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Updates on Closed Comment Periods


Public Comments: Closed Comments

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

List of Closed Public Comments:

Project Title: Measure of Hospital-Level 90-Day, All-Cause Risk-Standardized Mortality Rate (RSMR) Following Coronary Artery Bypass Graft (CABG) Surgery

Dates:

The Call for Public Comment period opened November 5, 2018 and closed on December 12, 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 a hospital-level 90-Day, all-cause risk-standardized mortality rate (RSMR) measure following isolated coronary artery bypass graft (CABG) surgery intended for potential use with various CMMI payment models as appropriate. 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, CORE is convening groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Project Objectives:

The primary goal is to re-specify an existing claims-based outcome measure, 30-day Risk-Standardized Mortality for Isolated CABG Surgery, for use across payment models. To accomplish this, CORE will re-specify the current 30-day mortality measure among patients with isolated CABG to capture a 90-day outcome period.

Comment Summary:

A summary of public comments can be found below in the Download section.

  • 90-Day CABG Mortality Measure Public Comment Summary Report

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

Dates:

The call for public comment period closed 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, CORE requested 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. CORE requested feedback on two new eCQMs, in the areas of severe hyperglycemia and medication-related bleeding.

Comment Summary:

The following documents including a summary of public comments and the original measures are found below in the Download section:

  • Hospital Harm Public Comment Summary Report;
  • Hospital Harm Public Comment Verbatim Table;
  • Measure Authoring Tool (MAT) header documentation for each of the two measures; and
  • 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.

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Project Title: Quality measures to satisfy the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) domain of: Transfer of Health Information and Care Preferences When an Individual Transitions: 1) Medication Profile Transferred to Provider 2) Medication Profile Transferred to Patient

Dates:

  • The Call for Public Comment period opened on March 19, 2018 and closed on May 3, 2018.
  • The Public Comment Summary Report was finalized on July 31, 2018.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with RTI International and Abt Associates to further develop cross-setting post-acute care transfer of health information and care preferences quality measures in alignment with the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act). The contract names are Development and Maintenance of Symptom Management Measures (contract number HHSM-500-2013-13015I; Task Order HHSM-500-T0001) and Outcome and Assessment Information Set (OASIS) Quality Measure Development and Maintenance Project (contract number HHSM -500-2013-13001I, Task Order HHSM-500T0002). As part of its measure development process, CMS encourages the public to submit comments on the specifications for the quality measures.

Project Objectives:

  • To develop quality measures for the transfer of health information and care preferences domain that may be used in post-acute care settings such as Skilled Nursing Facilities, Inpatient Rehabilitation Facilities, Long-Term Care Hospitals, and Home Health Agencies
  • To obtain input on the development of the following cross-setting quality measures for use in post-acute care settings, including Skilled Nursing Facilities, Inpatient Rehabilitation Facilities, Long-Term Care Hospitals, and Home Health Agencies:
    1. Medication Profile Transferred to Provider
    2. Medication Profile Transferred to Patient

Comment Summary:

A summary of public comments is found below in the Download section.

  • IMPACT_Medication-Profile-Transferred-Public-Comment-Summary-Report

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