PSPA 26 - Communication of Unscheduled Visit for Adverse Drug Event and Nature of Event

Activity Weighting: Medium
Subcategory Name: Patient Safety and Practice Assessment
Description: A MIPS eligible clinician providing unscheduled care (such as an emergency room, urgent care, or other unplanned encounter) attests that, for greater than 75 percent of case visits that result from a clinically significant adverse drug event, the MIPS eligible clinician provides information, including through the use of health IT to the patients primary care clinician regarding both the unscheduled visit and the nature of the adverse drug event within 48 hours. A clinically significant adverse event is defined as a medication-related harm or injury such as side-effects, supratherapeutic effects, allergic reactions, laboratory abnormalities, or medication errors requiring urgent/emergent evaluation, treatment, or hospitalization.

Supporting Documentation

1. Documentation of an unscheduled clinically significant adverse event, defined as a medication-related harm or injury such as side-effects, supratherapeutic effects, allergic reactions, laboratory abnormalities, or medication errors requiring urgent/emergent evaluation, treatment, or hospitalization. 
2. Documentation of communication of the event to the patient’s primary care clinician within 48 hours of the unscheduled event.

Resources 2018 Improvement Activities Requirements 2019 Improvement Activities Requirements 2018 MIPS Improvement Activities Fact Sheet Scores for Improvement Activities for MIPS APMs in the 2018 Performance Period Fact Sheet