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Center for Clinical Standards and Quality

Patrick Conway, M.D., Deputy Administrator for Innovation and Quality and Chief Medical Officer

Jean Moody-Williams, Acting Deputy Director

Shari Ling, M.D., Deputy Chief Medical Officer

Business Operations Group

Rachael Weinstein - Director
Division of Administrative Operations - Karen Owens, Director
Division of Budget and Contract Management - Doug Rimel, Director

Clinical Standards Group

John Thomas, Director
Division of Institutional Quality Standards - Lisa Parker, Director
Division of Non-Institutional Quality Standards - Maria Hammel, Director

Coverage and Analysis Group

Tamara Syrek Jensen, Director
Division of Items and Devices - James Rollins, M.D., Director
Division of Medical & Surgical Services - Lori Ashby,  Acting Director
Division of Operations & Information Management - Janet Brock, Director

Information System Group

Debbie Hattery, Director
Division of Quality Systems and Operations Support - Quentin Tyson, Director
Division of Quality Systems Governance, Engineering, and Development - Mitzi Christ, Director
Division of PQRS and ESRD Systems - Barbara Heinlein, Director
Division of Hospitals, ASC, and QIO Systems - Anne Weinstein, Director
Division of Quality Systems for Assessments and Surveys - Jack Williams, Director
Division of Acquisitions, Governance, and Security - Jennifer Dubbs, Director

Quality Improvement Group

Jean Moody-Williams, Director
Division of ESRD, Population and Community Health - Teresa Titus-Howard, Director
Division of Beneficiary Healthcare Improvement and Safety - Jeneen Iwugo, Director
Division of Program Management, Communications and Evaluation - Alfreda Staton, Director
Division of  Value, Incentives and Quality Reporting - James Poyer, Director
 

Quality Measurement and Health Assessment Group

Kate Goodrich, M.D., Director
Division of Chronic & Post Acute Care - Mary Pratt, Director
Division of Hospitals & Medication Measurement - Pierre Yong, Director
Division of Electronic and Clinician Quality - Aucha Prachanronarong, Director
Division of Program and Measurement Support -Maria Durham, Director

Survey and Certification Group 

Thomas Hamilton, Director
Training Staff - Vacant, Director
Division of Acute Care Services - Marilyn Dahl, Director
Division of Laboratory Services - Judith Yost, Director
Division of Nursing Homes - Karen Tritz, Director
Division of Continuing Care Providers - Martin Kennedy, Director

 

Quality Improvement Innovation Models Testing Group

Dennis Wagner, Director
Division of Quality Improvement Innovation Models Testing - Cheryl Bodden, Director

 

Functional Statement

  • Serves as the focal point for all quality, clinical, medical science issues, survey and certification, and policies for CMS' programs. Provides leadership and coordination for the development and implementation of a cohesive, CMS-wide approach to measuring and promoting quality and leads CMS' priority-setting process for clinical quality improvement. Coordinates quality-related activities with outside organizations. Monitors quality of Medicare, Medicaid, and the Clinical Laboratory and Improvement Amendments (CLIA). Evaluates the success of interventions.
  • Identifies and develops best practices and techniques in quality improvement; implementation of these techniques will be overseen by appropriate components. Develops and collaborates on demonstration projects to test and promote quality measurement and improvement.
  • Develops, tests, evaluates, adopts and supports performance measurement systems (i.e., quality measures) to evaluate care provided to CMS beneficiaries except for demonstration projects residing in other components.
  • Assures that CMS' quality-related activities (survey and certification, technical assistance, beneficiary information, payment policies and provider/plan incentives) are fully and effectively integrated. Carries out the Health Care Quality Improvement Program for the Medicare, Medicaid, and CLIA programs.
  • Oversees the planning, policy, coordination and implementation of the survey, certification and enforcement programs for all Medicare and Medicaid providers and suppliers, and for laboratories under the auspices of CLIA.
  • Serves as CMS' lead for management, oversight, budget, and performance issues relating to the survey and certification program and the related interactions with the States.
  • Leads in the specification and operational refinement of an integrated CMS quality information system, which includes tools for measuring the coordination of care between health care settings; analyzes data supplied by that system to identify opportunities to improve care and assess success of improvement interventions.
  • Develops requirements of participation for providers and plans in the Medicare, Medicaid, and CLIA programs. Revises requirements based on statutory change and input from other components.
  • Operates the Quality Improvement Organization and End-Stage Renal Disease Network program in conjunction with Regional Offices, providing policies and procedures, contract design, program coordination, and leadership in selected projects.
  • Identifies, prioritizes and develops content for clinical and health related aspects of CMS' Consumer Information Strategy; collaborates with other components to develop comparative provider and plan performance information for consumer choices.
  • Prepares the scientific, clinical, and procedural basis for coverage of new and established technologies and services and provides coverage recommendations to the CMS Administrator. Coordinates activities of CMS' Technology Advisory Committee and maintains liaison with other departmental components regarding the safety and effectiveness of technologies and services; prepares the scientific and clinical basis for, and recommends approaches to, quality related medical review activities of carriers and payment policies.