Updates to Established TEPs

Click the plus sign (+) for each established technical expert panel (TEP) to view updates, such as membership lists, meeting agendas, and summary reports.

2024 Nomination Period

Patient Safety Measure Development and Maintenance (PSI)

Project Title: Patient Safety Measure Development and Maintenance (PSI)

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted Mathematica to maintain two claims-based measures (Patient Safety Indicator [PSI] 90 composite and 30-Day Risk Standardized Death Rate among Surgical Inpatients with Complications [Failure-to-Rescue]). The contract name is Measure & Instrument Development and Support (MIDS): Patient Safety Measure Development and Maintenance. The contract number is 75FCMC18D0032, Task Order number is 75FCMC24F0023. As the organizer of this TEP, Mathematica convenes groups of stakeholders and experts who contribute direction and thoughtful input on their work and analysis. The purpose of this TEP is to convene a group of diverse perspectives and expertise to advise on conceptual, technical, and implementation considerations of the claims-based measures specified above.

Perspectives/Expertise:

We sought individuals with differing perspectives and areas of expertise, such as

  • Clinical experts with expertise in hospital settings, including medical doctors, nurses, and any other staff with expertise in patient safety clinical topics, 
  • Subject matter experts in performance measurement; 
  • Subject matter experts in coding and informatics; 
  • Subject matter experts in electronic health records (EHR); and 
  • Consumer/patient/family (caregivers).  

TEP Expected Time Commitment:

The number of meetings will vary each year throughout the contract period.  

Documents:

You may access the TEP Membership List by clicking the title of the document:

Development of a Sepsis Readmission Measure

Project Title: Development of a Sepsis Readmission Measure 

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 develop a Sepsis readmission measure. The CORE contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Base Period. The CORE contract number HHSM-75FCMC18D0042, Task Order HHSM-75FCMC24F0042. As part of its measure development process, CORE convenes groups of stakeholders who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Perspectives/Expertise:

The TEP will be composed of individuals with differing areas of expertise and perspectives, including clinical experts in internal medicine and sepsis care, administrators (including chief quality officers or other hospital quality administrators), quality improvement experts, statistical and performance measurement experts, and consumer/patient/family (caregiver) experts. 

TEP Expected Time Commitment: 

There will be three TEP meetings, with the first meeting anticipated to be September 2024, the second meeting anticipated to be November 2024, and the third meeting anticipated to be February 2025. Each meeting is expected to last 2 hours and will be virtually hosted.

Documents:

You may access the TEP Membership List by clicking the title of the document: 

Development and Reevaluation of Maternal Health Measures and Designation

Project Title: Development and Reevaluation of Maternal Health Measures and Designation

Dates:

  • The Technical Expert Panel (TEP) nomination period closed on July 12th, 2024. 

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted the Yale New Haven Health Services Corporation – Center for Outcomes Research and Evaluation (CORE) to develop, reevaluate, and support the implementation of several maternal health measures and the expansion of CMS’ Birthing-Friendly Hospital Designation. The CORE contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Base Period. The CORE contract number HHSM-75FCMC18D0042, Task Order HHSM-75FCMC24F0042. As part of its measure development process, CORE convenes groups of stakeholders who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Perspectives/Expertise:

We sought individuals with differing perspectives and areas of expertise, such as clinical experts in maternal care, chairs of obstetrical/gynecologic departments, hospital administrators (including chief quality officers or other hospital quality administrators), perinatal quality improvement experts, health equity and birth justice experts, statistical and performance measurement experts, and consumer/patient/family (caregiver) experts.

TEP Expected Time Commitment: 

CORE plans to convene three TEP meetings, with the first meeting anticipated to be the last week of August 2024, the second meeting anticipated to be first week of October 2024, and third meeting anticipated to be mid-November 2024. Each meeting is expected to last 2 hours and will be virtually hosted.

