03/03/2016

Seven Sets of Clinical Quality Measures Released by CMS

Seven Sets of Clinical Quality Measures Released by CMS

On Feb. 16, the Centers for Medicare & Medicaid Services (CMS) announced the development of seven sets of clinical quality measures developed by the Core Quality Measure Collaborative. The Collaborative includes the America's Health Insurance Plans (AHIP) and its member plans' chief medical officers, leaders from CMS, and the National Quality Forum (NQF), as well as national physician organizations, employers and consumers. The Collaborative promotes alignment and harmonization of measure use and collection across payers in both the public and private sectors.

The core measures are in the following sets:

• Accountable Care Organizations (ACOs), Patient Centered Medical Homes (PCMH), and Primary Care
• Cardiology
• Gastroenterology
• HIV and Hepatitis C
• Medical Oncology
• Obstetrics and Gynecology
• Orthopedics

Payers have committed to using these core sets of quality measures for reporting as soon as feasible. CMS will go through a public notice and comment rule-making for implementation of the new measures across applicable Medicare quality programs, and commercial health plans will roll out the new core measures as part of their contract cycle. Access the medical oncology core measures from the MSHO website.

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Core-Measures.html

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Downloads/Medical-Oncology-Measures.pdf