CMS released its Measures under Consideration list for 2018 pre-rulemaking.
The agency sent its list to the National Quality Forum for annual review. The list contains 32 standardized performance measures HHS is considering for use in federal programs.
Forty percent of the measures on this year's list are outcomes measures, including patient-reported outcomes measures. The list also comprises eight episode-based cost measures.
Here are the 32 quality measures CMS is proposing, organized by program.
Note: Comprehensive descriptions of each measure can be found in CMS' full list.
Merit-based Incentive Payment System
1. Continuity of pharmacotherapy for opioid use disorder
2. Average change in functional status following lumbar spine fusion surgery
3. Average change in functional status following total knee replacement surgery
4. Average change in functional status following lumbar discectomy laminotomy surgery
5. Appropriate use of DXA scans in women under 65 years who do not meet the risk factor profile for osteoporotic fracture
6. Average change in leg pain following lumbar spine fusion surgery
7. Optimal vascular care
8. Routine cataract removal with intraocular lens (IOL) implantation
9. International Prostate Symptom Score (IPSS) or American Urological Association Symptom Index (AUA-SI) change 6 to 12 months after diagnosis of benign prostatic hyperplasia
10. Knee arthroplasty
11. ST-Elevation Myocardial Infarction (STEMI) with percutaneous coronary intervention (PCI)
12. Revascularization for lower extremity chronic critical limb ischemia
13. Zoster (shingles) vaccination
14. Patient-reported and clinical outcomes following ilio-femoral venous stenting
15. Elective outpatient percutaneous coronary intervention (PCI)
16. Intracranial hemorrhage or cerebral infarction
17. Simple pneumonia with hospitalization
18. HIV screening
Both MIPS and Medicare Shared Savings Program
19. Optimal diabetes care
20. Diabetes A1c Control (< 8.0)
21. Ischemic vascular disease use of aspirin or antiplatelet medication
22. Screening/surveillance colonoscopy
Hospital Inpatient Quality Reporting Program; Medicaid and Medicare EHR Incentive Program for Eligible Hospitals; and Critical Access Hospitals
23. Hybrid hospitalwide all-cause risk standardized mortality measure
24. Hospital harm performance measure: Opioid-related adverse respiratory events
25. Ambulatory surgical center quality reporting program
Hospital Outpatient Quality Reporting Program
26. Lumbar spine imaging for low back pain
End-Stage Renal Disease Quality Incentive Program
27. Medication reconciliation for patients receiving care at dialysis facilities
28. Percentage of prevalent patients waitlisted (PPPW)
29. Standardized first kidney transplant waitlist ratio for incident dialysis patients (SWR)
Ambulatory Surgical Center Quality Reporting Program
30. Hospital visits following general surgery ambulatory surgical center procedures
Prospective Payment System-Exempt Cancer Hospital Quality Reporting Program
31. 30-day unplanned readmissions for cancer patients
Skilled Nursing Facility Quality Reporting Program
32. CoreQ: Short stay discharge measure