- Electronic Clinical Quality Measure (eCQM) Development and Maintenance for Eligible Clinicians (EC)
Project Title: Electronic Clinical Quality Measure (eCQM) Development and Maintenance for Eligible Clinicians (EC)
Dates:
- The Call for Technical Expert Panel (TEP) nomination period closed on October 29, 2024. For the 2025-2026 TEP, 17 standing TEP members continued participation, and AIR recruited one new TEP member through direct outreach for a total of 18 TEP members.
- The TEP met on April 7, 2025, June 23, 2025, and December 5, 2025.
Project Overview:
The Centers for Medicare & Medicaid Services (CMS) contracted the American Institutes for Research (AIR) and its partners to develop, electronically specify, and maintain eCQMs for eligible clinicians for potential consideration and use in CMS quality programs. The contract name is Electronic Clinical Quality Measure (eCQM) Development and Maintenance for Eligible Clinicians (EC). The contract number is 75FCMC18D0027. As the organizer of this TEP, AIR convenes groups of stakeholders and experts who contribute direction and thoughtful input on their work and analysis. The TEP is a collaborative advisory body of approximately 18 individuals who represent a broad range of technical experts and stakeholders including but not limited to, patients, caregivers, patient advocates, clinicians, electronic health record vendor representatives, quality improvement experts, and health system representatives. The objective of the TEP is to provide input on the prioritization and development of eCQMs that support CMS’s quality program goals throughout the development lifecycle.
Documents:
You may access the TEP Summary Reports and the TEP Membership List by clicking the title of each document:
- Birthing-Friendly Hospital Designation
Project Title: Birthing-Friendly Hospital Designation
Dates:
- The Call for Technical Expert Panel (TEP) nomination period closed on July 12, 2024.
- The TEP met on August 18, 2025.
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 support the
development of an expanded Birthing-Friendly Hospital Designation. The CORE contract name is the
Centers for Medicare & Medicaid Services: Measure & Instrument Development and Support (MIDS):
Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospitals and
Eligible Clinicians, Option Period 1: the Contract Number is 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. The purpose of this technical expert panel (TEP) is to advise on conceptual, technical,
and implementation considerations for a scoring approach and approach for awarding an expanded
Designation.
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 December 18, 2024 and August 12, 2025.
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 75FCMC24F0142) 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 previous contracts, MACRA Episode Groups and Cost Measures (2016 to 2019, contract number HHSM-500-2013-13002I, Task Order HHSM-500-T0002) and Physician Cost Measures and Patient Relationship Codes (2019 to 2024, contract number 75FCMC18D0015, Task Order 75FCMC19F0004). 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 Reports and the TEP Composition List by clicking the title of each document:
- Patient Safety Measure Development and Maintenance – Patient Safety Indicator (PSI)
Project Title: Patient Safety Measure Development and Maintenance – Patient Safety Indicator (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:
- Hospital-Level Risk-Standardized 30-Day All Cause Readmission Following Hospitalization for Sepsis
Project Title: Hospital-Level Risk-Standardized 30-Day All Cause Readmission Following Hospitalization for Sepsis.
Dates: The Technical Expert Panel (TEP) met on December 12, 2024 and April 14, 2025.
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 all cause readmission following hospitalization for sepsis (Sepsis Readmission 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:
- Assessment of Quality Measures and Programs – Quality Measure Index (QMI)
Project Title: Assessment of Quality Measures and Programs – Quality Measure Index (QMI)
Dates:
- The Call for Technical Expert Panel (TEP) nomination period closed on September 25, 2024.
- The TEP met on December 9, 2024 and April 15, 2025.
Project Overview:
The Centers for Medicare & Medicaid Services (CMS) has contracted with Booz Allen Hamilton to implement and refine the Quality Measure Index (QMI). The contract name is the Measure & Instrument Development and Support (MIDS) Assessment of Quality Measures and Programs. The contract number is 75FCMC18D0019 – task order 75FCMC24F0096. The QMI supports the assessment and selection of quality measures that provide meaningful performance information and align with the national health care quality priorities as well as promoting standardization of measure assessments across CMS programs and prioritizing measures that promote positive patient outcomes. The QMI systematically and transparently displays the strengths and limitations of quality measures to facilitate comparisons and aid CMS in selecting the best measures to implement in quality programs.
Documents:
You may access the TEP Summary Report and the TEP Membership List by clicking the title of each document:
