Project Title: Development of a Hospital-Level 90-Day Risk-Standardized Complication Rate (RSCR) Following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA) for a Combined Inpatient (IP) and Outpatient (OP) Setting Measure
Dates: The Call for Public Comment period opens on September 1, 2022 and closes on September 30, 2022.
Project Overview:
The Centers for Medicare & Medicaid Services (CMS) contracted with Yale New Haven Health Services Corporation – Center for Outcomes Research and Evaluation (CORE) to develop a Hospital-Level 90-Day Risk-Standardized Complication Rate (RSCR) Following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA) for a Combined Inpatient (IP) and Outpatient (OP) Setting Measure. The contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Option Period 3. The contract number is HHSM-75FCMC18D0042, Task Order Number HHSM-75FCMC19F0001. As part of its measure development process, CORE requests interested parties to submit comments on the candidate or concept measures that may be suitable for this project. This measure is a respecification of an existing claims-based measure, Hospital-level RSCR Following THA and/or TKA, NQF 1550, to include patients undergoing elective primary THA/TKA procedures in hospital outpatient settings, for potential use in an episode payment model (EPM). The goal of the measure is to estimate a RSCR for elective primary THA and TKA procedures performed on Medicare fee-for-service (FFS) beneficiaries 65 years and older in hospital IP and OP settings.
Documents and Measures for Comment:
You may access each document in the list by clicking its title:
Project-Specific Instructions:
- To participate in the public comment, please send your comments to CMSOrthopedicsMeasures@yale.edu.
- If you are providing comments on behalf of an organization, include the organization’s name and contact information.
- If you are commenting as an individual, submit identifying or contact information, or indicate you wish to be anonymous.
- Comments are due by 11:59 PM EST September 30, 2022.
- Please do not include personal health information (for example, date of birth, social security number, health insurance claim number) in your comments.
- CMS encourages you to submit general or specific comments on the measure. In particular, please provide feedback on:
- Recommended approaches for accounting for race, ethnicity, and/or social risk factors in implementation of the measure in a to-be-determined episode payment model;
- Key metrics to monitor after measure implementation to prevent unintended consequences, including worsening disparities; and
- Topics for CMS/CMMI to consider during future measure reevaluation.
