Use of High-Risk Medications in Older Adults (MIPS)1
This measure assesses potentially inappropriate use of high-risk medications in older adults (≥65 years of age).
MIPS, Merit-Based Incentive Payment System.
Reference: 1. Centers for Medicare & Medicaid Services. Quality ID #238 (NQF 0022): Use of High-Risk Medications in the Elderly. Accessed February 3, 2026. https://qpp.cms.gov/docs/QPP_quality_measure_specifications/CQM-Measures/2025_Measure_238_MIPSCQM.pdf
Admissions and ED Visits for Patients Receiving Outpatient Chemotherapy (OP-35)1
This measure evaluates the rate of ED visits and inpatient admissions within 30 days of hospital-based outpatient chemotherapy treatment for patients ≥18 years of age with cancer (not including patients with leukemia).
ED, emergency department.
Reference: 1. Centers for Medicare & Medicaid Services Measures Inventory Tool. Accessed February 3, 2026. https://cmit.cms.gov/cmit/#/MeasureView?variantId=1936§ionNumber=1
30-Day Unplanned Readmissions for Cancer Patients (PPS)1
This measure calculates the rate of unplanned readmission within 30 days of discharge from an eligible index admission for cancer patients.
PPS, Prospective Payment System.
Reference: 1. Centers for Medicare & Medicaid Services. PPS-Exempt Cancer Hospital overview. Accessed February 3, 2026. https://data.cms.gov/provider-data/topics/hospitals/pps-exempt-cancer-hospitals
Access to care (CAHPS Health Plan Survey)1
This measure assesses the ability of individuals to access appropriate care and to receive care in an appropriate time frame.
CAHPS, Consumer Assessment of Healthcare Providers and Systems.
Reference: 1. Agency for Healthcare Research and Quality. CAHPS Health Plan Survey. Accessed February 3, 2026. https://www.ahrq.gov/cahps/surveys-guidance/hp/index.html