Documents:

You may access the TEP Membership List by clicking the title of the document: 

Stakeholder Feedback for the ESRD Patient Life Goals Survey (PaLS) Measure

Project Title: Stakeholder Feedback for the ESRD Patient Life Goals Survey (PaLS) Measure

Dates:

  • The Technical Expert Panel (TEP) nomination period closed on January 12, 2024. 

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with the University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) to collect stakeholder feedback for the ESRD Patient Life Goals Survey (PaLS) measure. 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, the University of Michigan Kidney Epidemiology and Cost Center convenes groups of stakeholders who guide measurement development efforts and provide thoughtful contributions about content and purpose of proposed measures.

Documents:

You may access the TEP Summary Report by clicking the title of the document:

Development and Evaluation of Exchange Health Plan Quality Initiatives (QRS/QIS)

Project Title: Development and Evaluation of Exchange Health Plan Quality Initiatives (QRS/QIS)

Dates: 

  • The Call for Technical Expert Panel (TEP) nomination period closed on March 15, 2024.
  • The TEP met on May 14, 2024.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted Booz Allen Hamilton (Booz Allen) to implement the Development and Evaluation of Exchange Health Plan Quality Initiatives (QRS/QIS) in fulfillment of the statutory and regulatory requirements of 1311(c)(3) of the Patient Protection and Affordable Care Act (PPACA). The contract name is Development and Exchange of Health Plan Quality Initiatives (QRS/QIS). The contract number is 75FCMC18D0019. As the organizer of this TEP, Booz Allen convenes groups of stakeholders and experts who contribute direction and thoughtful input on their work and analysis. The QRS/QIS TEP will advise on the continued implementation of the QRS and QIS by providing input on topics such as public engagement efforts, guidance materials, data analysis and methodology, and measure set refinements.

Documents:

You may access the TEP Summary Report, TEP Membership List, and TEP Charter by clicking the title of each document:

2023 Nomination Period

Hospital-Level 30-Day Risk-Standardized Excess Days in Acute Care (EDAC) following Hospitalization for Diabetes

Project Title: Hospital-Level 30-Day Risk-Standardized Excess Days in Acute Care (EDAC) following Hospitalization for Diabetes

Dates: 

  • The Technical Expert Panel (TEP) met on December 7, 2023; February 15, 2024; and August 6, 2024.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted Yale New Haven Health Services Corporation-Center for Outcomes Research and Evaluation (CORE) to create a measure for 30-day risk-standardized Excess Days in Acute Care (EDAC) following hospitalization for diabetes (Diabetes EDAC measure). The contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospitals and Eligible Clinicians, Base Period. The contract number is HHSM-75FCMC18D0042, Task Order HHSM-75FCMC24F0042. As part of its measure development process, CORE convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

Development, Evaluation, and Maintenance of Post-Acute Care (PAC) and Hospice Quality Reporting Program (QRP) Measurement Sets

Project Title: Development, Evaluation, and Maintenance of Post-Acute Care (PAC) and Hospice Quality Reporting Program (QRP) Measurement Sets

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on October 18, 2023.
  • The TEP met on July 16, 2024 and July 18, 2024.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Acumen, LLC and Abt Associates Inc. (hereafter referred to as Acumen and Abt) to support the development, evaluation, and maintenance of quality and cost measures for use in the Post-Acute Care (PAC) and Hospice Quality Reporting Program (QRP) and Nursing Home Compare as mandated by the Patient Protection and Affordable Care Act (PPACA) of 2010 and the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. Acumen’s contract name is “Quality Measure & Assessment Instrument Development & Maintenance & QRP Support for the Long Term Care Hospital, Inpatient Rehabilitation Facility, Skilled Nursing Facility, Quality Reporting Programs, & Nursing Home Compare.” The contract number is 75FCMC18D0015, Task Order 75FCMC19F0003. Abt’s contract name is “Home Health and Hospice Quality Reporting Program Quality Measures and Assessment Instruments Development, Modification and Maintenance, & Quality Reporting Program Oversight Support.” The contract number is 75FCMC18D0014, Task Order 75FCMC19F0001.

As part of its measure development and evaluation process, Acumen and Abt convene groups of stakeholders and experts who contribute direction input during measure development and Maintenance.  

