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Currently Accepting Nominations


Technical Expert Panels: Currently Accepting Nominations Link

This page serves as the designated site that is used to solicit nominations for technical expert panel members for CMS measure development and maintenance contractors.   Individuals with expertise in the relevant fields including clinicians, statisticians, quality improvement, methodologists, and pertinent measure developers, as well as consumers, are encouraged to submit nominations.  Person and family membership on TEPs is a very important part of the measure development process. TEP members are chosen to provide input to the measure contractor based on their personal experience and training. It is critical to the success that TEP members represent a diversity of perspectives and backgrounds.

TEPs Accepting Nominations: 

Project Title: CMS Hospice Quality Reporting Program Patient Assessment Instrument and Quality Measure Development

Dates:

  • The TEP nomination period opens on August 30th, 2019 and closes on September 30th, 2019. Please submit all nomination materials by the closing date.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Abt Associates to develop a hospice assessment instrument and corresponding set of Quality Measures (QM) in support of the Hospice Quality Reporting Program. The instrument and QM development work is under CMS contract number 75FCMC18D0014, and the task order number is 75FCMC19F0001. As part of its measure development process, Abt Associates will convene groups of stakeholders and experts to contribute direction and thoughtful input during measure development and maintenance.

Project Objectives:

  1. Develop an assessment instrument that supports quality measurement for hospice care.
  2. Develop quality measures based on the assessment instrument for the CMS Hospice Quality Reporting Program.
  3. This work will address patient, family, and caregiver needs, as well as electronic health record (EHR) and other health information technology (HIT) requirements/issues.

TEP Requirements:

We seek a diverse TEP of approximately 12 individuals with perspectives and areas of expertise including the following:

  • Clinical experience delivering hospice and palliative care services
  • Experience with hospice care as a patient, family member, or caregiver
  • Health care disparities
  • Culturally and linguistically appropriate services
  • Public reporting
  • Performance measurement
  • Quality improvement
  • Data collection and implementation

Potential TEP members should not have served on a CMS-project TEP within the last calendar year.

Participation on the TEP is voluntary. As such, individuals wishing to participate on the TEP should understand that their input will be recorded in the meeting minutes. Proceedings of the TEP will be summarized in a report that is disclosed to the general public. If a participant has disclosed private, personal data by his or her own choice, then that material and those communications are not deemed to be covered by patient-provider confidentiality. TEP members who are selected for their input as patients, family members, or caregivers can submit a written request to keep their names confidential. All other member names will be published. Any questions about confidentiality will be answered by Abt Associates.

All potential TEP members must disclose any current and past activities that may pose a potential conflict of interest for performing the tasks required of the TEP. All potential TEP members should be able to commit to the anticipated time frame needed to perform the functions of the TEP.

Patient, Family Member, and Caregiver Nominees:

Abt Associates is seeking patients, family members, and caregivers who have current or past experience with hospice facilities to participate on the TEP. Patients, family members, and/or their caregivers can provide unique and essential input on quality measures based on their own experiences with these care areas.

While we are particularly seeking patients, family members, and caregivers to participate in the TEP, we would also like to respect everyone’s scheduling needs. Thus, patients, family members, and caregivers will have the option to participate in specially designed workgroup call(s) or individual phone call(s) either in place of or in addition to attending the full TEP meetings. Information and input received from the patient/family/caregiver workgroup and individual calls will be shared with the full TEP through a liaison between the workgroup and the TEP. In addition, patients’, family members’, and/or caregivers’ identities can be kept confidential if requested. Patient/family/caregiver nominees should submit a completed and signed TEP Nomination Form and letter of interest as described below but are not required to submit a curriculum vitae.

TEP Expected Time Commitment:

  • Up to three annual in-person meetings, each lasting one day, to take place November 6, 2019 (Year 1 – subsequent years TBD), in the Baltimore, MD, area. Travel expenses will be reimbursed by Abt Associates.
  • TEP members will be expected to spend some time reviewing materials prior to the annual meetings.
  • TEP members will participate in up to three post-meeting teleconferences annually.

Required Information:

  • A completed and signed TEP Nomination form located in the download section below.
      • The nomination form includes a consent and confidentiality statement.
  • A letter of interest (not to exceed 2 pages) highlighting experience/knowledge relevant to the expertise/experience described above and involvement in measure development.

