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Updates On Current Panels


Technical Expert Panels: Established TEPs

This page serves as the designated site for information related to an established (current and past) technical expert panel (TEP). After the TEP has been established, TEPs will post membership lists, meeting agendas, and summary reports here.

 

List of Established TEPs:

Project Title: Claims-only and Hybrid Hospital-Wide (All-Condition, All-Procedure) Risk-Standardized Mortality Measures

Dates:

The Call for TEP nomination period closed on March 23, 2016.

The TEP met on May 17, 2016, July 12, 2016, March 22, 2017, July 26, 2017, and most recently on November 28, 2018.

Documents:

The TEP Membership List and TEP Summary are posted below in the download section.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation – Center for Outcomes Research and Evaluation (YNHHSC/CORE) to develop and reevaluate two measures of all-cause hospital-wide mortality (a claims-only risk-standardized mortality measure and a hybrid risk-standardized mortality measure) that capture a broad mix of medical and surgical patients. The overarching intent of this project is to enhance the quality of care provided to Medicare beneficiaries by creating measures that can be used to assess hospital-level performance for Medicare fee-for-service (FFS) patients. 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 convenes groups of stakeholders and experts who contribute direction and thoughtful input during measure development and maintenance.

Project Objectives:

The primary goal of this project is to develop and reevaluate the claims-only and hybrid hospital-wide risk-standardized mortality measures that allow CMS to assess a broad range of hospitals’ performance while ensuring hospitals have access to meaningful information to enable quality improvement.

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Project Title: Hospital Quality Star Ratings on Hospital Compare

Dates:

The Call for TEP nomination period closed on January 30, 2017.

The TEP met on June 8, 2017; March 9, 2018; August 23, 2018; and December 12, 2018.

Documents:

The TEP Membership List and TEP Summary are posted below in the download section.

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) and Lantana, Inc. for the development and maintenance of the publicly reported Star Ratings. The CORE contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Option Period 5; contract number HHSM-500-2013-13018I, Task Order HHSM-500-T0001, and the Lantana contract is called MIDS III Hospital Compare Support Contract (HCSC); contract number 75FCMC18D0029/75FCMC18F0001. As part of the development and maintenance processes, CORE and HCSC convenes groups of stakeholders and experts who contribute direction and thoughtful input during methodology refinement and maintenance.

Project Objectives:

The primary goal of the TEP is to support the evolution of the Overall Star Ratings methodology. This approach is consistent with CMS’s approach for iterative improvement of quality measures and quality programs. The Star Rating project is designed to create a picture of current measures publicly reported on Hospital Compare so that these aspects of quality are presented in a meaningful and accessible way to patients and consumers. The TEP is encouraged to provide input on any or all considerations of Star Ratings as part of its deliberations. TEP recommendations and discussion will inform the refinement of the methodology.

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Project Title: Impact Assessment of CMS Quality and Efficiency Measures

Dates:

The Call for TEP nomination period closed on November 2, 2018.

Documents:

The TEP Membership List is posted below in the download section.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Health Services Advisory Group, Inc. (HSAG) to conduct a triennial assessment of the quality and efficiency impact of endorsed measures used in Medicare programs and report the findings to the public in the National Impact Assessment of CMS Quality Measures Report (Impact Assessment Report). The contract name is the Measure & Instrument Development and Support (MIDS) Contract. The contract number is HHSM-500-2013-13007I; HHSM-500-T0002. As part of the assessment process, HSAG is convening a group of stakeholders and experts to contribute direction and thoughtful input on the development of the fourth triennial report, scheduled for release in 2021.

Project Objectives:

  • Assess the quality and efficiency impacts of the use of measures in CMS reporting programs.
  • Inform CMS, patients, providers, researchers, quality improvement entities, measure developers, and federal partners on progress toward achieving goals and objectives related to the CMS healthcare quality priorities expressed in the Meaningful Measures framework.
  • Inform policy on measure development, selection, implementation, removal, alignment, and gaps.
  • Build infrastructure/methods to support CMS efforts to assess impact.

TEP Requirements:

We sought a TEP of 15 to 20 individuals with differing perspectives and areas of expertise, such as:

Subject Matter Expertise:

  • Patient/family/caregiver perspectives
  • Consumer and patient advocacy
  • Social risk factors and disparities
  • Health care quality improvement and clinical expertise in various settings (e.g., long-term care, acute care, ambulatory care, hospice)
  • Quality measure development and evaluation, including statistical methods and survey design
  • Health care economics and policy

TEP Expected Time Commitment:

A two-day joint meeting of the Technical Expert Panel (TEP) and the Federal Assessment Steering Committee (FASC) will be held in early May 2019 in Baltimore, Maryland.

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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 TEP nomination period closed on March 9, 2018.

The TEP met on May 21, 2018 and October 2, 2018.

Documents:

The TEP Membership List and TEP Summary are posted below in the download section.

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 a range of bundled 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.

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Project Title: 2018 Merit-based Incentive Payment System (MIPS) Improvement Activities (IA) Technical Expert Panel (TEP) 

Date:

The Call for TEP nomination period closed on September 21, 2018.

The TEP met on December 5, 2018.

Documents:

The TEP Membership List and TEP Summary Report are posted below in the download section. 

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with General Dynamics Information Technology (GDIT), through the Practice Improvement and Measures Management Support (PIMMS) contract – HHSM-500-2013-13008I, HHSM-500-T0001, to convene a technical expert panel (TEP) around the effectiveness and accuracy of the improvement activities (IAs) included in Year 2 of the Quality Payment Program under the Merit-based Incentive Payment System’s (MIPS) Improvement Activities performance category. HealthInsight is the sub-contractor for this aspect of the project.

As part of its improvement activity development process, CMS convened a group of stakeholders, consumers, patients and experts who contributed direction and thoughtful input to the improvement activity developers during improvement activity development and maintenance.

Project Objectives:

HealthInsight, through its contract with GDIT and CMS, convened a TEP around the effectiveness and accuracy of the IAs included in year 2 of the Quality Payment Program under the MIPS Improvement Activities performance category. The TEP performed a review of selected IAs, especially those about which the Quality Payment Program Service Center has been receiving comments and questions. The purpose was to:

  • Engage users in the design of these IAs;
  • Solicit feedback on the IAs with those using them in the real world; and
  • Ensure that IAs are valid, weighted correctly, and that their qualifications/criteria make sense.

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Project Title: Development of Inpatient Outcome Measures for the Merit-based Incentive Payment System (MIPS)

Dates:

The Call for TEP nomination period closed on August 8, 2017.

The TEP met on September 14, 2017; March 2, 2018; June 5, 2018; and October 1, 2018.

Documents:

The TEP Membership List and TEP Summary Report are posted below in the download section.

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 adapt one or two claims-based hospital measures to assess the quality of care provided to Medicare beneficiaries by clinicians who are eligible to participate in the MIPS (hereinafter, MIPS eligible clinicians).

Previously, CORE developed a range of measures to assess hospital quality. The primary goal of this project is to re-specify (or adapt) two hospital quality measures for the measurement of clinicians. The two measures that CORE will re-specify are the:

  1. Risk-Standardized Complication Rate Following Elective Primary Total Hip Arthroplasty and/or Total Knee Arthroplasty (hereafter “hip/knee complication measure”).
  2. Hospital-Wide All-Cause Unplanned Readmission Measure (hereafter “HWR measure”).

CMS will re-specify these two measures for use in assessing individual and/or groups of clinicians participating in the Merit-based Incentive Payment System (MIPS). The re-specified measures will assess each Clinician’s or Clinician Group’s readmission or complication rate, respectively, relative to that of other MIPS participating clinicians with similar patients. One measure, HWR, is already in use in the MIPS; this is an updated re-specification. The quality measure scores will be calculated using patient characteristics and outcomes documented on routinely submitted Medicare claims; therefore, the clinicians whose performance will be assessed by the quality measures will not need to submit any additional data directly to CMS.

CORE is completing this work under contract to CMS. The contract name is Development, Reevaluation, and Implementation of Hospital Outcome/Efficiency Measures for Hospital and Eligible Clinicians; contract number: HHSM-500-2013-13018I, Task Order HHSM-500-T0001.

As part of its measure development process, CORE convenes 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 of this project is to gather expert and stakeholder input to inform quality measure development for patients with a range of acute and/or chronic conditions, or patients undergoing elective procedures. CMS will use the measures to evaluate the quality of care provided by MIPS eligible clinicians.

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

Dates:

The Call for TEP nomination period closed on January 20, 2017.

The TEP Charter was revised to extend the TEP through February 15, 2019 and was ratified on May 30, 2018.

The TEP Meeting was held November 14, 2018.

Documents:

The TEP Meeting Summary for the November 14, 2018 meeting and the TEP Composition (Membership List) are posted below in the download section.

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 asks measure developers to convene groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Project Objectives:

This project directly supports CMS and the overall mission of the IPFQR Program by developing and maintaining measures that fill important measurement gaps and that are evidence-based, scientifically acceptable (reliable and valid), feasible, and usable by CMS, providers, and the public.

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Project Title: Development, Reevaluation, and Implementation of Outpatient Outcome/Efficiency Measures – STEMI eCQM

Dates:

The call for TEP nomination period closed on Friday, November 10, 2017. The first TEP meeting was convened on Tuesday, August 21, 2018.

Documents:

The STEMI eCQM TEP membership list and meeting #1 summary memo are posted below in the download section.

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) and its partner, the Lewin Group (Lewin), to develop an electronic clinical quality measure (eCQM) that assesses the percentage of patients that received appropriate treatment for ST-segment elevation myocardial infarctions (STEMIs) in the emergency department (ED). The contract name is Development, Reevaluation, and Implementation of Outpatient Outcome/Efficiency Measures. The contract number is HHSM-500-2013-13018I. As part of its measure development process, CMS asks measure developers to convene groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Per Version 14.0 of CMS’s MMS Blueprint for the CMS Measures Management System, electronic clinical quality measures (eCQMs) are based on information readily available in electronic health records (EHR) in a structured format and can be readily accessed without affecting facility workflow. The electronic specification of the measure will ensure that all data elements used to calculate the measure’s performance score can be captured in the EHR.

Project Objectives:

The project’s primary objectives, as they relate to this TEP, include:

  • Respecification of OP-2 (Fibrinolytic Therapy Received within 30 Minutes of ED Arrival) as an eCQM, including:
    • Electronic specification;
    • Testing of feasibility, validity, and effectiveness; and,
    • Recommending improvements as needed.

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Project Title: Development, Reevaluation, and Implementation of Outpatient Outcome/Efficiency Measures - Imaging Efficiency Measures

Dates:

The call for TEP nomination period closed on April 1, 2015. The first TEP meeting was convened on Friday, June 5, 2015. The second TEP meeting was convened on Friday, September 11, 2015. The third TEP meeting was convened on Friday, February 26, 2016. The fourth TEP meeting was convened on Wednesday, August 31, 2016. The fifth TEP meeting was convened on Thursday, September 14, 2017. The sixth TEP meeting was convened on Friday, August 24, 2018.

Documents:

The imaging efficiency TEP membership list and meeting #6 summary memo are posted below in the download section.

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) and its partner, the Lewin Group (Lewin), to maintain imaging efficiency measures for CMS’s Hospital Outpatient Quality Reporting (HOQR) Program, in alignment with the CMS Meaningful Measures framework objectives. The contract name is Development, Reevaluation, and Implementation of Outpatient Outcome/Efficiency Measures. The contract number is HHSM-500-2013-13018I. As part of its measure development process, CMS asks measure developers to convene groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

The intent of the imaging efficiency measures is to promote high-quality, efficient care in the area of imaging. Specifically, each measure aims to reduce unnecessary exposure to testing or treatment that risk downstream patient harm, ensure adherence to evidence-based medicine and practice guidelines, and promote efficiency by reducing waste.

Project Objectives:

The project’s primary objectives, as they relate to this TEP, include:

  • Reevaluating previously developed hospital outpatient imaging efficiency (OIE) measures currently in the Hospital Outpatient Quality Reporting (HOQR) Program by CMS. This includes monitoring each measure’s validity and effectiveness and recommending improvements as needed. Previously developed measures include:
    • OP-8: MRI Lumbar Spine for Low Back Pain
    • OP-9: Mammography Follow Up Rates
    • OP-10: Abdomen Computed Tomography (CT)—Use of Contrast Material
    • OP-11: Thorax CT—Use of Contrast Materials
    • OP-13: Cardiac Imaging for Preoperative Risk Assessment for Non-Cardiac, Low-Risk Surgery
    • OP-14: Simultaneous Use of Brain CT and Sinus CT

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Project Title: Electronic Clinical Quality Measure (eCQM) Development and Maintenance for Eligible Professionals

Dates:

The Call for TEP nomination period closed on September 19, 2014.

