ImageGuide Performance Measures
Practices/hospitals participating in the registry will receive performance calculations for all ImageGuide performance measures. Performance will be provided at the practice/hospital level, office location level, and for each individual participating physician.
2018 ImageGuide Performance Measures
2017 ImageGuide Performance Measures
| Non-MIPS Measure Number | Performance Measure Title | Modality | Measure Type |
| ASNC 1 | Cardiac Stress Nuclear Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low Risk Surgery Patients | SPECT, PET | High-Priority |
| ASNC 2 | Cardiac Stress Nuclear Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI) | SPECT, PET | High-Priority |
| ASNC 3 | Cardiac Stress Nuclear Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients | SPECT, PET | High-Priority |
| ASNC 4 | Utilization of Standardized Nomenclature and Reporting for SPECT and PET MPI Studies | SPECT, PET | High-Priority |
| ASNC 13 | SPECT-MPI Studies Meeting Appropriate Use Criteria | SPECT | High-Priority |
| ASNC 14 | PET-MPI Studies Meeting Appropriate Use Criteria | PET | High-Priority |
| ASNC 17 | SPECT-MPI Studies Not Equivocal | SPECT | High-Priority |
| ASNC 18 | PET-MPI Studies Not Equivocal | PET | High-Priority |
| ASNC 19 | Imaging Protocols for SPECT and PET MPI Studies - Use of Stress-only Protocol | SPECT, PET | High-Priority, Outcome |
| ASNC 20 | SPECT-MPI Studies Performed Without the use of Thallium | SPECT | High-Priority, Outcome |
| ASNC 21 | SPECT-MPI Study Appropriate Imaging Protocol Selection for Morbidly Obese Patients | SPECT | High-Priority, Outcome |
| ASNC 22 | SPECT- and PET-MPI Studies Reporting Left Ventricular Ejection Fraction | SPECT, PET | - |
| ASNC 23 | SPECT-MPI Study Clinical Utilization of Attenuation Correction Image Acquisition | SPECT | - |
| ASNC 24 | SPECT-MPI Study Utilization of Exercise as a Stressor | SPECT | High-Priority |
| ASNC 25 | SPECT-MPI Adequate Exercise Testing Performed | SPECT | - |
CMS Merit-Based Incentive Payment System (MIPS):
Physicians are required to report at least six measures for 50% of the imaging studies. Of the six measures, at least one must be an outcome measure. IMPORTANT: Performance rates of 0% for normal measures and 100% for inverse measures will not count towards the six measure minimum. For the 2017 reporting year, it is possible to avoid the 4% negative payment adjustment by reporting a minimal amount of data through Pick Your Pace.
Data on studies performance in 2017 must be submitted within the “call for data period” between the start date of 1/1/2017 and end date of 1/31/2018. Failure to submit data within the “call for data period” will result in the exclusion of data from the MIPS program.
2017 Performance Measure Specifications
As the registry matures, additional performance measures will be added and will be made available to all registry participants. These measures will include other opportunities for nuclear imaging quality improvement, such as:
- Camera age
- Radiopharmaceutical dosing based on geographic location, sex and race
- Uninterpretable imaging studies