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2026 MIPS Improvement Activity IA_PSPA_19: Implementation of formal quality improvement methods, practice changes, or other practice improvement processes

Written by Tucker Deyett, Dedicated Advisor, ReportingMD. Source data: CMS Quality Payment Program 2026 measure specifications and benchmark files.

  Subcategory: Patient Safety and Practice Assessment  

 

At a glance

IA_PSPA_19, Implementation of formal quality improvement methods, practice changes, or other practice improvement processes, is a 2026 MIPS improvement activity in the Patient Safety and Practice Assessment subcategory. For PY2026 activities are not weighted: clinicians with small practice, rural, non-patient-facing, or HPSA status attest to one activity, all other Traditional MIPS participants attest to two, and MVP participants attest to one.

 

Activity description

Adopt a formal model for quality improvement and create a culture in which all staff, including leadership, actively participates in improvement activities that could include one or more of the following, such as:
• Participation in multisource feedback;
• Train all staff in quality improvement methods;
• Integrate practice change/quality improvement into staff duties;
• Engage all staff in identifying and testing practices changes;
• Designate regular team meetings to review data and plan improvement cycles;
• Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff;
• Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data;
• Participation in Bridges to Excellence;
• Participation in American Board of Medical Specialties (ABMS) Multi-Specialty Portfolio Program.

 

Activity details

  • Activity ID: IA_PSPA_19
  • Subcategory: Patient Safety and Practice Assessment
  • Programs: Traditional MIPS, APP, APP Plus
  • First performance year: 2017

 

Need help with IA_PSPA_19?

ReportingMD is a CMS qualified registry and healthcare data pipe with a 100% submission rate since 2001. We confirm IA attestations and documentation with every client before submission. Talk to a ReportingMD advisor or browse the full 2026 MIPS directory.

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