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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

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. UM-KECC has been tasked by CMS to collect stakeholder feedback for the ESRD Patient Life Goals Survey (PaLS) measure to evaluate the supporting evidence and face validity of the ESRD Patient Life Goals Survey (PaLS) measure. This measure was designed to collect patient-level data about discussions with providers about life goals when making treatment decisions about dialysis modality; this measure is being considered for use as a quality measure to help foster collaborative treatment decisions among patients and providers. The goal of these specific TEPs is to gather stakeholder feedback about the importance and usability of the PaLS. This information will be used to inform policy decisions about the use of this tool in future quality measure efforts in this population.

Perspectives/Expertise:

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

  • Patients 18 years or older who are receiving long-term dialysis in the United States/US Territory;
  • Dialysis facility perspective including nephrologists, nurses, social workers, and administrative staff;
  • Individuals with consumer/patient/family perspective and consumer and patient advocates; specifically, patients with experience with long-term dialysis;
  • Individuals with perspectives on healthcare disparities in ESRD;
  • Expertise in performance measurement and quality improvement;
  • Expertise in patient reported outcomes and instrument development or implementation

TEP Expected Time Commitment: 

There will be one virtual meeting, approximately 2-3 hours in duration. The meeting will take place between February and April, 2024 

The meeting will be held virtually, via a Zoom video conferencing platform. The meeting will be open to the public, and details will be posted on the following webpage: https://dialysisdata.org/content/esrd-measures.  

Documents:

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

ESRD Patient Life Goals Survey (PaLS) Measure TEP Membership List

2023 Nomination Period

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

Project Title: Equity of 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 April 15, 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 measure of equity 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:

Hospital-Level 30-Day Risk-Standardized Excess Days in Acute Care (EDAC) Following CABG, COPD, THA and/or TKA Admissions, and Diabetes

Project Title: Hospital-Level 30-Day Risk-Standardized Excess Days in Acute Care (EDAC) following Coronary Artery Bypass Graft Surgery (CABG), Chronic Obstructive Pulmonary Disease (COPD), Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA) Admissions, and Diabetes

Dates: 

  • The Technical Expert Panel (TEP) met on December 7, 2023 and February 15, 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 four individual measures of 30-day risk-standardized Excess Days in Acute Care (EDAC) following Coronary Artery Bypass Graft Surgery (CABG), Chronic Obstructive Pulmonary Disease (COPD), Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA), and diabetes admissions. The 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 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:

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:

ESRD Mineral and Bone Disorder Measure Development

Project Title: ESRD Mineral and Bone Disorder Measure Development

Dates:

  • The Technical Expert Panel (TEP) nomination period 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.

Technical Expert Panel (TEP) Objectives:

The TEP will use existing data and their expert opinion to formulate recommendations to UM-KECC regarding the development of a draft measure that addresses potentially important quality gaps in mineral and bone disorder management.  Recommended measures should be evidence based, scientifically acceptable (reliable and valid), feasible, and usable by CMS, providers, and the public. 
Specifically, the TEP will engage in discussion to develop potential quality measures that could incentivize the best practice of MBD management given the lack of high quality evidence to guide specific therapies (e.g. nutritional, pharmacologic, surgical).   TEP input will be sought regarding potential sources of data such as the EQRS system and Medicare claims that may provide useful information about MBD diagnoses, diagnostic testing, medication use, and procedures.  The TEP should also consider whether risk adjustment strategies will be needed and if any exclusion criteria should be considered so that the measure is usable from both patients’ and providers’ perspectives.

Perspectives/Expertise:

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

  • Nephrology providers (physicians, advanced practice providers), nephrology trained social workers, dieticians, and dialysis facility nursing staff
  • ESRD bone and mineral disorder experts
  • Consumer/Patient/Family/Care Partner perspective 
  • Performance measurement experts
  • Quality improvement experts
  • Purchaser perspective
  • Healthcare disparities experts

TEP Expected Time Commitment: 

4-6 virtual meetings each being between 1 to 4 hours long. Meetings are tentatively scheduled for January – March 2024.

