"001",
"110",
"109",
"102"
],
"measuresSubmittedCount": 4,
"measuresSubmitted": [
"001",
"110",
"109",
"102"
],
"totalDecileScore": 21,
"totalBonusPoints": 2,
"totalMeasurementPoints": 23,
"denominator": 60,
"e2eBonusScore": 1,
"maxMeasurementsAllowed": 6,
"mergedWithCahps": false,
"processingStatus": "PICKED",
"unroundedScoreValue": 23.12,
"measurementSetPicked": true,
"reweightedScore": 23
}
}
],
"metadata": {
"unroundedScoreValue": 38.53333333333334
},
"instrumentations": [
{
"reasonCode": "QUALITY-031",
"message": "EMA eligible specialty sets have between one and five EMA eligible measures"
},
{
"reasonCode": "QUALITY-032",
"message": "EMA eligible specialty sets do not contain QCDR measurements"
},
{
"reasonCode": "QUALITY-060",
"message": "Not EMA eligible because measurement set does not match a specialty set exactly"
},
{
"reasonCode": "QUALITY-025",
"message": "EMA eligible clinical clusters have between one and five EMA eligible measures"
},
{
"reasonCode": "QUALITY-026",
"message": "EMA eligible clinical clusters do not contain QCDR measurements"
},
{
"reasonCode": "QUALITY-027",
"message": "EMA eligible clinical clusters belong to a single clinical cluster"
},
{
"reasonCode": "QUALITY-071",
"message": "At least 1 high or outcome or patient experience measure available, so denominator is 60."
},
{
"reasonCode": "QUALITY-100",
"message": "Measure having highest decile score (preference given to outcome, intermediate outcome, intermediate outcome and process) is not eligible for high priority bonus."
},
{
"reasonCode": "QUALITY-116",
"message": "Applicable measurement points summed."
}
]
},
"metadata": {
"maxContribution": 50,
"unroundedScoreValue": 19.26666666666667
}
},
{
"name": "feedback-quality",
"parts": [
{
"name": "001",
"detail": "Focus on improving measure 001"
},
{
"name": "102",
"detail": "Focus on improving measure 102"
},
{
"name": "109",
"detail": "Focus on improving measure 109"
}
]
}
],
"instrumentations": [],
"metadata": {
"messages": {},
"maxTotalScore": 100,
"maxHighContributionIA": 20,
"maxMediumContributionIA": 10,
"maxContributionIA": 15,
"maxContributionQuality": 50,
"maxContributionCost": 10,
"maxContributionPI": 25,
"piRollupBonus": 0,
"iaCategoryScore": 0,
"iaWeightedScore": 0,
"iaCategoryScoreUnrounded": 0,
"qualityCategoryScore": 38.5,
"qualityWeightedScore": 19.27,
"qualityCategoryScoreUnrounded": 38.5,
"isSubmissionFabricated": true,
"hasIAMeasures": false,
"hasQualityMeasures": true,
"hasACIMeasures": false,
"hasPIMeasures": false,
"hasCostMeasures": false,
"hasACRMeasure": false,
"hasCAHPSMeasure": false,
"hasScorableIAMeasures": false,
"hasScorableACIMeasures": false,
"hasScorablePIMeasures": false,
"hasScorableCostMeasures": false,
"hasScorableQualityMeasures": true,
"hasSkippedWIMSet": false,
"hasMergedRegistryMSet": false,
"givenIAStudyCredit": false,
"hasIAWeightStatus": "NORMAL",
"givenAPMParticipationCredit": false,
"givenIACreditPCMH": false,
"hasMinimumACIPerformancePeriod": false,
"hasMinimumPIPerformancePeriod": false,
"hasIncompleteAPMWISubmission": false,
"unroundedScoreValue": 19.26666666666667
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