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Summaries of Past Public Comments

Summaries of public comments on measures in development or after implementation. 

Click the plus sign (+) for each past public comment opportunity to learn more.

  • Project Title: Patient Safety Measure Development and Maintenance

    Date:

    • The Call for Public Comment period closed on September 30, 2022.

    Project Overview:

    The Centers for Medicare & Medicaid Services (CMS) has contracted with American Institutes for Research (AIR) and subcontractor University of California, Davis to develop and maintain patient safety measures of hospital harm. The contract name is Measure and Instrument Development and Support (MIDS) Patient Safety Measure Development and Maintenance. The contract number is 75FCMC18D0027. As part of its measure development process, the AIR-UCD Team requested interested parties to submit comments on the draft measure specifications and workflow for an outcome electronic clinical quality measure (eCQM) titled, Hospital Harm—Postoperative Respiratory Failure (PRF).

    Comment Summary:

  • Project Title: 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

    Date:

    • The Call for Public Comment period closed 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 requested 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.

    Comment Summary:

    You may access each document in the list by clicking its title.

  • Project Title: Impact Assessment of CMS Quality and Efficiency Measures: Development of the CMS Quality Measure Index (QMI)

    Date:

    • The Call for Public Comment ended on Monday, June 20, 2022.

    Project Overview:

    The Centers for Medicare & Medicaid Services (CMS) contracted with Health Services Advisory Group, Inc. (HSAG) to develop and refine the Quality Measure Index (QMI) tool. The contract name is Impact Assessment of CMS Quality and Efficiency Measures. The contract number is 75FCMC18D0026. As part of its process, HSAG requested interested parties submit comments on the QMI tool release version 1.0 methodology. The purpose of the QMI tool is to support the assessment and selection of quality measures that provide meaningful quality performance information and align with national health care quality priorities.

    Comment Summary:

    You may access the document in the list by clicking its title.

  • Project Title: Standardized Fistula Rate for Incident Patients

    Date:

    The Call for Public Comment period closed on March 30, 2022.

    Project Overview:

    The Centers for Medicare & Medicaid Services (CMS) has contracted with the University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) to develop facility-level measures in the area of vascular access for dialysis patients. The contract name is Kidney Disease Quality Measure Development, Maintenance, and Support. The contract number is 75FCMC18D0041, task order number 75FCMC18F0001. As part of its measure development process, UM-KECC requested interested parties to submit comments on the candidate or concept measures that may be suitable for this project. UM-KECC has been tasked by CMS to develop dialysis facility quality measures that allow measurement of differences across U.S. dialysis facilities’ effectiveness of education of patients about dialysis modality options (i.e. In-center vs. home dialysis) and/or effective utilization of home dialysis modalities in the treatment of chronic kidney failure.

    Comment Summary:

    You may access each document in the list by clicking its title.

  • Project Title: Effective Availability and Utilization of Home Dialysis Modalities

    Date:

    • The Call for Public Comment period closed on March 30, 2022.

    Project Overview:

    The Centers for Medicare & Medicaid Services (CMS) has contracted with the University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) to develop facility-level measures in the area of modality education for dialysis patients. The contract name is Kidney Disease Quality Measure Development, Maintenance, and Support. The contract number is 75FCMC18D0041, task order number 75FCMC18F0001. As the organizer of this TEP, UM-KECC convenes groups of stakeholders and experts who contribute direction and thoughtful input on their work and analysis. UM-KECC has been tasked by CMS to develop dialysis facility quality measures that allow measurement of differences across U.S. dialysis facilities’ effectiveness of education of patients about dialysis modality options (i.e. In-center vs. home dialysis) and/or effective utilization of home dialysis modalities in the treatment of chronic kidney failure.

    Comment Summary:

    You may access each document in the list by clicking its title.

  • Project Title: Electronic Clinical Quality Measures (eCQM) Development and Maintenance for Eligible Clinicians

    Date:

    • The Call for Public Comment period closed on April 28, 2022.

    Project Overview:

    The Centers for Medicare & Medicaid Services (CMS) contracted with Mathematica to develop the Preventive Care and Wellness composite measure. The contract name is Electronic Clinical Quality Measures (eCQM) Development and Maintenance for Eligible Clinicians. The contract number is 75FCMC18D0032/75FCMC19F000. As part of its measure development process, Mathematica requested interested parties to submit comments on the candidate or concept measures that may be suitable for this project. Under this contract, Mathematica and its partners help develop, test, and maintain eCQMs and CMS-stewarded clinical quality measures. These measures are used in the Merit-Based Incentive Payment System (MIPS) program as part of the Quality Payment Program.

    Comment Summary:

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  • Project Title: Patient Safety Measure Development and Maintenance

    Date:

    • The Call for Public Comment period closed on July 8, 2022.

    Project Overview:

    The Centers for Medicare & Medicaid Services (CMS) has contracted with American Institutes for Research (AIR) (with subcontractor University of California, Davis) to develop, maintain, reevaluate, and implement patient safety measures for CMS’ hospital-level quality reporting programs. The contract name is Patient Safety Measure Development and Maintenance. The contract number is 75FCMC18D0027. As part of its measure development process, the AIR-UC Davis Team requested interested parties to submit comments on the candidate measure that may be suitable for this project. The electronic clinical quality measure (eCQM), titled Community-Onset Sepsis: 30-day Mortality, is an outcome mortality measure that uses both claims and electronic health record (EHR) data to assess the proportion of inpatient hospitalizations for adult patients admitted with community-acquired sepsis who die within 30 days of presentation.  

    Comment Summary:

    You may access each document in the list by clicking its title.

  • Project Title: Practitioner Level Measurement of Effective Access to Kidney Transplantation

    Date:

    • The Call for Public Comment period closed on March 30, 2022.

    Project Overview:

    The Centers for Medicare & Medicaid Services (CMS) has contracted with the University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) to develop practitioner-level measures in the area of access to kidney transplantation for dialysis patients. The contract name is Kidney Disease Quality Measure Development, Maintenance, and Support. The contract number is 75FCMC18D0041, task order number 75FCMC18F0001. As part of its measure development process, UM-KECC requested interested parties to submit comments on the candidate or concept measures that may be suitable for this project.

    Comment Summary

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  • Project Title: Patient Understanding of Key Information Related to Recovery From an Outpatient Surgery or Procedure

    Date:

    • The Call for Public Comment period closed on April 11, 2022.

    Project Overview:

    The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation (YNHHSC) Center for Outcomes Research and Evaluation (CORE) to develop a patient-reported outcome performance measure (PRO-PM) for the effective transfer of clinical information from provider to patient after a procedure or surgery (hereafter, Information Transfer PRO-PM). The contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Option Period 2. The Contract number is HHSM-75FCMC18D0042, Task Order HHSM-75FCMC19F0002.

    The aim of the Information Transfer PRO-PM under development is to assess patients’ perceived understanding of information provided to them that is critical to their recovery process following an outpatient procedure or surgery. It evaluates, from the patient perspective, whether patients had and understood the clinical information they needed for their recovery process. CMS may consider the measure for use in the quality measurement of hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs).

    As part of its measure development process, CORE requested interested parties to submit comments on the candidate measure. The primary goal of the call for public comment, as part of measure development consistent with CMS’ measure development guidance, was to gather comments from a broad range of stakeholders on the measure under development. These stakeholders included technical experts, providers, patients, purchasers, and the public at large. CORE invited interested parties to comment on the following topics: survey instrument, measure specifications, measure cohort, survey implementation, and future considerations such as the usability and use of the measure.

    Comment Summary

    You may access each document in the list by clicking its title

Last Updated: Dec 2022