First TEP meeting is scheduled for Monday, January 29th 2024.  Call details can be found on this webpage: https://dialysisdata.org/content/esrd-measures  

Documents:

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

Expanded Home Health Value-Based Purchasing (HHVBP) Model Implementation & Monitoring

Project Title: Expanded Home Health Value-Based Purchasing (HHVBP) Model Implementation & Monitoring

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on September 27, 2023.
  • The TEP met on October 30, 2023 (introductory meeting) and November 14, 2023.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted with Abt Associates, Inc. to support the implementation of the HHVBP Model, including the development of refinements to the measures and scoring methodology, first for the original Model and now for the expanded HHVBP Model. The contract name is Research, Measurement, Assessment, Design and Analysis: Home Health Value-Based Purchasing – Implementation/Monitoring. The contract number is HHSM-500-2014-00026I, Task Order number HHSM-500-T0002. To gain feedback during development and maintenance of the expanded HHVBP Model, Abt convened a Technical Expert Panel.

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 1, 2023.
  • The TEP met on May 22, 2023.

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 measure of equity 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 3. 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:

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:

Refinement of the Nursing Home (NH) Antipsychotic Medication Measures

Project Title: Refinement of the Nursing Home (NH) Antipsychotic Medication Measures

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on 29 November 2022.
  • The TEP met on 21 February 2023 for a one-hour pre-TEP orientation and 24 February 2023 for a four-hour TEP meeting.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) contracted Acumen, LLC (hereafter referred to as Acumen) to re-specify the Nursing Home Quality Initiative (NHQI) antipsychotic medication measures reported on Care Compare. The contract name is “Quality Measure & Assessment Instrument Development & Maintenance & Quality Reporting Program (QRP) Support for the Long-Term Care Hospital, Inpatient Rehabilitation Facility, Skilled Nursing Facility QRPs and Nursing Home Compare.” The contract number is 75FCMC18D0015, Task Order 75FCMC19F0003. As part of its measure development and evaluation process, Acumen convenes groups of stakeholders and experts who contribute direction and thoughtful input during measure evaluation and development.  Acumen convened a TEP to solicit input regarding refinement options to increase the accuracy of the Nursing Home Quality Initiative (NHQI) antipsychotic medication measures, and evaluating the Minimum Data Set (MDS) 3.0 reporting of data elements used in the measure.

Documents:

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

Patient Safety Structural Measure

Project Title: Patient Safety Structural Measure

Dates: 

  • The Technical Expert Panel (TEP) nomination period closed on December 21, 2022.
  • The Technical Expert Panel (TEP) met on March 3, 2023, and March 17, 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 Patient Safety Structural Measure. 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 HHSM-75FCMC19F0001. 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:

2019 Nomination Period

Clinician Cost Measures Development Project

Project Title: Clinician Cost Measures Development Project

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on December 20, 2019. 
  • The Physician Cost Measures and Patient Relationship Codes (PCMP) Technical Expert Panel (TEP) met on September 7, 2023.

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 Membership List by clicking the title of each document:

Patient Safety Measure Development and Maintenance

Project Title: Patient Safety Measure Development and Maintenance

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on September 13, 2019.
  • The TEP met on November 18, 2019, May 1, 2020, July 20, 2020, November 2, 2022, and May 17, 2023.

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 CMS Patient Safety Indicator (PSI) 90 composite (its PSI components) and incorporate substantive changes to CMS PSI 04 as a Failure-to-Rescue measure. 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, the AIR_UCD team 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:

Reevaluation of CMS Claims-Based Hospital Outcome Measures (Risk Variable Reselection)

Project Title: Reevaluation of CMS Claims-Based Hospital Outcome Measures (Risk Variable Reselection)

Dates:

  • The Call for Technical Expert Panel (TEP) nomination period closed on October 25, 2019.
  • The TEP met on March 11, 2020, December 6, 2021, and September 29, 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 reevaluate CMS claims-based hospital outcome measures previously developed by CORE. The contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Clinicians, Contract Number 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.


Documents:
You may access the TEP Summary Report and the TEP Membership 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 February 29, 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, Option Period 4. 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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