Below are a range of sample questions to help guide your letters of interest; all of these questions will not--and should not--pertain to all potential TEP members, so please address these (and other aspects of your experience/knowledge) as relevant to your individual expertise/experience:

* What is your knowledge/experience with quality measurement/quality measures development?

* What is your clinical experience delivering hospice and palliative care services?

* What is your experience with hospice and palliative care as a patient/family member/caregiver?

* What is your knowledge/experience with performance measurement and/or quality improvement?

* What is your experience in addressing health care disparities and/or provision of culturally and linguistically appropriate services?

* What is your knowledge/experience regarding the implementation of patient assessment tools/quality measures in health information technology (HIT) systems?

  • Curriculum vitae or a summary of relevant experience for a maximum of 10 pages.
      • Patient/family member/caregiver participants are not required to submit a curriculum vitae and may elect to keep their names confidential in public documents.

The Nomination forms and proposed TEP Charter are found in the download section below.

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Downloads/CMS-Hospice-Quality-Reporting-Program-Patient-Assessment-Instrument-and-Quality-Measure-Development-.zip

If you wish to nominate yourself or other individuals for consideration, please complete the form and email it to: HospiceQRP@abtassoc.com by September 30th, 2019.

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Project Title: Patient Safety Measure Development and Maintenance

Dates:

The TEP nomination period opens on August 5, 2019 and closes on September 13, 2019. Submit all nomination materials by the closing date.  

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with IMPAQ International to maintain the Patient Safety Indicator (PSI) 90 composite measure, its PSI components, and PSI 04, which are harmonized with the Agency for Healthcare Research and Quality (AHRQ) PSIs where feasible, but specified explicitly for implementation in CMS’ hospital programs. The contract name is Measure & Instrument Development and Support (MIDS) Patient Safety Measure Development and Maintenance. The contract number is 75FCMC18D0027. As part of its measure development process, IMPAQ convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Project Objectives:

To support measure maintenance for PSI 90 and PSI 04 through:

  • Updating the Business Cases, Measure Information Forms (MIFs), and Measure Justification Forms (MJFs) for the PSI 90 composite and PSI 04
  • Providing draft documentation sets of measure specifications for public comment
  • Finalizing measure specifications based on the feedback received

TEP Requirements:

We are seeking a TEP of approximately 8-15 individuals with differing perspectives and areas of expertise, such as:

  • One or more individuals with experience representing the consumer/patient/family (caregiver) perspective
  • One or more individuals with expertise in healthcare disparities
  • One or more currently practicing acute care inpatient clinicians specializing in various disciplines
  • One or more individuals with inpatient nursing and/or nursing management experience
  • One or more individuals with experience using AHRQ PSI measures for assessing hospital performance and/or public reporting
  • One or more individuals with expertise in developing algorithms for relevant PSIs using administrative data
  • One or more individuals with expertise in validating ICD–10–CM codes using chart abstraction (to assess criterion validity), or assessing their accuracy in identifying individuals at risk for specific adverse outcomes (predictive validity)
  • One or more individuals with experience using HCUP or similar data for the purpose of quality measurement
  • One or more statisticians specialized in the relevant statistical methods and applications
  • One or more individuals with knowledge of ICD–10–CM coding guidelines and practices
  • One or more individuals with expertise in developing algorithms using ICD–10–CM codes to construct or modify quality indicators using administrative data
  • In addition, the work group is expected to include representatives from impacted provider groups and their professional organizations, other stakeholders, consumers and other users, quality alliances, medical or specialty societies, measure developers, accrediting organizations, and public and private payers.

Subject matter expertise:

Consumer/patient/family (caregiver) perspective

Healthcare disparities

Performance measurement

Quality improvement

Purchaser perspective

Potential TEP members must be aware that participation on the TEP is voluntary. As such, individuals wishing to participate on the TEP should understand that their input will be recorded in the meeting minutes. Proceedings of the TEP will be summarized in a report that is disclosed to the general public. If a participant has disclosed private, personal data by his or her own choice, then that material and those communications are not deemed to be covered by patient-provider confidentiality. If patient participants (only) wish to keep their names confidential, that request can be accommodated. Any questions about confidentiality will be answered by the TEP organizers.

