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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: 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: Quality Measure Development: Supporting Efficiency and Innovation in the Process of Developing CMS Quality Measures 

Dates:

The final Call for TEP nomination period closed on August 14, 2017.

The TEP met on September 15, 2017; October 16, 2017; January 18, 2018; April 30, 2018; and July 31-August 1, 2018.

Documents:

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

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Battelle to manage CMS’s Measure Management System (MMS) and provide periodic updates to the CMS Blueprint. The contract name is Measures Management System. The contract number is HHSM-500-2013-13005I. 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 development process.

Project Objectives:

As the MMS Contractor, Battelle supports CMS in its work coordinating among multiple internal Department of Health and Human Services, CMS, and key external organizations including the National Quality Forum, quality alliances, and major measure developers. This coordination is critical in establishing consensus on measurement policies, coordinating measure inventories, and promoting alignment across programs and settings of care. In this role, Battelle also works with CMS to advance clinical quality measure development science through the engagement of stakeholders such as measure developers, clinicians, clinical specialty societies, patient advocacy groups, healthcare systems, and electronic health record (EHR) vendors. This work is reflected through updates to the MMS Blueprint.

TEP Objectives:

In its role as the MMS Contractor, Battelle sought input from a broad group of stakeholders to develop a set of recommendations to assist CMS with improving the measure development process. Stakeholders included CMS Measure Instrument Development & Support (MIDS) measure development contractors, non-CMS measure developers, EHR vendors, hospital/clinician system representatives, and patient advocacy group representatives. Members of the TEP have expertise in one or more of the following areas:

  • Measure development and consensus endorsement processes
  • Patient advocate perspective
  • Performance measurement
  • Quality improvement
  • Purchaser perspective
  • Health care disparities

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

Date:

The Call for TEP nomination period closed on September 22, 2018. The TEP meeting is planned for December 5, 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 General Dynamics Information Technology (GDIT), through the Practice Improvement and Measures Management Support (PIMMS) – 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 (QPP) under the Merit-based Incentive Payment System (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 asks developers to convene groups of stakeholders and experts who contribute direction and thoughtful input to the improvement activity developer during improvement activity development and maintenance.

Project Objectives:

HealthInsight, through its contract with GDIT and CMS, will convene a TEP around the effectiveness and accuracy of the IAs included in Year 2 of the QPP under the MIPS Improvement Activities performance category. The TEP will perform a review of selected IAs, especially those about which the QPP Service Center has been receiving comments and questions. The purpose is 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.

TEP Requirements:

We sought a TEP of approximately 10 - 12 individuals with the following perspectives and areas of expertise:

Subject matter expertise:

Improvement Activity experience and knowledge (especially around clinical implementation)

Consumer/patient/family (caregiver) perspective Healthcare disparities

Performance measurement Quality improvement

TEP Expected Time Commitment:

The length of this meeting is approximately 120 minutes. Self-directed meeting preparation time could run approximately 3-4 hours. TEP members will be asked to review meeting materials prior to the meeting. Additionally, TEP members may be called upon to review information and provide comments after the meeting.

The TEP meeting will be conducted virtually via teleconference/virtual meeting platform. As this TEP will inform the rulemaking process, it will be conducted annually. A new TEP will be selected each year.

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Project Title: Inpatient Psychiatric Facility (IPF) Outcome and Process Measure Development and Maintenance - TEP Meetings 4 and 5 Summaries

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.

Two TEP Meetings were held in August 2018. The first meeting was held on August 15, 2018. The second meeting was held in two parts on August 24, 2018 and August 29, 2018.

Documents:

The TEP Meeting Summaries for the August 2018 meetings 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: Quality Measure Development: Supporting Efficiency and Innovation in the Process of Developing CMS Quality Measures

Dates:

The final Call for TEP nomination period closed on August 14, 2017.

The TEP met on September 15, 2017; October 16, 2017; January 18, 2018; April 30, 2018; and July 31-August 1, 2018.

Documents:

The TEP Membership List and TEP Summaries for the October 2017, January 2018, and April 2018 in-person meetings are posted below in the download section.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Battelle to manage CMS’s Measure Management System (MMS) and provide periodic updates to the CMS Blueprint. The contract name is Measures Management System. The contract number is HHSM-500-2013-13005I. 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 development process. 

Project Objectives:

As the MMS Contractor, Battelle supports CMS in its work coordinating among multiple internal Department of Health and Human Services, CMS, and key external organizations including the National Quality Forum, quality alliances, and major measure developers. This coordination is critical in establishing consensus on measurement policies, coordinating measure inventories, and promoting alignment across programs and settings of care. In this role, Battelle also works with CMS to advance clinical quality measure development science through the engagement of stakeholders such as measure developers, clinicians, clinical specialty societies, patient advocacy groups, healthcare systems, and electronic health record (EHR) vendors. This work is reflected through updates to the MMS Blueprint. 

TEP Objectives:

In its role as the MMS Contractor, Battelle sought input from a broad group of stakeholders to develop a set of recommendations to assist CMS with improving the measure development process. Stakeholders included CMS Measure Instrument Development & Support (MIDS) measure development contractors, non-CMS measure developers, EHR vendors, hospital/clinician system representatives, and patient advocacy group representatives. Members of the TEP have expertise in one or more of the following areas:

  • Measure development and consensus endorsement processes
  • Patient advocate perspective
  • Performance measurement
  • Quality improvement
  • Purchaser perspective
  • Health care disparities

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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:

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]

Supporting Efficiency and Innovation in the Process of Developing CMS Quality Measures [ZIP]

Merit-based Incentive Payment System (MIPS) Improvement Activities (IA) _Membership List [PDF]

Inpatient Psychiatric Facility (IPF) Outcome and Process Measure Development and Maintenance - TEP Meetings 4 and 5 [ZIP]

Supporting Efficiency and Innovation in the Process of Developing CMS Quality Measures [ZIP]

MACRA Episode-Based Cost Measures [ZIP]

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