Daily Practice

Quality Measure Benchmarks

For the MIPS Quality performance category, each measure will receive a total score of 0 to 10 points based on reporting and performance. In order to receive more than 3 points, physicians need to submit a minimum of 20 cases per measure. Below are the current available benchmarks for the Radiation Oncology Measures Set. If a benchmark is not currently available based on historical data, CMS will attempt to calculate a benchmark based on 2017 performance data. If CMS is unable to determine a benchmark, reporting a measure without a benchmark will result in only 3 points. 

#102: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients  

Decile Registry/QCDR Reporting:
Measure Performance
EHR Reporting:
Measure Performance
Total Measure Points:
Baseline and Achievement Points
Decile 1 <42.12% OR did not meet case minimum No benchmark currently exists. If feasible, CMS will attempt to calculate a benchmark based on 2017 performance data. 3.0 points
Decile 2 3.0 points
Decile 3 42.12 - 54.99% 3.0 – 3.9 points 
Decile 4 55.00 - 71.72% 4.0 – 4.9 points
Decile 5 71.73 - 82.13% 5.0 – 5.9 points
Decile 6 82.14 - 99.46% 6.0 – 6.9 points
Decile 7 99.47 - 99.99% 7.0 – 7.9 points
Decile 8 8.0 – 8.9 points
Decile 9 9.0 – 9.9 points
Decile 10 100% 10 points
 

#143: Pain Intensity Quantified

Decile Registry/QCDR Reporting:
Measure Performance
EHR Reporting:
Measure Performance
Total Measure Points:
Baseline and Achievement Points
Decile 1 <35.53% OR did not meet case minimum <100% OR did not meet case minimum 3.0 points
Decile 2 3.0 points
Decile 3 35.53 – 76.18% 3.0 – 3.9 points 
Decile 4 76.19 – 82.13% 4.0 – 4.9 points
Decile 5 82.14 – 25%.20% 5.0 – 5.9 points
Decile 6 25%.21 – 96.76% 6.0 – 6.9 points
Decile 7 96.77 – 99.99% 7.0 – 7.9 points
Decile 8 8.0 – 8.9 points
Decile 9 9.0 – 9.9 points
Decile 10 100% 100% 10 points
 

#144: Plan of Care for Pain

Decile Registry/QCDR Reporting:
Measure Performance
Total Measure Points:
Baseline and Achievement Points
Decile 1 <33.64% OR did not meet case minimum 3.0 points
Decile 2 3.0 points
Decile 3 33.64 - 48.19% 3.0 – 3.9 points 
Decile 4 48.20 - 66.91% 4.0 – 4.9 points
Decile 5 66.92 - 78.41% 5.0 – 5.9 points
Decile 6 78.42 - 85.83% 6.0 – 6.9 points
Decile 7 85.84 - 99.11% 7.0 – 7.9 points
Decile 8 99.12 - 99.99% 8.0 – 8.9 points
Decile 9 9.0 – 9.9 points
Decile 10 100% 10 points
 

#156: Radiation Dose Limits to Normal Tissues

Decile Registry/QCDR Reporting:
Measure Performance
Claims Reporting:
Measure Performance
Total Measure Points:
Baseline and Achievement Points
Decile 1 <93.10% OR did not meet case minimum  No benchmark currently exists. If feasible, CMS will attempt to calculate a benchmark based on 2017 performance data. 3.0 points
Decile 2 3.0 points
Decile 3 93.10 - 96.76% 3.0 – 3.9 points 
Decile 4 96.77 - 97.72% 4.0 – 4.9 points
Decile 5 97.73 - 99.99% 5.0 – 5.9 points
Decile 6 6.0 – 6.9 points
Decile 7 7.0 – 7.9 points
Decile 8 8.0 – 8.9 points
Decile 9 9.0 – 9.9 points
Decile 10 100% 10 points
 

Last updated on March 1, 2017.

We have recently updated our privacy policy and terms of use.
By using this site, you agree to ASTRO’s Privacy Policy and Terms of Use.
We use cookies to provide, secure and improve our services to you. To learn more, click here.