All potential TEP members must disclose any current and past activities that may pose a potential conflict of interest for performing the tasks required of the TEP. All potential TEP members should be able to commit to the anticipated time frame needed to perform the functions of the TEP.

Patient Nominees:

IMPAQ International is seeking patients to participate on a TEP. We are seeking patients who have experience with patient safety and quality of care within the acute care inpatient hospital setting to join the TEP. Patients who have experience with patient safety and quality of care within the acute care inpatient hospital setting can provide unique and essential input on quality measures based on their own experience and perspective. Patient nominees should submit a completed and signed TEP Nomination Form and letter of interest as described below but are not required to submit a curriculum vitae.

TEP Expected Time Commitment:

The TEP members will hold a minimum two-year term with an optional extension. The TEP will meet by teleconference/WebEx up to 4 times annually for approximately two hours each. There will be approximately 1 hour of pre-work and 1-hour of post-work per scheduled meeting. The total time commitment of approximately 12-16 hours per year.

Activities

  1. TEP members will receive pre-meeting material to review and to provide written feedback (1 hour).
  2. The TEP meeting will be convened by phone or web conference. Initial feedback and revisions will be discussed during the live meetings along with other relevant topics (2 hours).
  3. Post meeting, TEP members will review and comment on meeting minutes and associated documents along with any follow-up action items (1 hour).

Required Information:

A completed and signed TEP Nomination form located in the download section below.

The nomination form includes a consent and confidentiality statement.

A letter of interest (not to exceed two pages) highlighting experience/knowledge relevant to the expertise described above and involvement in measure development. Consumer/patient/family (caregiver) applicants/nominees are not expected to have experience in measure development.

Curriculum vitae or a summary of relevant experience for a maximum of 10 pages. Consumer/patient/family (caregiver) applicants/nominees are not required to submit a curriculum vitae.

The Nomination forms and proposed TEP Charter are found in the download section below. If you wish to nominate yourself or other individuals for consideration, complete the form and email it to: PatientSafetyMeasures@impaqint.com.

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Project Title: Behavioral Health Measures: Development, Reevaluation, & Maintenance

Dates:

The TEP nomination period opens on June 14, 2019 and closes on September 27, 2019. Submit all nomination materials by the closing date.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) engaged Mathematica and its partners to develop, re-evaluate, and maintain behavioral health measures that are used in the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program and in several other CMS reporting and payment programs (the Quality Payment Program, Post-Acute Care Quality Initiatives, the Hospital Inpatient Reporting Program, the Marketplace Quality Rating System, and the Center for Medicare and Medicaid Innovation). The contract name is Behavioral Health Measures: Development, Reevaluation, & Maintenance (BHM-DRM). The contract number is 75FCMC18D0032. Mathematica plans on convening a group of stakeholders and experts to help guide the maintenance and development of measures for these programs.

Project Objectives:

The goal of this project is to provide information, support, feedback, and perspective on the identification, development, specification, testing, prioritization, maintenance, re-evaluation, and implementation of behavioral health quality measures for CMS’s quality-reporting programs. These measures are intended to support CMS’s and the Quality Improvement Organization Program’s missions and to fulfill the requirements of the IMPACT Act.

TEP objectives

The objective of the BHM-DRM TEP is to provide feedback and perspective on the identification, development, specification, testing, maintenance, re-evaluation, and implementation of measures for the IPFQR program and other CMS behavioral health programs.

As part of its measure development and maintenance process, Mathematica requests input from a broad group of stakeholders, which may include policymakers, providers (psychiatrists, psychiatric nurses, clinical social workers, psychologists, addiction specialists, and others with experience in inpatient psychiatric facilities and behavioral health settings), quality measure experts, methodologists, patients and their caregivers, and patients’ representatives or advocates. A well-balanced representation of stakeholders on the TEP will help ensure that key perspectives are considered during measure selection, development, and maintenance.

