- 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 November 9, 2023 for a one-hour pre-TEP orientation and December 15, 2023 for a four-hour TEP meeting.
Project Overview:
The Centers for Medicare & Medicaid Services (CMS) contracted with Acumen, LLC and Abt Global LLC (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 Programs (QRPs) as mandated by the Patient Protection and Affordable Care Act (ACA) of 2010 and the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act of 2014). Acumen, LLC supports the 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 contract (75FCMC18D0015, Task Order 75FCMC19F0003). Abt Global LLC supports the Home Health and Hospice Quality Reporting Program Quality Measures and Assessment Instruments Development, Modification and Maintenance, & Quality Reporting Program Oversight Support contract (75FCMC18D0014, Task Order 75FCMC19F0001; 75FCMC19F0011).
As part of its measure development and evaluation process, Acumen and Abt convene groups of stakeholders and experts who contribute direction and thoughtful input during measure evaluation and development. Acumen and Abt convened this TEP to gather input on the prioritization, feasibility, and cross-setting alignment of measurement which focused on filling measurement gaps in the PAC and Hospice QRPs with Universal Foundation measures and identifying additional measure concepts to prioritize for future measure development in the PAC and hospice settings. This cross-setting TEP is a standing TEP that will reconvene annually, or on an as-needed basis, to support the evaluation, development, and maintenance of the PAC and Hospice QRP measurement sets until 2028.
Documents:
You may access the TEP Summary Report by clicking the title of the document:
- 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:
- 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: