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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: Patient-Reported Outcomes Following Elective Total Hip and/or Total Knee Arthroplasty: Hospital-Level Performance Measure(s)

Dates:

The Call for TEP nomination period closed on April 20, 2018.

The TEP met on August 14, 2018.

Documents:

The TEP Membership List, TEP Summary Report from meetings 1-4, and TEP Summary Report from Meeting 5 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 one to two Patient-Reported Outcomes Following Elective Total Hip and/or Total Knee Arthroplasty (THA/TKA) hospital-level performance measures. The contract name is Measure Instrument Development and Support- 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, CORE convenes groups of stakeholders and experts who contribute direction and thoughtful input during measure development and maintenance.

Project Objectives:

The primary objective of this project is to develop one to two Patient-Reported Outcome Performance Measures (PRO-PMs) for Medicare beneficiaries aged 65 or older who undergo an elective THA/TKA.

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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: Quality Payment Program (QPP) Merit-based Incentive Payment System (MIPS) Quality Measure #335 Elective Delivery or Early Induction without Medical Indication at ≥ 37 and < 39 Weeks (Overuse). QPP MIPS Quality Measure #336 Maternity Care: Post-Partum Follow-Up and Care Coordination. QPP MIPS Quality Measure #448 Appropriate Workup Prior to Endometrial Ablation.

Dates:

The Call for TEP nomination period closed on November 28, 2017. The TEP met on March 8, 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 Signature Consulting Group (SCG) to maintain QPP MIPS Quality Measure #335 -Elective Delivery or Early Induction without Medical Indication at ≥ 37 and < 39 Weeks (Overuse), QPP MIPS Quality Measure #336 Maternity Care: Post-Partum Follow-Up and Care Coordination, and QPP MIPS Quality Measure #448 - Appropriate Workup Prior to Endometrial Ablation.

The contract name is Physician Quality Measures Management (PQMM). The contract number is HHSM-500-2013-00177C.

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 TEP objective was to perform a comprehensive review of the above stated measures to ensure the measures are based on current clinical practice. Additionally, the comprehensive review will ensure the measure is analytically valid and is represented clinically accurate.
  • The review process, led by the TEP, includes an Environmental Scan which consists of a literature review. The literature review is comprised of identifying relevant updated or new clinical practice guidelines, articles, and studies. It also includes a review of similar measures representing potential opportunities for harmonization, and identification of potential gaps in care and/or any technological or clinically based changes that affect data collection, measure implementation, or interpretation.
  • The TEP conducts a complete review of the measure specification. This process includes reviewing and potentially updating the Clinical Recommendations and Rationale for the measure and evaluating the applicable measure code set.

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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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Project Title: MACRA Episode-Based Cost Measures - Call for Clinical Subcommittee

Dates:

The Call for Clinical Subcommittee nomination period closed on March 20, 2018.

Documents:

The Clinical Subcommittee Membership List is 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-T00002. 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 cost measure development and maintenance.

Project Objectives:

The project’s overall objective is to develop episode-based cost measures suitable for potential use in the Quality Payment Program. From August – September 2016, Acumen convened a Clinical Committee comprised of more than 70 clinical experts from over 50 professional societies. This Committee provided input on identifying a candidate list of episode groups for development and in determining the billing codes that trigger each episode group. The clinical review and recommendations obtained from the Clinical Committee were used to inform the draft list of episode groups and trigger codes posted by CMS in December 2016 for public comment.

The Clinical Subcommittees currently convened build on the work of the August – September 2016 Clinical Committee and the work of the first wave of the Clinical Subcommittees convened from May 2017 – January 2018. Each Clinical Subcommittee will focus on a set of procedural and acute inpatient medical episode groups relevant to a particular clinical area.

Specific to these Clinical Subcommittees, the objectives are to:

  • Refine episode triggers from the draft list of episode groups posted by CMS in December 2016
  • Recommend what services should be included in episode costs

Clinical Subcommittee Requirements:

The ten Clinical Subcommittees convened in this second wave are: Cardiovascular Disease Management, Gastrointestinal Disease Management - Medical and Surgical, Musculoskeletal Disease Management - Non-Spine, Musculoskeletal Disease Management - Spine, Oncologic Disease Management - Medical, Radiation, and Surgical, Neuropsychiatric Disease Management, Peripheral Vascular Disease Management, Pulmonary Disease Management, Renal Disease Management, and Urologic Disease Management.

Future Clinical Subcommittees under this project will be convened through separate nomination periods. Future Clinical Subcommittees for procedural and acute inpatient medical condition episode groups may include the following: Ophthalmologic Disease Management (convened initially in Wave 1), Endocrine Disease Management, Head and Neck Disease Management, Hematologic Disease Management, Infectious Disease Management, Pain Management, and Rheumatologic Disease Management. Future Clinical Subcommittees will also be convened to provide input on chronic condition episode groups.

Clinical Subcommittee Expected Time Commitment:

Members of each Subcommittee are expected to meet for one half-day, in-person meeting in the Washington-Baltimore metropolitan area in the second and third week of April 2018, during which they will (i) select which episode-based cost measure to develop, and (ii) discuss the desired composition of the workgroup that will build out the selected measure. After each Subcommittee selects which measure(s) to develop during Wave 2, a smaller measure-specific workgroup will be formed to complete the majority of measure development.

Members of the measure-specific workgroup resulting from the measure selected by the Clinical Subcommittees are expected to attend the following meetings and perform the following tasks between April and August 2018, which comprises an expected time commitment of 3 days total (does not include the expected time commitment described above):

    • Meet for one day-long in-person meeting for workgroup members only for episode group specification in downtown Washington, D.C. in June 2018 (plus travel time)
      • Exact dates for each workgroup will be determined based on workgroup member availability
    • Prepare for the Service Assignment and Risk Adjustment Webinar (2 – 4 hours)
    • Attend Service Assignment and Risk Adjustment Webinar (2 hours)
    • Prepare for the Refinement Webinar (2 – 4 hours)
    • Attend the Refinement Webinar (2 hours)

Additional input will be sought from the Clinical Subcommittees in between meetings via tasks completed by workgroup members independently through a web-based clinical input tool and via discussion boards on the project web portal. Specifically, these tasks will include: (i) refining episode triggers for episode groups from the December 2016 draft list, and (ii) recommending what services should be included in episode costs.

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Project Title: Development of the Hospice Quality Reporting Program HEART Comprehensive Patient Assessment Instrument

Dates:

The TEP nomination period closed on August 9, 2017.

Documents:

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

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with RTI International to develop an expanded item set called the Hospice Evaluation & Assessment Reporting Tool (HEART), covering the comprehensive patient assessment for hospice providers. The contract name is Hospice Quality Reporting Program Measure Development, Maintenance and Support. The contract number is HHSM-500-2013-13015I. As part of its item development process, CMS asks contractors to convene groups of stakeholders and experts who contribute direction and thoughtful input to the contractor during the item development process.

The purpose of this project is to develop an item set that would allow for a broader picture of the quality of care provided by hospice agencies, as well as a more comprehensive picture of patient need and service delivery for hospice patients. Thus, the HEART instrument includes items that are critical for high-quality patient care, including those elements that help hospice providers work with patients and families to establish goals of care consistent with the individual’s values. HEART will give CMS insights into the quality of care delivered to patients, generating the ability to calculate meaningful quality measures from the items, and help CMS identify patients who require the highest intensity of hospice services, which may allow CMS to explore future payment refinements. Finally, the HEART instrument will be useful for other CMS regulatory activities, including survey and care planning to ensure a multifunctional assessment that will meet all of CMS’s core needs.

The purpose of this standing TEP is to explore implementation and content related topics prior to and concurrent with the pilot testing of this instrument, mindful of the necessary items for potential future quality measures and payment refinements after additional reliability, validity, and national testing has been completed. This TEP will focus on the feasibility and usability of the HEART instrument as well as identifying potential barriers to implementation. Additionally, this TEP will discuss the refinement of specific patient assessment domains and items based on pilot testing findings. After pilot testing, this TEP will explore the potential for future quality measures based on HEART patient assessment items. We aim to involve participants with diverse backgrounds and experiences. This includes, but is not limited to, hospice clinicians, those with experience in hospice quality reporting and from different types of hospice organizations with distinct organizational structures, and settings, and researchers/measure developers.

Project Objectives:

Gather feedback on the feasibility and usability of the draft HEART instrument

Determine potential barriers to implementing the HEART instrument in varying hospice settings and discuss remediation strategies

Refine draft HEART patient assessment items

Determine the direction of future quality measures based on HEART patient assessment items

TEP Requirements:

We sought a TEP of approximately 14-20 individuals from a broad, diverse background with the following perspectives and areas of expertise:

Subject matter expertise: Hospice Quality related to:

Diagnosis, Prognosis, and Treatments

Symptom Management

Communication, Hearing, and Vision

Cognitive and Functional Status

Safety and Environment

Psychosocial

Patient & Family Preferences

Access, Communication, and Care Coordination

Clinician perspective

Electronic health records (EHR) (e.g., EHR vendors, those with experience working with EHR vendors)

Perspective from hospices of varying:

Average daily census

Geographic locations

Settings (i.e., urban, rural, frontier)

Profit status

Patient populations (e.g., underserved populations)

Quality reporting

Performance measurement

Quality improvement

Note: Preference was given to candidates who have not served on a previous TEP.

TEP Expected Time Commitment:

TEP members will provide input throughout the development, implementation, and refinement process. This time commitment will span from September 2017 through December 2018.

A two-day webinar TEP meeting will take place on November 2, 2017 and November 3, 2017.

And/Or, an additional in-person meeting approximately 10-12 months following the first webinar meeting.

Follow-up meetings via webinar or telephone as necessary.

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Quick Links

Technical Expert Panels

Currently Accepting Nominations

Downloads:

Patient-Reported Outcomes Following Elective Total Hip and/or Total Knee Arthroplasty: Hospital-Level Performance Measure(s) [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]

QPP_MIPS_335_226_448 [ZIP]

MACRA Episode-Based Cost Measures [ZIP]

MACRA Episode-Based Cost Measures – Call for Clinical Subcommittee Membership List [PDF]

Development of the Hospice Quality Reporting Program HEART Comprehensive Patient Assessment Instrument TEP Membership List [PDF]

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