The percentage of adult patients (18 years of age or older) who report problems with drinking alcohol (e.g., can be noted through a screening measure such as the AUDIT-C as described in MIPS Clinical Quality Measure Quality ID #431 aka NQF 2152 or other drug/alcohol screeners such as the DAST and TAPS) AND demonstrated a response to treatment at three months (+/- 60 days) after the index visit.

The number of patients in the denominator who demonstrated a response to treatment, with an improvement score using at least one of the validated alcohol self-report measures (PROMIS negative consequences, BARC, or RAS) by three months (+/- 60 days) after an index visit. Response to treatment for the following measures are defined as: 1) PROMIS Negative Consequences of Alcohol Use short form includes a minimum index visit score of 52 or higher AND a drop of 2 or more points at follow-up; BARC includes an index score of 48 or higher AND a drop to 47 or less at follow-up; RAS includes an index average score of 4.0 or less AND a drop of .5 or more at follow-up.

Adult patients (18 years or older) with one of the Alcohol-Related diagnoses (see Diagnostic list) and a validated symptom measure for the treatment index visit

Denominator Criteria (Eligible cases): Patients aged 18 or older AND Patient encounter during the denominator identification period (CPT or HCPCS): 0362T, 0373T, 90785, 90791, 90792, 90832,90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90863, 90875, 90876, 96110, 96112, 96113, 96116, 96121, 96127, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, 96146, 96156, 96158, 96159, 96164, 96165, 96167, 96170, 96171, 96178, 97129, 97130, 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 98966, 98967, 98968, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215,99354, 99355, 99406, 99407, 99408, 99409, 99446, 99447, 99448, 99449, 99484, 99492, 99493, 99494, G2011, G2061, G2062, G2063, G0396, G0397, G0402, G0438, G0439 AND Diagnosis for Alcohol Use Disorder related issues: F10.X, G62.1, G31.2, G72.1, I42.6, K29.2, K70-K70.4, K70.9, K86.0 AND a baseline of any of the three types of scores

Patients who die OR Are enrolled in hospice in the measurement year OR Are unable to complete a measure at follow-up due to cognitive deficit, visual deficit, motor deficit, language barrier, or low reading level, AND a suitable recorder (e.g., advocate) is not available Patient refused to complete a measure at follow-up OR Ongoing care not indicated (e.g., referred to another provider or facility, consultation only) OR Patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown) OR Medical reasons (e.g., admitted to hospital, severe illness)

None

MBHR Mental and Behavioural Health Registry in Collaboration with Healthmonix

qpp.cms.gov/mips/traditional-mips

qpp.cms.gov/resources/document/21270f55-5241-4fe4-af2f-800931504a65