Scope of responsibilities

The TEP will advise Mathematica and its partners (the project team) on the identification and development of clinical quality measures in terms of their importance, scientific acceptability, feasibility, and usability. Additional TEP input may be requested for existing measures. The TEP’s specific duties include the following:

  • Reviewing proposed measure concepts based on findings from the environmental scan and gap analysis conducted by the project team
  • Advising the project team on the prioritization of quality measures
  • Evaluating issues related to the importance and implementation of measures identified and developed under this contract
  • Providing feedback on the development and specifications of behavioral health measures for implementation in CMS’s quality reporting programs
  • Reviewing and providing feedback on existing measures
  • Reviewing and providing feedback on TEP Summary Reports

TEP members will be asked to review briefing materials before meetings. They may also be called upon periodically to review information and provide comments between meetings. TEP members will be asked to review briefing materials prior to meetings. Additionally, TEP members may be called upon periodically to review information and provide comments between meetings.

Guiding principles

Mathematica and its partners will use the following criteria to identify concepts and assess measures for development and maintenance:

  • Relevance and importance to patients and their caregivers
  • Program appropriateness
  • Evidence of importance
  • Feasibility, usability, and scientific acceptability of measures
  • Existence of competing measures
  • CMS and federal measurement priorities

The TEP will provide input throughout the measure development and maintenance process. The project team will consider the TEP’s recommendations and convey them to CMS. The team will complete Summary Reports of TEP proceedings after meetings to highlight discussions and to document recommendations; these Summary reports will be publicly posted. The TEP will make decisions by voting or by consensus, depending on the topic.

The project team will ensure confidentiality in TEP reports by summarizing the discussion topics and removing the names of TEP members who make comments during meetings.

Estimated number and frequency of meetings

TEP members will meet up to four times per 12-month period, with one meeting per year in person and the rest via teleconference. This project is expected to span five 12-month periods.

Details regarding this TEP are posted in the Downloads section below

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Project Title: Measure Development: Patient-Reported Outcome-based Depression Performance Measure for Use in Primary Care Practices

Dates:

The TEP nomination period opens on September 12, 2019 and closes on October 4, 2019. Submit all nomination materials by the closing date.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with the RAND Corporation (RAND) and its partners to support the development and implementation of a Patient-Reported Outcome-based Performance Measure (PRO-PM). The PRO-PM will focus on symptoms of depression among complex patients receiving care from primary care practices participating in the CMS Innovation (“Innovation Center”) Comprehensive Primary Care Plus (CPC+) model. The contract name is Patient Reported Outcome-based Performance Measure (PRO-PM) for Primary Care Practices Participating in the Comprehensive Primary Care (CPC+). The contract number is 75FCMC18D0036. As part of its measure development process, RAND and its partners plan to convene groups of stakeholders and experts to help guide the measure development and maintenance processes.

Project Objectives:

The goal of this project is to support CMS in the development, testing, electronic specification, and engagement in the NQF endorsement process of a PRO-PM for CPC+ that is focused on depression symptoms and targeted to patients who are considered complex patients in a primary care population. The key PROMs selected for this project are the PHQ-9 and the PROMIS Depression instruments.

TEP Requirements:

We are convening a TEP of approximately 10-15 individuals with differing perspectives and areas of expertise, such as:

  • Depression treatment and coordination with primary care and specialty clinics
  • Health Informatics
  • Clinical Quality Metrics
  • Clinician and clinical staff member perspective
  • Consumer/patient/family (caregiver) perspective
  • Performance measurement
  • Quality improvement

Potential TEP members should be aware that participation on the TEP is voluntary. As such, individuals wishing to participate on the TEP should understand that their input will be recorded in the meeting minutes. Proceedings of the TEP will be summarized in a report that is disclosed to the general public. If a participant has disclosed private, personal data by his or her own choice, then that material and those communications are not deemed to be covered by patient-provider confidentiality. If patient participants (only) wish to keep their names confidential, that request can be accommodated. Any questions about confidentiality will be answered by the TEP organizers.

All potential TEP members must disclose any current and past activities that may pose a potential conflict of interest for performing the tasks required of the TEP. All potential TEP members should be able to commit to the anticipated time frame needed to perform the functions of the TEP.