Documents:

You may access the TEP Summary Report by clicking the title of the document:

Emergency Care Capacity and Quality Electronic Clinical Quality Measure (eCQM)

Project Title: Emergency Care Capacity and Quality Electronic Clinical Quality Measure (eCQM)

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on May 12, 2023.
  • The TEP met on July 30, 2024.

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 develop a measure of emergency care capacity and quality. The measure will be an electronic clinical quality measure (eCQM). The contract name is Measure & Instrument Development and Support (MIDS): Development, Reevaluation, and Implementation of Outpatient Outcome/Efficiency Measures, Option Period 4. The contract number is 75FCMC18D0042, Task Order number 75FCMC19F0002. As part of its measure development process, Yale CORE convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance. 

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

Advance Care Planning Measure

Project Title: Advance Care Planning Measure

Dates: 

  • The Technical Expert Panel (TEP) met on January 24, 2024 and June 10, 2024.

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 an Advance Care Planning Measure. The contract name is Measure & Instrument Development and Support (MIDS): Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Base Period. As part of its measure development process, CORE convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance. The purpose of this TEP is to assemble a group with diverse perspectives and expertise to advise on conceptual, technical, and implementation considerations of this measure.

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

ESRD Mineral and Bone Disorder Measure Development

Project Title: ESRD Mineral and Bone Disorder Measure Development

Dates:

  • The call for nominations period opened on November 3st and closed on November 17th 2023

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 mineral and bone disorder. The contract number is 75FCMC18D0041, task order number 75FCMC23F0001. As part of its measure development process, the University of Michigan Kidney Epidemiology and Cost Center convenes groups of stakeholders who contribute direction and thoughtful input to the measure developer during measure development and maintenance. UM-KECC has been tasked by CMS to develop dialysis facility quality measures that evaluate the effectiveness of mineral and bone disorder (MBD) management as part of the treatment of end-stage renal disease (ESRD) among US dialysis facilities.

Documents:

You may access the TEP Summary Report by clicking the title of each document:

Overall Hospital Quality Star Ratings on Care Compare

Project Title: Overall Hospital Quality Star Ratings on Care Compare

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on August 23rd, 2023.
  • The TEP met on October 31st, 2023.

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 maintain the Overall Hospital Quality Star Ratings. The contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Option Period 4. The contract number is HHSM-75FCMC18D0042, Task Order Number HHSM-75FCMC19F0001. As part of its measure development and maintenance process, CORE convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during project refinement and maintenance.

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

Patient End-of-Life Goal Setting Measure

Project Title: Patient End-of-Life Goal Setting Measure

Dates:

  • The Technical Expert Panel (TEP) nomination period closed on December 7, 2023.

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 measure capturing patient end-of-life care goals development. The CORE contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospitals and Eligible Clinicians, Option Period 4. The contract number is HHSM-75FCMC18D0042, Task Order HHSM-75FCMC19F0001. As the organizer of this TEP, CORE convenes groups of stakeholders and experts who contribute direction and thoughtful input on their work and analysis. The TEP is being convened to provide input and advise on the proposed methodologic approach for assessing end-of-life care goals development.

Perspectives/Expertise:

We sought individuals with differing perspectives and areas of expertise, such as palliative care, geriatric care, hospice care, health informatics, healthcare quality and administration, healthcare delivery (clinicians), performance measurement, quality improvement, and consumer/patient/family (caregiver) perspective.

TEP Expected Time Commitment:

CORE anticipates holding one virtual meeting with a duration of approximately two and a half hours on January 24, 2024, with the possibility of extending to additional meetings in future option periods.

