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Strategic Planning Documents/Reports


Strategic Planning Documents/Reports

CMS responds to a variety of inputs to develop and implement its quality measurement agenda for the next 5–10 years. CMS develops and implements measures with the primary purpose of improving care in a spectrum of healthcare service delivery settings such as hospitals, outpatient facilities, physician offices, nursing homes, home health agencies, hospices, inpatient rehabilitation facilities, and dialysis facilities. In broad terms and in context of recent legislative mandates, CMS continues to pursue measure development, implementation, and maintenance work based on the CMS Quality Strategy and its alignment with the National Strategy for Quality Improvement in Health Care (National Quality Strategy) aims and priorities, with an emphasis on process, access, outcome, structure, and patient experience measures. These focus areas drive measure development, selection, and implementation activities. The CMS Quality Strategy articulates goals to improve the quality of care in our health care system:

  1. Make Care Safer
  2. Strengthen Person and Family Engagement
  3. Promote Effective Communication and Coordination of Care
  4. Promote Effective Prevention and Treatment
  5. Work with Communities to Promote Best Practices of Healthy Living
  6. Make Care Affordable

Each goal has a set of objectives and desired outcomes. The Quality Strategy also identifies ongoing and future initiatives and activities that CMS and frontline providers can engage in to achieve each goal and objective. In the context of CMS programs, measure developers should familiarize themselves with the CMS Quality Strategy, and should explicitly link proposed measure concepts to the goals and objectives while taking into consideration the foundational principles described in this document.

The Patient Protection and Affordable Care Act of 2010, commonly called the Affordable Care Act (ACA), seeks to increase access to high-quality, affordable healthcare for all Americans. Section 3011 of the ACA requires the Secretary of the Department of Health and Human Services (HHS) to establish a National Quality Strategy (NQS) that sets priorities to guide this effort and includes a strategic plan for how to achieve it. The initial National Quality Strategy established three aims and six priorities for quality improvement.

The three aims are:

  • Better care
  • Healthy people/healthy communities
  • Smarter spending

The six priorities are:

  • Making care safer by reducing harm caused in the delivery of care.
  • Ensuring that each person and his or her family (caregivers) are engaged as partners in their care.
  • Promoting effective communication and coordination of care.
  • Promoting the most effective prevention and treatment practices for the leading causes of mortality, starting with cardiovascular disease.
  • Working with communities to promote wide use of best practices to enable healthy living.
  • Making quality care more affordable for individuals, families, employers, and governments by developing and spreading new healthcare delivery models.

Other key inputs include

  • Alignment with other payers, including Medicaid, other federal partners, and private payers.
  • Meaningful to patients, caregivers, and providers.
  • Focused on outcomes (including patient-reported outcomes), safety, patient experience, care coordination, appropriate use/efficiency, and cost.
  • Identification and elimination of disparities in the delivery of care.

CMS Strategic Planning Documents/Reports

The following sites and web pages contain information about various CMS and HHS strategic Planning Documents/Reports:

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