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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: Developing and Implementing Quality Rating System Measures for Qualified Health Plans

Dates:

The Call for Public Comment period closed on August 28, 2018.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS), as part of the Measure & Instrument Development and Support (MIDS) contract, has contracted with IMPAQ International, LLC and Health Services Advisory Group, Inc. (HSAG) to develop quality measures for Qualified Health Plans (QHPs) operating in the Health Insurance Exchanges (Contract #HHSM-500-2013-13009I; Task Order #HHSM-500-T0001). The purpose of the project is to develop a set of measures that can be used to evaluate QHPs operating in the Health Insurance Exchange (also known as the Marketplace) and provide consumers with timely and comparative information on QHPs to guide their choice of insurer. As part of its measure development process, CMS has requested interested parties to submit comments on the candidate measure that may be suitable for this project.

Project Objectives:

The primary project objectives are to develop new measures that drive quality improvement, are patient-centered, are aligned with other programs, fill critical gaps for future inclusion in the QRS, and limit plan burden.

To provide an important indicator of the quality of care patients receive in the QRS, HSAG developed the de novo measure Drug Testing for Individuals on Chronic Opioid Therapy (COT) that assesses the proportion of patients age 18 years and older who are continuously enrolled in a QHP product and on COT who have not received a drug test at least once during the measurement year. As part of the measure development process, CMS requests interested parties to submit comments concerning the importance/relevance, scientific acceptability, feasibility, and usability of the proposed measure or general comments about the proposed measure.

Comment Summary:

These documents, including a summary of public comments and the original measures, are found in the Download section.

  • QRS COT Public Comment Summary Report

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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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Project Title: Inpatient Psychiatric Facility (IPF) Outcome and Process Measure Development and Maintenance

Dates:

The Call for Public Comment closed on May 31, 2018.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Health Services Advisory Group, Inc. (HSAG), to develop, maintain, reevaluate, and support the implementation of quality outcome and process measures for the CMS Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program under the Measure & Instrument Development and Support (MIDS) Contract (Contract #: HHSM-500-2013-13007I), and Task Order Inpatient Psychiatric Facility Outcome and Process Measure Development and Maintenance (Task Order #: HHSM-500-T0004).

As part of its measure development process, CMS requested interested parties to submit comments on the candidate or concept measures that may be suitable for this project.

Project Objectives:

The primary project objectives are:

  • Develop new measures that drive quality improvement, are patient centered, are aligned with other programs, and that fill critical gaps for future inclusion in the CMS IPFQR Program
  • Maintain and reevaluate existing IPF measures
  • Support measure implementation in the IPFQR Program

Comment Summary:

To provide an important indicator of the quality of care patients receive in the IPF setting, HSAG developed the Screening for Pregnancy measure, which assesses the percentage of female patients of childbearing age (15-44 years) admitted to an inpatient psychiatric facility (IPF) who have documentation in their medical record of a pregnancy status.

To obtain input from stakeholder organizations and interested parties, public comments were solicited for this proposed quality measure.

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

Summary Report of Public Comments Screening for Pregnancy Measure

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Project Title:

Hospital Harm – Hypoglycemia;

Hospital Harm – Hospital-Acquired Pressure Injury;

Hospital Harm – Opioid-Related Adverse Event; and

Hospital Harm – Acute Kidney Injury.

Dates:

The Call for Public Comment period closed on March 2, 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 four hospital-level outcome 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 Year 4. 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 Hospital Harm eCQMs for potential future use in CMS quality reporting programs. Specifically, CORE developed four new eCQMs in the areas of hypoglycemia, opioid-related adverse events, hospital-acquired pressure injury, and acute kidney injury. We consulted with clinical experts and a Technical Expert Panel comprised of multiple stakeholders to develop the four Hospital Harm eCQMs. CORE is working with Mathematica Policy Research, Inc. to develop and test the measures. CMS is currently requesting feedback on these four new Hospital Harm eCQMs under development.

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 four measures; and
  • Framing document for each of the four measures.

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Project Title: Electronic Clinical Quality Measure (eCQM) Development and Maintenance for Eligible Professionals (EP eCQM) – Changes in Patient-Reported Outcomes (PROs) Following Non-Emergent Percutaneous Coronary Intervention (PCI) Summary Report

Dates:

  • The Call for Public Comment period closed on November 29, 2017.

Project Overview:

CMS has contracted with Mathematica Policy Research and its partners, including the Lewin Group, to develop an eCQM that assesses Changes in Patient-Reported Outcomes (PROs) Following Non-Emergent Percutaneous Coronary Intervention (PCI). The contract name is Electronic Clinical Quality Measures Development and Maintenance for Eligible Professionals. The contract number is HHSM-500-2013-13011I/HHSM-500-T0001. As part of its measure development process, CMS requests that interested parties 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 eligible clinicians for CMS quality payment programs. To develop the Changes in Patient-Reported Outcomes Following Non-Emergent Percutaneous Coronary Intervention (PROs for PCI) measure, the project team has conducted a review of the relevant literature, done preliminary qualitative testing, and consulted with clinical experts and a technical expert panel made up of multiple stakeholders. To harmonize efforts across similar measures, the project team has collaborated with the Yale New Haven Health Services Corporation/Center for Outcomes Research & Evaluation (Yale CORE), which is developing a similar measure for the Hospital Inpatient Quality Reporting Program under contract with CMS. Under CMS direction, the project team has worked closely with Yale CORE to align the two measures. The teams have shared research and findings as well as the narrative specifications, cohort exclusions, and measure outcome information (a minimally important difference approach); the two teams collaborated to identify the preferred PROM tools—the SAQ-7 and RDS. Finally, as part of the measure development process, the project team solicited feedback from the public about the feasibility, face validity, and usability of the draft measure.

Comment Summary:

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

  • eCQM Public Comment Summary Report PCI FSA

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