Documents:

You may access the TEP Membership List by clicking the title of the document:

2022 Nomination Period

CMS Quality Measure Development Plan and Quality Measure Index

Project Title: CMS Quality Measure Development Plan and Quality Measure Index

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on January 13, 2022.
  • The TEP met on April 15, 2024.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with Health Services Advisory Group, Inc. (HSAG) to develop and update the CMS Quality Measure Development Plan (MDP), which serves as a strategic framework for clinician quality measure development to support the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs), known collectively as the Quality Payment Program. As a separate component of the Task Order, HSAG is developing and refining the Quality Measure Index (QMI) tool to support the assessment and selection of quality measures that provide meaningful quality performance information and align with the national health care quality priorities. The contract name is Impact Assessment of CMS Quality and Efficiency Measures. The contract number is 75FCMC18D0026. As the organizer of this TEP, HSAG convenes groups of interested parties and experts who contribute direction and thoughtful input during development and refinement of the MDP and QMI tool. 

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

Development of an Enrollee Satisfaction Survey System for use in the Exchange

Project Title: Development of an Enrollee Satisfaction Survey System for use in the Exchange

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on September 2, 2022.
  • The TEP met on October 27, 2022, March 2, 2023, October 30, 2023, and March 1, 2024.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with the American Institutes for Research (AIR) to develop an Enrollee Satisfaction Survey System for use in the Exchange. The contract name is Development of an Enrollee Satisfaction Survey System for use in the Exchange. The contract number is 75FCMC18D0027. As part of its measure development process, AIR convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Documents:

You may access the TEP Summary Reports and TEP Membership List by clicking the title of each document:

2019 Nomination Period

Patient Safety Measure Development and Maintenance - Hospital Harm

Project Title: Patient Safety Measure Development and Maintenance - Hospital Harm

Dates:

  • The TEP met on June 5, 2024, and July 30, 2024.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with Mathematica to develop and maintain hospital harm electronic clinical quality measures (eCQMs). The contract name is Measure & Instrument Development and Support (MIDS): Patient Safety Measure Development and Maintenance. The contract number is 75FCMC18D0032, and the Task Order number is 75FCMC24F0023. As part of its measure development process, Mathematica convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance. 

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

Clinician Cost Measures Development Project

Project Title: Clinician Cost Measures Development Project

Dates:

  • The Physician Cost Measures and Patient Relationship Codes (PCMP) Technical Expert Panel (TEP) met on March 13, 2024.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Acumen, LLC (referred to as “Acumen”) to develop, maintain, and re-evaluate cost measures for use in the MIPS cost performance category through the Physician Cost Measures and Patient Relationship Codes (PCMP) contract (75FCMC18D0015/Task Order 75FCMC19F0004) to meet the requirements of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Acumen also maintains the Medicare Spending Per Beneficiary (MSPB) Hospital measure used in the Hospital Value-Based Purchasing (VBP) program. The PCMP project continues a previous contract, MACRA Episode Groups and Cost Measures (2016 to 2019, contract number HHSM-500-2013-13002I, Task Order HHSM-500-T0002). As part of its measure development process, Acumen convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Documents:

You may access the TEP Summary Report and the TEP Composition List by clicking the title of each document:

2018 Nomination Period

Addressing Social Needs (ASN) Electronic Clinical Quality Measure (eCQM)

Project Title: Addressing Social Needs (ASN) Electronic Clinical Quality Measure (eCQM)

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on February 18, 2018.
  • The TEP met on July 26, 2024.

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 re-design a measure of screening for social needs (e.g., housing status, food insecurity, transportation). The re-designed measure will be an electronic clinical quality measure (eCQM) evaluating hospitals addressing social needs. The contract name is Measure & Instrument Development and Support (MIDS): Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Base Period. The contract number is HHSM-75FCMC18D0042. As part of its measure development process, CORE convenes groups of stakeholders and experts who contribute direction and thoughtful input to the measure developer during measure development and maintenance.

Documents:

You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:

CMS Quality Measure Development Plan (MDP) TEPs

Technical Expert Panels (TEPs), made up of a diverse group of stakeholders including clinicians, measure development experts, and patient/caregiver representatives, are a crucial part of the CMS Measure Development Plan (MDP). Their primary role is to provide technical input on the development, selection, and maintenance of quality measures to ensure that they are clinically relevant, reliable, and valid.

View MDP TEP Summary Reports

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