Daily Practice


ASTRO’s Accreditation Program for Excellence (APEx) focuses on a culture of quality and safety, as well as patient-centered care. Evidence indicators required for APEx accreditation map to the following 16 MIPS improvement activities associated with Medicare's Merit-based Incentive Payment System (MIPS). Visit ASTRO MIPS webpage to learn more about the program. 

View the complete table that includes the CMS activity description, mapped APEx Standard and CMS suggested documentation.  

Activity Name Activity Weight Activity ID
Provide 24/7 access to eligible clinicians or groups who have real-time access to patient's medical record High IA_EPA_1
Collection and use of patient experience and satisfaction data on access Medium IA_EPA_3
Implementation of episodic care management practice improvements Medium IA_PM_15
Implementation of use of specialist reports back to referring clinician or group to close referral loop Medium IA_CC_1
Regular training in care coordination Medium IA_CC_7
Implementation of documentation improvements for practice/process improvements Medium IA_CC_8
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement High IA_BE_6
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. Medium IA_BE_13
Evidenced-based techniques to promote self-management into usual care Medium IA_BE_16
Participation in an AHRQ-listed patient safety organization. Medium IA_PSPA_1
Participation in MOC Part IV Medium IA_PSPA_2
Use of decision support and standardized treatment protocols Medium IA_PSPA_16
Measurement and improvement at the practice and panel level Medium IA_PSPA_18
Implementation of formal quality improvement methods, practice changes or other practice improvement processes Medium IA_PSPA_19
Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes Medium IA_PSPA_20
Implementation of fall screening and assessment programs Medium IA_PSPA_21