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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: Reevaluation of Inpatient Claims-Based Outcome Measures

Dates:

The Technical Expert Panel (TEP) nomination period opens on September 12, 2019 and closes on October 25, 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: Patient Safety Measure Development and Maintenance: Sepsis Outcome Measure

Dates:

The TEP nomination period opens on Tuesday, October 8, 2019 and closes on Thursday, November 7, 2019. Submit all nomination materials by the closing date.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with IMPAQ International to develop a Sepsis Outcome Measure for potential future use in CMS’ quality and payment 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 develop an outcome measure for patients with sepsis;
  • To provide information to hospitals that can facilitate targeted quality improvement, provide more transparent information for patients, and allow policymakers to monitor outcomes for patients with sepsis.

TEP Requirements:

We are seeking a TEP of approximately 12-15 individuals including representatives from provider groups impacted by the measure and their professional organizations, other stakeholders, patients and other users, quality alliances, medical or specialty societies, measure developers, accrediting organizations, and public and private payers with differing perspectives and areas of Subject Matter Expertise (SME).

Subject matter expertise: We are seeking one or more individuals with expertise with sepsis morbidity and mortality in the following specific areas:

  • Clinicians with experience in critical care medicine (medical and surgical intensive care units), acute care surgery and inpatient surgical outcomes, emergency medicine, hospitalist medicine (medical and surgical acute care wards), infectious disease and antimicrobial stewardship.
  • Acute/critical care nursing for hospitalized patients
  • Acute/critical care respiratory therapy for hospitalized patients
  • Risk-adjustment of outcome measures, statistical methods, or health services research
  • Inpatient quality improvement and patient safety, to include expertise in performance measurement and leadership of quality improvement interprofessional teams in complex healthcare environments
  • The patient, and/or family and caregiver perspective
  • Electronic health record (EHR) systems and clinical standards and ontologies used to capture data within EHR systems (e.g., eCQM value sets)
  • Health information management and coding (e.g. ICD-10 coding)
  • Healthcare disparities

Participation on the TEP is voluntary, and input from panelists will be recorded in the meeting minutes. Proceedings of the TEP will be summarized in public reports, and comments of panelists may be included. Patient panelists may request that their identity be kept confidential. Prospective panelists are encouraged to address any concerns about confidentiality prior to participation.

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 and caregivers of patients, who have experienced sepsis within the inpatient hospital setting to join the TEP. Patients and caregivers who have experience with sepsis in the 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 two-year extension. The TEP will meet by teleconference or videoconference quarterly for approximately 1 hour. There will be approximately 1 hour of pre-work and 1-hour of post-work per scheduled meeting. The anticipated total time commitment is approximately 12 hours per year.

Expiration Notice:

This notice expires on Thursday, November 7, 2019 at the close of business Eastern time.

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. Patient and family or caregiver applicants and nominees are not expected to have experience in measure development.
  • Curriculum vitae or a summary of relevant experience for a maximum of 10 pages. Patient and family or caregiver applicants and 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 with ‘Sepsis TEP Nomination’ in the subject line.

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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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