When determining which structured data fields to keep or remove during your OncoForm build, keep MIPS in mind. Any MIPS-required fields should be kept in the AI-enabled template. See below for all requirements.
MIPS Considerations
Visit Note Section | MIPS Implications |
Oncology/Hematology Diagnoses Other Medical Problems | -Some measures require certain diagnosis codes (ICD-10) |
Ongoing Treatment Events | -If your visit note template includes this section, adding hospice as a structured entry is important for many measures.
-Additionally, some measures look at the structured addition of a SNOMED code in this section. |
Allergies | -The Allergy reconciliation workflow is required (but can also be completed from Summary page). Structured documentation of allergies is important for allowing patients to be excluded from measures.
-Note: Allergies can only be viewed from the visit note and can’t be added or edited. |
Medications | -Reconciliation workflow is required (but can also be completed from Summary page).
-Structured documentation of medications is important across many measures. |
Tobacco Use and Cessation Counseling | -This section should sync with the Summary page for practices who have it set-up correctly. If it isn’t, then we look at the datanames here to confirm the patient’s smoking status and whether or not they were provided smoking cessation intervention |
Pain -Grading Scale score -Treatment recommendation | -Pain grading scale is used for MIPS measure.
-Pain treatment recommendation (checkboxes) is also used. |
Depression section -Grading Scale score -Treatment recommendation -Patient is excluded from | -Depression grading scale is used. -Depression treatment recommendation (checkboxes) is also used -“Patient is excluded from depression screening for the following reason” is important for measure exclusion purposes. |
Performance Status -ECOG grading scale -Karnofsky grading scale | -ECOG + Karnofsky grading scale values are used for QM450 (as a denominator exception). |
BMI/BP Screening & Plan | -QM497 requires checkboxes with specific datanames in order to complete the workflow of the measure. Most practices maintain a standalone OncoForm (MIPS 2024 [BP/BMI]) to track and fulfill this requirement. However, if your practice has a BMI/BP Screening & Plan in your visit notes, you must maintain this structured data field. |