Patient and Patient Perspectives Nominees:

RAND and its partners are seeking patients and patient perspectives, such as consumers, patient advocates, and caregivers, to participate on a TEP. We are seeking adult patients who have two or more chronic medical conditions (such as diabetes, COPD, heart conditions, depression, kidney disease, or joint disorders) to join the TEP. Patients who have two or more chronic medical conditions can provide unique and essential input on quality measures based on their own experience and perspective.

Patient nominees should submit a completed and signed TEP Nomination Form and letter of interest as described below but are not required to submit a curriculum vitae.

TEP Expected Time Commitment:

The TEP will be held on November 12, 2019, in the DC metro area.  The approximate meeting time will be from 10 am to 4 pm, with in-person attendance required. An estimated 2 hours of preparation will be expected (i.e., reviewing documents) before the meeting.

We anticipate that two additional future meetings will be held via webinar, one in 2020 and one in 2021. Exact dates for these two meetings will be determined at a later date. They are estimated at 2 hours each, plus 2 hours each of preparation time.

Additional email correspondence may be solicited and/or discussions may be scheduled with specific TEP members with topical expertise. We anticipate that these additional discussions will take place via conference call and/or webinar and that they will take no more than 8 hours per TEP member, over the three year span of the project.

Required Information:

A completed and signed TEP Nomination form located in the download section below.

The nomination form includes a consent and confidentiality statement.

A letter of interest (not to exceed two pages) highlighting experience/knowledge relevant to the expertise described above and involvement in measure development. Consumer/patient/family(caregiver) applicants/nominees are not expected to have experience in measure development.

Curriculum vitae or a summary of relevant experience for a maximum of 10 pages. Consumer/patient/family (caregiver) applicants/nominees are not required to submit a curriculum vitae.

The Nomination form and proposed TEP Charter are found in the download section below.

If you wish to nominate yourself or other individuals for consideration, complete the form and email it to: propmTEP@rand.org ,with “Nomination” in the subject line, by 5 pm Eastern Time October 4, 2019.

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Project Title: Reevaluation of Inpatient Claims-Based Outcome Measures

Dates:

The Technical Expert Panel (TEP) nomination period opens on September 12, 2019 and closes on October 14, 2019. Please submit all nomination materials by the closing date.

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 reevaluate CMS claims-based hospital outcome measures previously developed by CORE. This work is done under the Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Base Year contract; (HHSM-75FCMC18D0042, Task Order HHSM-75FCMC19F0001). As part of its measure reevaluation 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 on the reevaluation of previously developed claims-based hospital outcome measures currently in public reporting. TEP feedback will inform the refinement of claims-based hospital outcome measure risk models.

TEP Requirements:

We are seeking a TEP of approximately 10 to 15 individuals with differing perspectives and areas of expertise, such as:

Subject Matter Experts:

  • Methodologists
  • Biostatisticians
  • Consumers/patients/family caregivers
  • Patient advocates
  • Experts in healthcare disparities
  • Experts in quality measure development and evaluation
  • Experts in measure risk adjustment
  • Experts in medical coding (ICD or Medicare claims coding)
  • Diverse clinical experts from multiple medical or surgical specialties
  • Professionals with experience working in critical access hospitals

The participation on the TEP is voluntary. As such, individuals wishing to participate on the TEP should understand that their input will be recorded in the meeting minutes. Proceedings of the TEP will be summarized in a report that is disclosed to the general public. If a participant has disclosed private, personal data by his or her own choice, then that material and those communications are not deemed to be covered by patient-provider confidentiality. If patient participants (only) wish to keep their names confidential, that request can be accommodated. Any questions about confidentiality will be answered by the TEP organizers.

All potential TEP members must disclose any current and past activities that may pose a potential conflict of interest for performing the tasks required of the TEP. All potential TEP members should be able to commit to the anticipated time frame needed to perform the functions of the TEP.

Patient Nominees:

CORE is seeking patients, patient advocates, and caregivers to participate on a TEP. We are seeking patients, patient advocates, and caregivers who have experience with readmissions/mortality, who have experienced conditions such as acute myocardial infarction (AMI), heart failure, or stroke, or who have undergone coronary artery bypass graft or total hip/knee arthroplasty procedures, to join the TEP. Patients with one or more of the defined experiences can provide unique and essential input on quality measures based on their own experience and perspective. Patient nominees should submit a completed and signed TEP nomination form and letter of interest as described below but are not required to submit a curriculum vitae.

