Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the Measurement Period.

Women with one or more mammograms any time on or between October 1 two years prior to the measurement period and the end of the measurement period.

Women 52-74 years of age by the end of the measurement period with a visit during the measurement period.

Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy on or before the end of the measurement period. Exclude patients who are in hospice care for any part of the measurement period. Exclude patients 66 and older by the end of the measurement period who are living long-term in a nursing home any time on or before the end of the measurement period. Exclude patients 66 and older by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria:- Advanced illness with two outpatient encounters during the measurement period or the year prior- OR advanced illness with one inpatient encounter during the measurement period or the year prior- OR taking dementia medications during the measurement period or the year prior Exclude patients receiving palliative care for any part of the measurement period.

None

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MIPS Clinical Quality Measures (CQMS)

Traditional MIPS

qpp.cms.gov/mips/traditional-mips

ecqi.healthit.gov/ep-ec?qt-tabs_ep=ec-ecqms