Measure 487
Screening for Social Drivers of Health
DESCRIPTION:
Percent of patients 18 years and older screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety.
| MEASURE ID: | 487 |
|---|---|
| Type: | Process |
CMS Derm Specialty Set: | Yes |
| High priority: | Yes |
| Topped out: | No |
| Telehealth Eligible: | Yes |
| Reporting methods: | Registry/QCDR |
| Maximum points: | 10 |
MEASURE PURPOSE:
Increasing the implementation of DOH quality measures to improve health outcomes and to ensure high-quality and cost-efficient care.
Measure 487 FAQs
Q. Is this measure reportable via claims?
A. No.
Q. Are patient encounters conducted via telehealth allowable?
A. Yes. Encounters coded with GQ, GT, POS 02, or POS 10 modifiers are allowable.
Q. What is the numerator?
A. Number of patients 18 years and older screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety.
Q. What is the denominator?
A. Number of patients 18 years and older with an encounter during the performance period.
Q. Are there any exceptions for this measure?
A. Yes. Patient reason for not screening for food insecurity, house instability, transportation needs, utility difficulties, and interpersonal safety (e.g. patient declined or other patient reasons).
Q. How often must the HRSN screening be administered?
A. The patient is required to have a standardized health-related social needs (HRSN) screening done once per performance period.
Q. Which Health-Related Social Needs screening tools can be used?
A. HRSN screening tools include but are not limited to:
Accountable Health Communities Health-Related Social Needs Screening Tool (2017)
Accountable Health Communities Health-Related Social Needs Screening Tool (2021)
The Protocol for Responding to and Assessing Patients’ Risks and Experiences (PRAPARE) Tool (2016)
WellRx Questionnaire (2014)
American Academy of Family Physicians (AAFP) Screening Tool (2018)
Calculation
The numerator: Number of patients 18 years and older screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety.
The denominator: All patients aged 18 years and older with an encounter during the performance period.
Measure calculation example
Dr. Ali saw 258 patients 18 years and older. Two hundred fifty-eight (258) is the denominator.
A total of 250 patients were screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety. Two hundred and fifty (250) is the numerator.
Quality of patient care = 250/258. Dr. Ali has a score of 96.9% for this measure. This translates to 7 to 7.9 points.
Important note
Physicians who achieve a 99.99% score receive 8.9 points. They must score a perfect 100% to earn the full 10 points available.
Quality measure score benchmark
CMS will award points based on a comparison of your performance rate to CMS benchmarks listed below. Reach the performance rate listed to achieve the corresponding points per measure. Points achieved for the Quality category will account for 30% of the overall MIPS score.
| Decile 1 | Decile 2 | Decile 3 | Decile 4 | Decile 5 | Decile 6 | Decile 7 | Decile 8 | Decile 9 | Decile 10 |
|---|---|---|---|---|---|---|---|---|---|---|
Performance rate |
0.03 - 0.12 |
0.13 - 0.24 |
0.25 - 0.80 |
0.81 - 7.28 |
7.29 - 18.74 |
18.75 - 61.89 |
61.90 - 99.08 |
99.09 - 99.99 |
-- |
100 |
Points |
1.0 - 1.9 |
2.0 - 2.9 |
3.0 - 3.9 |
4.0 - 4.9 |
5.0 - 5.9 |
6.0 - 6.9 |
7.0 - 7.9 |
8.0 - 8.9 |
-- |
10 |