TEP Expected Time Commitment:

TEP members will need to be available to participate in approximately one to two teleconference meetings between October 2019 and March 2020. Teleconference meetings will each last between one and two hours. CORE recognizes that TEP members may not be able to attend all meetings, but we expect members to attend the majority of meetings, as well as review and comment on materials for the meetings they cannot attend.

In addition, the TEP members will review materials provided in advance of teleconferences and complete any online surveys.

Required Information:

A completed and signed TEP nomination form located in the download section below.

The nomination form includes a consent and confidentiality statement.

A letter of interest (not to exceed two pages) highlighting experience/knowledge relevant to the expertise described above and involvement in measure development. Consumer/patient/family (caregiver) applicants/nominees are not expected to have experience in measure development.

Curriculum vitae or a summary of relevant experience for a maximum of 10 pages. Consumer/patient/family (caregiver) applicants/nominees are not required to submit a curriculum vitae.

The Nomination forms and proposed TEP charter are found in the download section below.

If you wish to nominate yourself or other individuals for consideration, complete the form and email it to: cmsreevaluationmeasures@yale.edu.

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Project Title: MACRA Episode-Based Cost Measures – Clinical subcommittee

Dates:

The nomination period for four Clinical Subcommittees opens in March and closes on April 12, 2019, at 11:59 pm EST. Please submit all nomination materials before the closing date.

We will, however, continue to accept nominations on a continual basis after this date; nominees who submit their information after this date will enter a standing pool of nominees who may be selected for participation in condition- or procedure-specific workgroups that will be convened within each Subcommittee.

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 the development and maintenance processes, Acumen, LLC convenes groups of stakeholders and experts who contribute direction and thoughtful input during development of episode-based cost measures.

Project Objectives:

The project’s overall objective is to develop episode-based cost measures suitable for potential use in the Quality Payment Program. For more details about the project background, including development activities undertaken in previous years, please see this summary on the MACRA Feedback Page.

Acumen’s measure development approach is to convene clinician expert panels called Clinical Subcommittees (CS) focused on particular clinical areas in cycles of development (“waves”). In Wave 3 beginning in 2019, Acumen is convening the following:

  • Three CS to develop procedural and acute inpatient medical condition episode based cost measures in the following clinical areas: Dermatologic Disease Management; General and Colorectal Surgery; and Hospital Medicine.
  • A new Chronic Condition and Disease Management CS to develop episode-based cost measures for chronic conditions. This is the first opportunity to contribute to the development of episode-based chronic condition cost measures for potential use in the Quality Payment Program.

All members who submit their nomination materials by the deadline and who are accepted to a Clinical Subcommittee will attend the first meeting.

  • The Clinical Subcommittee is a large body of clinicians that will meet during the last week of May 2019. Members of the Chronic CS and Dermatologic CS will meet in-person in Washington, D.C., while members of the other CS will meet via an online webinar. (Exact dates for each Subcommittee are available on the nomination form.)
  • The purpose of the initial CS meetings is to: (i) select which episode-based cost measure to develop, (ii) discuss the measure intent, and (iii) provide input on the desired composition of the workgroup that will build out the selected measure.
  • In addition to these topics, the Chronic CS will also consider and provide input on the basic framework of chronic condition episode groups, including logic for opening (or “triggering”) an episode and attributing episodes to clinicians.

After these initial meetings, we will then create smaller measure-specific workgroups within each Clinical Subcommittee based on input from the Clinical Subcommittee about which episode-based cost measure(s) to develop and the recommended composition of the workgroups.

  • The workgroups will include approximately 15 members whose specialty, expertise, or experience is aligned with the focus of the selected episode-based cost measure and the workgroup composition criteria discussed by the Subcommittee during the first meeting.
  • The workgroups will be composed from within the membership of the Clinical Subcommittee, as well as the standing pool of nominees where necessary.
  • Workgroup members will attend an in-person meeting in Washington DC in August 2019 (exact dates to be determined) and provide detailed input on each component of the episode-based cost measure.

List of Subcommittees Participating in Wave 3:

The list below presents the list of Subcommittees that we are recruiting for through this Call for Nominations. Below each Subcommittee, we list the episode groups in that Subcommittee’s clinical area that have been previously recommended for development by clinician stakeholders. However, this list is not limiting; Subcommittees may recommend additional episode groups.

