Graphium QCDR · 2026 Improvement Activity · Patient Safety and Practice Assessment

IA_PSPA_16 · Use of decision support and standardized treatment protocols

All 2026 activities PDF version

Subcategory: Patient Safety and Practice Assessment

Activity Description: Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

Note: This is one of the activities available inside the Anesthesia MVP. If you are on the MVP pathway and you run standardized protocols (ERAS pathways, PONV prophylaxis algorithms, difficult airway protocols), this is a strong single-activity choice.

Remember the ground rules: generally at least 90 consecutive days unless the activity specifies otherwise. For group attestation, at least 50% of the clinicians must perform the same activity, but their periods do not need to overlap. Retain documentation for six years after submission. Details on the activities overview.

CMS references

For the 2026 performance year. Use current CMS guidance alongside these Graphium educational materials.