Measures Management System (MMS) publishes a monthly bulletin about quality measurement resources and opportunities. Subscribe to receive more MMS news in your inbox. Have questions or suggestions? Contact MMS Support! 

What’s New with MMS 

Register for Final MMS Information Session of the Summer 

Join us at 2 p.m. (ET) Wednesday, July 26 for the final MMS Information Session of the summer, “Navigating Measure Implementation: Turning Data into Actionable Results.” We look forward to you joining us. Register today! Presentation objectives include 

• Defining measure implementation 
• Discussing factors impacting implementation 
• Exploring the rulemaking vs non-rulemaking measure selection process 
• Providing an overview of the various implementation pathways 
• Discussing measure rollout and real-world examples of dry runs 

Resource Available: Environmental Scan Tool (ESST) 

ESST compiles literature from PubMed, PubMed Central, and CINAHL into one search process, organized by relevancy to quality measures found in the CMIT library. For more information, visit CMIT Environmental Scan (cms.gov). 

In Case You Missed It: Advancing Excellence: CMS National Quality Strategy 

• Check out June’s Public Webinar, “Advancing Excellence: CMS National Quality Strategy” (YouTube | Slides) 

Announcements: Stay Up to Date 

View Updated Electronic Clinical Quality Measure (eCQM) Data Element Repository (DERep)  
CMS has updated the eCQM DERep to provide information on eCQMs used in CMS quality reporting and incentive programs for the calendar year 2024 reporting and performance periods. The intent of eCQM DERep content is to improve clarity for those implementing eCQMs. It provides information on the data elements associated with eCQMs and their definitions. Each data element also includes the associated value set or the direct reference code (DRC), the Quality Data Model (QDM) datatype, the QDM attributes, and QDM entities used by that data element. eCQMs for 2024 reporting and performance period use QDM v5.6. 

Submit Nominations for Partnership for Quality Measurement (PQM) Committees  

Battelle is accepting nominations through 11:59 p.m. (ET) July 30 for select PQM committees supporting Endorsement & Maintenance (E&M), Pre-Rulemaking Measure Review (PRMR), and Measure Set Review (MSR). Committee members will have the opportunity to provide feedback on quality measures based on their lived experiences and areas of expertise. Individuals and organizations may nominate themselves or others using the PQM nomination form.  

Claims-Based Measures (CBM) Specifications Manual Now Available 

The CBM Specifications Manual for fiscal year 2024 of the Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program is now available. CMS updates the specifications of the IPFQR Program’s claims-based measures annually to align with current clinical guidelines and code systems so that the measures remain relevant and actionable within the clinical care setting. 

Nominations Now Open for Qualified Clinical Data Registries (QCDRs) or Qualified Registries 

To be considered for the 2024 Merit-based Incentive Payment System (MIPS) performance period, QCDRs and/or Qualified Registries must submit their self-nomination form by 8 p.m. (ET) September 1. Intermediaries who intend to participate in MIPS as a QCDR and/or Qualified Registry must complete and submit a self-nomination form for each intermediary type for the 2024 MIPS performance period. Learn more by downloading the Self-Nomination Toolkit for QCDRs and Registries. 

Stakeholder Engagement Opportunities 

Public Comment, Technical Expert Panels, and Federal Register Rule Comment 

Public Comment Opportunity: MACRA Cost Measures: Call for Public Comment for Measure Reevaluation 

• This opportunity closes for public comment on July 21.  
• Learn more on the MMS Hub Public Comment page. 

Public Comment Opportunity: PQM Guidebook of Policies and Procedures for PRMR and MSR 

• The public comment period has been extended to July 30.  
• Review the guidebook and submit comments on the PQM website.  

Public Comment Opportunity: PQM E&M Guidebook 

• This opportunity closes for public comment on July 30.  
• Review the guidebook and submit comments on the PQM website.  

Federal Register Rule Comment Opportunity: Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model 

• This opportunity closes for comment on August 25.  
• Learn more on the Federal Register.