  • Chronic Condition and Disease Management
    1. Chronic Kidney Disease
    2. Chronic Liver Disease
    3. Chronic Obstructive Pulmonary Disease
    4. Diabetes
    5. Heart Failure
    6. Inflammatory Bowel Disease
    7. Osteoarthritis of the Knee
    8. Peripheral Artery Disease
  • Dermatologic Disease Management
    1. Basal or Squamous Cell Carcinoma
    2. Melanoma Resection
    3. Mohs Surgery
  • General and Colorectal Surgery
    1. Cholecystectomy/Surgical Procedure for Gall Bladder Disease
    2. Colon Resection
    3. Hernia Repair (Incisional or Ventral)
  • Hospital Medicine
    1. Cellulitis
    2. Deep Vein Thrombosis
    3. Kidney and Urinary Tract Infections
    4. Pulmonary Edema
    5. Renal Failure Not Requiring Dialysis
    6. Sepsis

Returning Members

All Subcommittee and/or Workgroup members who participated in Wave 2 in 2018 and are interested in continuing with Wave 3 of cost measure development must indicate their interest in an abbreviated nomination form shared directly with members via email. Existing members do not need to submit their nomination via the public nomination form. Please contact the Acumen measure development team if you did not receive an email.

Subcommittee members who participated in Wave 1 but not Wave 2 should fill out the public nomination form to ensure we have the most recent information.

Future Clinical Subcommittees

If you would like to be a part of a Clinical Subcommittee, but do not practice in any of the clinical areas we are recruiting for above, there may be future waves in which we convene additional Clinical Subcommittees. If you are interested in receiving updates regarding any of these future Subcommittees, please provide your contact information on the MACRA Clinical Subcommittee Mailing List form.

List of Clinicians we are Recruiting

We are recruiting physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, physical therapists, occupational therapists, speech-language pathologists, audiologists, nurse midwives, clinical social workers, clinical psychologists, dietitians, nutritional professionals, and other clinicians with experience in the clinical areas listed above.

If you are not one of the clinician types listed above but believe your input would be valuable for the Wave 3 Subcommittees, we encourage you to apply.

Desired Qualifications of Clinical Subcommittee Members:

  • Medical credentials relevant to the types of clinicians listed above
  • Familiarity with medical coding (ICD-10, CPT/HCPCS, DRG)
  • Board-certified or other professional certifications, as applicable
  • Experience treating Medicare patients

Expected Time Commitment:

Tasks for All Clinical Subcommittee Members

  • Review preparatory materials shared ahead of the meeting and complete pre-meeting survey
  • Chronic CS and Dermatologic CS: Attend 1 day-long meeting for each CS in the last week of May 2019
  • All Other CS: Attend 1 webinar for each CS in May 2019 (exact dates for each Subcommittee are available on the nomination form)

Tasks for Workgroup Members Only

  • Review preparatory materials shared ahead of the meeting and complete pre-meeting survey
  • Attend 1 day-long in-person meeting for workgroup members only for episode group specification in Washington, D.C. in August 2019 (exact dates will be determined taking into consideration workgroup member availability)

Required Information:

Nominees are required to submit a completed MACRA Clinical Subcommittee Nomination Form. As part of this form, nominees are required to upload (i) a letter of interest (not to exceed two pages) highlighting experience/knowledge relevant to the expertise described above and involvement in measure development, and (ii) a current curriculum vitae or summary of relevant experience. If you wish to nominate yourself or other individuals for consideration, please complete the form by April 12, 2019, at 11:59 pm EST.

Contact Information:

If you would like to receive additional information on the CS nomination and measure development processes, or if you have any questions about the Clinical Subcommittees, the nomination process, or this project generally, please email macra-clinical-committee-support@acumenllc.com.

A PDF copy of the draft charter for the Wave 3 Clinical Subcommittees is included in the Downloads section at the bottom of this webpage. If you would like to receive a 508-compliant PDF version of the nomination form for submission via email instead of the web-based form linked above, please email macra-clinical-committee-support@acumenllc.com to receive a blank form.

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