The Improvement Activities (IA) performance component aims to measure provider engagement in activities that improve clinical practice. Categories within IA include ongoing care coordination, clinician and patient shared decision making, regular implementation of patient safety practices, and expanding practice access. Those who completely fulfill the requirements for the IA category will receive the maximum score in the IA category, which will earn them 15 points towards their MIPS overall score.
The reporting requirement for the Improvement Activities category is fulfilled by simple attestation via a qualified registry, a Qualified Clinical Data Registry, an Electronic Health Record, or manual attestation through the Quality Payment Program (QPP) Data Submission System. No supporting documentation is required at the time of attestation, although CMS encourages clinicians to keep documentation records on file in case of an audit.
It's important to review the Improvement Activity inventory since CMS makes changes to it each year. For 2020, CMS added a new improvement activity titled, “COVID-19 Clinical Data Reporting with or without Clinical Trial,” which it will maintain for 2021.
CMS offers many resources on their QPP website, and is a great resource for learning about and selecting Quality measures, Promoting Interoperability measures, and Improvement Activities for reporting in 2021.