2021 Improvement Activities

The documentation and workflows required to meet Improvement Activities are primarily implemented through policies, protocols, and services at the clinic; however Sevocity has identified tools and features that can assist providers and practices with achieving their improvement goals. These recommendations are designed as a supplemental resource and are not a substitute for the program eligibility and requirements provided by CMS. For full program requirements—including data validation criteria and suggested documentation—refer to CMS’s Quality Payment Program website.

Activity: Depression screening and follow-up plan: Regular engagement of MIPS ECs Eligible Clinician: a Medicare provider who qualifies for MIPS participation or groups in integrated prevention and treatment interventions, including depression screening and follow-up plan (refer to NQF #0418) for patients with co-occurring conditions of behavioral or mental health conditions.
Subcategory	Behavioral and Mental Health
Weighting	Medium
Activity ID	IA_BMH_4

Supporting Features and Tools

Health Guidelines can be used to identify patients with co-occurring behavioral or mental health conditions.

Interventions for this guideline could include Custom Flowsheet values or values from the Standard Flowsheets for Depression Screening (Adult or Pediatric), PHQ-2, or PHQ-9.

Supporting Features and Tools

Health Guidelines can be used to identify patients with schizophrenia or bipolar disease who are also using antipsychotic medication.

Interventions for this guideline could include Custom Flowsheet values or orders for fasting plasma glucose or oral glucose tolerance tests.

Supporting Features and Tools

Health Guidelines can be used to identify patients at risk for falls based on previous assessments or use of medication.

Interventions for this guideline could include Custom Flowsheet values or values from the Standard Flowsheet for Fall Risk Screening, such as the Morse Fall Scale Score.

Supporting Features and Tools

Medications can be reconciled during a patient visit or when electronically incorporating a care summary into a patient chart as part of a transition of care.

In an encounter, medications can be reviewed and reconciled from the Allergies/Meds Hx tab or the Medications tab.

A clinical reconciliation for summaries of care received electronically can be performed from the C‑CDA Reconciliation Tool or from the PPDX Inbox.

Activity: Performance of regular practices that include providing specialist reports back to the referring individual MIPS EC Eligible Clinician: a Medicare provider who qualifies for MIPS participation or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.
Subcategory	Care Coordination
Weighting	Medium
Activity ID	IA_CC_1

Supporting Features and Tools

Referral reports received from specialists or other providers can be documented in the Results section of the original referral.

Supporting Features and Tools

The patient education features throughout Sevocity can be used to identify and provide appropriate self-management materials to patients.

The Pt Ed button () and Infobutton icon () launch MedlinePlus Connect website resources with access to health information in multiple languages and easy-to-read formats.

Pt Ed and Infobutton are available at both chart and encounter levels.

Self-management materials can also be created or uploaded as Handouts, accessible from the Plan tab in an encounter.

Supporting Features and Tools

Referral Notes and Continuity of Care Documents (CCDs) can be sent as structured C‑CDA Consolidated Clinical Document Architecture, a document format that enables a patient’s clinical data to be transmitted from one Health IT system to another files to other providers or settings of care using Sevocity’s integrated Direct messaging technology.

Referrals can be sent electronically from the Referrals tab in the chart or from the Orders/Referrals tab in the encounter. Summaries of care can be sent electronically using the Send Clinical Summary feature in Chart Tools.

Practices interested in exchanging data with an HIE should contact Sevocity Support to begin the process of a new interface setup. Interface setup requirements and fees vary per request.

Supporting Features and Tools

Patient relationship code (PRC) modifiers can be added from the Coding tab prior to encounter finalization.

PRC Modifiers List

Clinic Administrators can add or update modifiers from the Clinic Wide Form Data: Coding tab in Tools > Preferences.

Activity: In support of improving patient access, performing additional activities that enable capture of patient reported outcomes (e.g., home blood pressure, blood glucose logs, food diaries, at-risk health factors such as tobacco or alcohol use, etc.) or patient activation measures through use of CEHRT Certified EHR Technology, an EHR that conforms to the ONC's Health IT Certification Program criteria and standards, containing this data in a separate queue for clinician recognition and review.
Subcategory	Beneficiary Engagement
Weighting	Medium
Activity ID	IA_BE_1

Supporting Features and Tools

Patient-generated health data received in the Patient Portal Inbox can be stored to the patient chart.

Supporting Features and Tools

Health Guidelines can be used to create decision support protocols by selecting interventions to standardize treatment for identified populations.

Encounter templates can be used to apply standardized treatment protocols during a patient visit. To create or edit encounter templates, go to Tools > Preferences > CLINIC or [user] > Encounter Templates > Begin Edit