The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Clinician/Group Survey is comprised of 10 Summary Survey Measures (SSMs) and measures patient experience of care within a group practice.

We recommend that CG-CAHPS Survey items and composites be calculated using a top box scoring method. The top box score refers to the percentage of patients whose responses indicated that they always received the desired care or service for a given measure. The top box numerator for the Overall Rating of Provider is the number of respondents who answered 9 or 10 for the item, with 10 indicating Best provider possible . For more information on the calculation of reporting measures, see Robert Wood Johnson Foundation s How to Report Results of the CAHPS Clinician & Group Survey, available at www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/cgkit/HowtoReportResultsofCGCAHPS080610FINAL.pdf and The CAHPS Clinician and Group Survey Database: How Results Are Calculated (AHRQ, 2017) accessible at cahpsdatabase.ahrq.gov/cahpsidb/Public/Files/Doc6HowResultsareCalculatedCG2016.pdf

The measure's denominator is the number of survey respondents. The target populations for the surveys are patients who have had at least one visit to the selected provider in the target 6-month time-frame. This time-frame is also known as the look back period. The sampling frame is a person-level list and not a visit-level list.

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MIPS Clinical Quality Measures (CQMS)

Traditional MIPS

www.cms.gov/medicare/quality/cms-national-quality-strategy/aligning-quality-measures-across-cms-universal-foundation

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