American College of Surgeons Quality Programs Surgeon Specific Registry Using the SSR for CMS MIPS MIPS 2019 Participation through the SSR MIPS 2019 Quality Options through the SSR – ACS Surgical Phases of Care Measures QCDR Option

MIPS 2019 Quality Options through the SSR – ACS Surgical Phases of Care Measures QCDR Option

The ACS Surgical Phases of Care (SPC) Measures provides eight QCDR measures and one MIPS measure for a Quality reporting option. Of the total nine measures available, three are outcome measures, and one is a Patient-Reported Outcome (PRO) measure. Download the full measures specifications document for the Surgical Phases of Care Measures QCDR.

Surgical Phase of Care	CMS Measure ID #	Measure Title	Measure Type	MIPS/ QCDR
Preoperative / Perioperative	ACS18	Patient Frailty Evaluation	Process	QCDR
	ACS16	Preventive Care and Screening: Tobacco Screening and Cessation Intervention	Process	QCDR
	QPP 358	Patient-Centered Surgical Risk Assessment and Communication	Process	MIPS
Postoperative	ACS20	Optimal Postoperative Communication and Plan and Patient Care Coordination Composite	Composite	QCDR
Post-Discharge	ACS21	Post-Acute Recovery Composite	Composite	QCDR
	ACS22	Unplanned Reoperation within the 30-Day Postoperative Period	Outcome	QCDR
	ACS23	Unplanned Hospital Readmission within 30 Days of Principal Procedure	Outcome	QCDR
	ACS25	Surgical Site Infection (SSI)	Outcome	QCDR
	ACS24	Surgical Phases of Care Patient-Reported Outcome Composite	Patient-Reported Outcome (PRO)	QCDR
ACS Surgical Phases of Care Measures QCDR—Appendix: Eligible CPT Codes

MIPS 2019 Quality Options through the SSR – ACS Surgical Phases of Care Measures QCDR Option

Surgical Phase of Care

CMS Measure ID #

Measure Title

Measure Type

MIPS/ QCDR

CMS Measure
ID #

MIPS/
QCDR