Documents:

The TEP Membership List is posted below in the download section.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Mathematica Policy Research to develop, electronically specify, and maintain clinical quality measures for eligible professionals to use in certified electronic health record systems for CMS quality programs. The contract name is Electronic Clinical Quality Measure 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 asks measure developers to convene groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Project Objectives:

The project’s primary objectives include the following:

  • Develop and test more than 35 de novo eCQMs in domains such as patient safety, care coordination, overuse, and patient and family engagement
  • Maintain 54 eCQMs that are used in the Quality Payment Program’s Merit-Based Incentive Payment System
  • Maintain claims and registry versions of a subset of the measures in the Quality Payment Program

TEP Requirements:

We sought to convene a TEP of about 14 individuals with differing perspectives and expertise, including in the areas described below.

Subject Matter Expertise:

  • Consumer perspective
  • Clinical content
  • Performance measurement
  • Coding and informatics

TEP Expected Time Commitment:

  • The anticipated meeting dates are in late March 2019 and (tentatively) May 2019.
  • The two meetings will be held via conference call.
  • The anticipated time commitment is one hour for each meeting date.

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Project Title: MACRA Episode-Based Cost Measures

Dates:

The Call for TEP nomination periods closed on July 5, 2016 and November 16, 2016.

The TEP met on May 11, 2018.

Acumen convened a standing TEP which was recruited for in-person meetings in August and December 2016, a webinar in March 2017, and a third in-person meeting in August 2017. The Call for Nominations periods for the first two in-person meetings closed on July 5, 2016 and November 16, 2016, respectively. Subsequent TEP meetings have consisted of members recruited in the 2016 Call for Nominations period.

Documents:

The TEP Composition (Membership) List and TEP Summary are posted below in the download section.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Acumen, LLC to develop care episode and patient condition groups for use in cost measures to meet the requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The contract name is “MACRA Episode Groups and Cost Measures.” The contract number is HHSM-500-2013-13002I, Task Order HHSM-500-T0002.

As part of its measure development process, CMS asks contractors to convene groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Project Objectives:

The project’s overall objective is to develop episode-based cost measures for potential future use in the Quality Payment Program. Specific to this TEP, the objectives were to gather input on:

  • Refinement of the Medicare Spending Per Beneficiary (MSPB) and Total Per Capita Cost (TPCC) measures in the Merit-based Incentive Payment System (MIPS)  
  • Improving the report template of the Field Testing Report for episode-based cost measures currently being developed to meet the requirements of MACRA
  • Identifying approaches for incorporating patient and family perspectives in episode-based cost measures currently being developed to meet the requirements of MACRA

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Quick Links

Technical Expert Panels

Currently Accepting Nominations

Downloads:

Claims-only and Hybrid Hospital-Wide (All-Condition, All-Procedure) Risk-Standardized Mortality Measures [ZIP]

Hospital Quality Star Ratings on Hospital Compare Technical Expert Panel [ZIP]

Impact Assessment of CMS Qualityand Efficiency Measures - TEP Membership Composition List [PDF]

Measure of Hospital-Level 90-Day, All-Cause RSMR Following CABG Surgery [ZIP]

2018 Merit-based Incentive Payment System (MIPS) Improvement Activities (IA) Technical Expert Panel (TEP) [ZIP]

Development of Inpatient Outcome Measures for the Merit-based Incentive Payment System (MIPS) [ZIP]

Inpatient Psychiatric Facility (IPF) Outcome and Process Measure Development and Maintenance [ZIP]

Development, Reevaluation, and Implementation of Outpatient Outcome/Efficiency Measures – STEMI eCQM [ZIP]

Development, Reevaluation, and Implementation of Outpatient Outcome/Efficiency Measures - Imaging Efficiency Measures [ZIP]

eCQM Development and Maintenance for Eligible Professionals TEP Membership List [PDF]

MACRA Episode-Based Cost Measures [ZIP]

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