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Currently Accepting Comments


Public Comment Page: Currently Accepting Comments

This page serves as the designated site for CMS to solicit public comments on proposed quality measures.

Instructions for Providing Comments:

  • If you are providing comments on behalf of an organization, include the organization’s name and your contact information
  • If you are commenting as an individual, submit identifying or contact information
  • Please indicate which measure(s) you are commenting on
  • You may submit general comments on the entire set of measures or you may provide comments specific to individual measures
  • Do not include personal health information in your comments. Your comments may be shared publicly.

List of Currently Accepting Comments:

Project Title: Hospital Harm – Severe Hyperglycemia and Medication-Related Bleeding

Dates:

The call for public comment period opens on October 1, 2018 and closes on November 20, 2018.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation – Center for Outcomes Research and Evaluation (CORE) to develop two hospital-level electronic clinical quality measures (eCQMs) on dimensions of patient harm or adverse patient safety events that can be improved with high-quality care. The contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Option Period 5. The contract number is HHSM-500-2013-13018I, Task Order HHSM-500-T0001. As part of its measure development process, CMS requests interested parties to submit comments on the candidate or concept measures that may be suitable for this project.

Project Objectives:

The goal of this project is to develop eCQMs for use by hospitals for CMS quality programs. We consulted with clinical experts and a Technical Expert Panel comprised of multiple stakeholders to develop the two measures of hospital harm. CMS is currently requesting feedback on two new eCQMs, in the areas of hyperglycemia and medication-related bleeding.

Documents and Measures for Comment:

The following documents are provided for your review and comment. The files can be found in the Download section.

  • Measure Authoring Tool (MAT) header documentation for each of the two measures.
  • Framing document for each of the two measures that includes instructions for searching the Value Set Authority Center (VSAC) and commenting via the JIRA website.

Project-Specific Instructions:

  • If you are providing comments on behalf of an organization, include the organization’s name and contact information.
  • If you are commenting as an individual, submit identifying or contact information, or indicate you wish to be anonymous.
  • Comments are due by 11:59 PM EST November 20, 2018.
  • Please do not include personal health information (for example, date of birth, social security number, health insurance claim number) in your comments.

How to Leave a Comment:

  • To participate in the public comment, please visit the eCQM Tracker JIRA website, hosted by the Office of the National Coordinator for Health Information Technology: https://oncprojectracking.healthit.gov/support/secure/Dashboard.jspa (please note this is an updated weblink where users should be able to directly access JIRA) or e-mail your comments to CMSHospitalHarmMeasure@yale.edu .
  • For instructions on accessing JIRA and creating an account, please see the guidance included in the measure-specific framing documents in the Downloads section below. All comments should be submitted using JIRA or via e-mail at CMSHospitalHarmMeasure@yale.edu.
  • For access to the VSAC site, see the measure-specific framing documents in the Downloads section below.

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Project Title: Hospital Outcome Measurement for Patients with Social Risk Factors

Dates:

The Call for Public Comment period opens on October 29, 2018 and closes on November 30, 2018.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation – Center for Outcomes Research and Evaluation (CORE) to develop methodologies for presenting disparities in hospital outcome measures. One methodology will illuminate differences in outcomes for patient groups based on social risk factors within a hospital. The other methodology will allow for comparison of performance in care for patients with social risk factors across hospitals. The contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Option Period 5. The contract number is HHSM-500-2013-13018I, Task Order # HHSM-500-T0001. As part of the development of these methodologies, CMS requests interested parties to submit comments on the concept or specifications of the methods that may be suitable for this project.

Project Objectives:

The primary goal of this project is to develop and evaluate two methodologies to report readmission rates by patient social risk factors (such as dual eligibility status or race). These methodologies serve complementary goals: to highlight disparities in healthcare quality between dual and non-dual eligible (or Black and non-Black) patients within hospitals and to illuminate variation in healthcare quality for dual eligible (or Black) patients across hospitals. The methods presented could be used to examine disparities for additional outcomes, such as mortality and complications, and other social risk factors, such as race.

Documents and Measures for Comment:

  • The following documents are provided for your review and comment. The files can be found in the Download section.
  • Assessing Hospital Disparities for Dual Eligible Patients: Thirty-Day All-Cause Unplanned Readmission Measures - Methodology Report for 2018 Public Comment
  • Measuring Disparities in Hospital Outcomes - Public Comment Background

Project Specific Instructions:

  • If you are providing comments on behalf of an organization, include the organization’s name and contact information.
  • If you are commenting as an individual, submit identifying or contact information, or indicate you wish to be anonymous.
  • Comments are due by 11:59 PM EST on November 30, 2018.
  • Please do not include personally identifiable information or protected health information (PHI) in your comments.

How to Leave a Comment:

To participate in the public comment, please send your comments to CMSDisparityMethods@yale.edu and include “public comment” in the subject line of your email.

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Project Title: Development of 90-Day Coronary Artery Bypass Graft (CABG), All-Cause, Risk Standardized Mortality Measure Intended for Use in 90-day Alternate Payment Models

Dates:

The call for public comment period opens on November 5, 2018 and closes on December 5, 2018.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation – Center for Outcomes Research and Evaluation (CORE) to develop the 90-Day Coronary Artery Bypass Graft (CABG), All-Cause, Risk Standardized Mortality Measure. The contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Option Year 5. The contract number is HHSM-500-2013-13018I, Task Order HHSM-500-T0001. As part of its measure development process, CMS requests interested parties to submit comments on the candidate or concept measures that may be suitable for this project.

Project Objectives:

The goal of developing a 90-Day CABG, All-Cause, Risk-Standardized Mortality Measure was to re-specify the existing 30-Day CABG All-Cause, Risk-Standardized Mortality Measure for use with 90-day alternate payment models. To accomplish this, CORE will change the current measure that captures death occurring within 30 days after surgery, to capture death up to 90 days after surgery. CMS is currently requesting feedback on the development of 90-Day Coronary Artery Bypass Graft (CABG), All-Cause, Risk Standardized Mortality Measure intended for use in 90-day Alternate Payment Models.

Documents and Measures for Comment:

The following documents are provided for your review and comment. The files can be found in the Download section.

  • 90-Day CABG, All-Cause, Risk-Standardized Mortality Measure Draft Methodology Report

Project-Specific Instructions:

  • If you are providing comments on behalf of an organization, include the organization’s name and contact information.
  • If you are commenting as an individual, submit identifying or contact information, or indicate you wish to be anonymous.
  • Comments are due by 11:59 PM EST on December 5, 2018.
  • Please do not include personal health information (for example, date of birth, social security number, health insurance claim number) in your comments.

How to Leave a Comment:

  • Please review the posted draft methodology report document and give us your feedback via the email box.
  • Send your comments to cms90daycabgmortality@yale.edu

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Quick Links

Downloads:

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