Quality Measures / MVPs / M1366
MVP ID M1366 Supported for 2026
Focusing on Women’s Health
For gynecology, obstetrics, urogynecology, certified nurse midwives, NPs and PAs.
17 quality measures we calculate and submit 6 eCQMs and 11 MIPS CQMs 2 outcome measures
Quality measures in this MVP
Report 4, including at least 1 outcome measure. We help you pick the 4 that score best for your clinicians.
| Quality ID | Collection type | Measure | Type | Telehealth |
|---|---|---|---|---|
| 39 | MIPS CQM | Screening for Osteoporosis for Women Aged 65-85 Years of Age | Process | Yes |
| 48 | MIPS CQM | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | Process | Yes |
| 112 | eCQM CMS125v14 | Breast Cancer Screening | Process | Yes |
| 134 | eCQM CMS2v15 | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | Process | Yes |
| 226 | eCQM CMS138v14 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | Process | Yes |
| 309 | eCQM CMS124v14 | Cervical Cancer Screening | Process | Yes |
| 310 | eCQM CMS153v14 | Chlamydia Screening in Women | Process | Yes |
| 335 | MIPS CQM | Maternity Care: Elective Delivery (Without Medical Indication) at < 39 Weeks (Overuse) | Outcome | No |
| 336 | MIPS CQM | Maternity Care: Postpartum Follow-up and Care Coordination | Process | No |
| 400 | MIPS CQM | One-Time Screening for Hepatitis C Virus (HCV) and Treatment Initiation | Process | Yes |
| 422 | MIPS CQM | Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury | Process | No |
| 431 | MIPS CQM | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | Process | Yes |
| 432 | MIPS CQM | Proportion of Patients Sustaining a Bladder or Bowel Injury at the time of any Pelvic Organ Prolapse Repair | Outcome | No |
| 448 | MIPS CQM | Appropriate Workup Prior to Endometrial Ablation | Process | No |
| 475 | eCQM CMS349v8 | HIV Screening | Process | Yes |
| 493 | MIPS CQM | Adult Immunization Status | Process | Yes |
| 496 | MIPS CQM | Cardiovascular Disease (CVD) Risk Assessment Measure – Proportion of Pregnant/Postpartum Patients that Receive CVD Risk Assessment with a Standardized Instrument | Process | Yes |
In this MVP, CMS also lists 1 QCDR measure owned by other registries (UREQA8). We don’t submit those. Measure list: CMS 2026 MVP specifications (QPP measures data).
The rest of your MVP report
Improvement Activities
Pick 1 of the 11 activities CMS lists for this MVP. Choose it in our registry’s user interface. We generate the output and submit it to CMS electronically with your MVP.
Cost
Medicare Spending Per Beneficiary (MSPB) Clinician (MSPB_1) and Total Per Capita Cost (TPCC) (TPCC_1). CMS calculates these from Medicare claims, so there is nothing to submit.
Promoting Interoperability
We submit your Promoting Interoperability measures with the MVP. CMS scores the population health measures from claims, so there is nothing else to send.
MVP reporting
+ $100 per clinician, per year
MVP reporting is an add-on to Qualified Registry submission ($300 per clinician, per year, which covers quality, Promoting Interoperability and Improvement Activities). Your final price depends on clinician count.