Friends. Proposal to Designate The National Quality Forum as the National Coordinating & Standard-Setting Center for Performance Measures

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Friends. Proposal to Designate The National Quality Forum as the National Coordinating & Standard-Setting Center for Performance Measures"

Transcription

1 Friends NQF of March 5, 2007 Proposal to Designate The National Quality Forum as the National Coordinating & Standard-Setting Center for Performance Measures Summary Statement A comprehensive measure development strategy that addresses the performance of health care provider organizations and practitioners is urgently needed. The federal government should designate the National Quality Forum as its National Coordinating and Standard- Setting Center for Performance Measures, and provide stable and adequate funding. The National Quality Forum is an established public/private sector partnership that has an excellent track record in evaluating, endorsing, and promulgating performance measures. This recommendation is based on the fundamental beliefs that assurance of an effective national performance measurement strategy is a federal responsibility and that information resulting from performance measurement is a public good. The Congress articulated the former responsibility in the Deficit Reduction Act of 2005, but has yet to provide funding to permit full execution of that strategy. A national performance measurement strategy is needed to guide the development of a coherent compendium of standardized performance measures that address national health care quality priorities and goals and can be progressively expanded as these priorities and goals evolve over time. The stakes are high. Standardized performance measures are needed to support quality improvement activities wherever health care is delivered; to create a source of reliable comparative performance information upon which consumers may rely in making informed decisions about their care; to assure that provider organizations and practitioners are held accountable for the quality and efficiency of their performance; and to provide a basis for establishing performance incentive programs for providers and practitioners. The United States is an acknowledged leader in developing health care performance measures, but it has not established a credible, integrated national performance measurement system that meets the needs of key users. Critical gaps and weaknesses in current processes include the absence of a national priority and goal-setting process; lack of coordination of and insufficient investment in measure development and maintenance efforts; inadequate and uneven funding support for measure evaluation and endorsement activities; and lack of a strategy for transitioning performance measures into electronic health records. These problem areas require attention on an urgent basis, and the National Quality Forum is the best-qualified entity to provide appropriate leadership, direction and coordination of the necessary effort. This effort is a fundamental building block for

2 creating a national health care system that provides high quality service and is affordable and accessible to all Americans. Problem Definition The U.S. health care sector is undergoing fundamental change. Serious concerns have been raised about health care quality, safety, costs, access and disparities in care. Numerous efforts are underway to address these concerns. These include the pay-forperformance initiatives being undertaken by public and private sector purchasers; public reporting of performance information by the Centers for Medicare and Medicaid Services (CMS), state governments and others; quality oversight by accreditation, regulatory, and professional certification entities; and quality improvement activities being conducted by the Quality Improvement Organizations (QIOs), health care providers, practitioners and others. And progress is indeed being made. Clinical leaders are actively engaged in measure development through the American Medical Association s Physician Consortium for Performance Improvement, The Joint Commission, the National Committee for Quality Assurance and others. The National Quality Forum is evaluating measures on a continuing basis, and identifying the best in class measures to serve as national standards. The Hospital Quality Alliance (HQA) and the AQA, as multi-stakeholder coalitions, are setting priorities for hospital and physician performance measurement efforts, respectively. Medicare Compare continues to expand to include additional comparative performance data on various types of providers, and, most recently, DHHS and private foundations are encouraging community-based efforts aimed at quality measurement, reporting, and improvement. But these pieces, while laudable, do not add up to a strategically focused, efficient, and financially stable enterprise. Indeed, various expert panels have called for a more coordinated approach for nearly a decade. 1 The fact is that critical gaps and weaknesses in the current configuration of performance measurement activities leave it far short of being a coherent national performance measurement system, and are actively threatening the many promising efforts that are presently geared towards restructuring and improving the health care delivery system. These gaps and weaknesses include the following: 1. Absence of a National Priority and Goal-Setting Process. There is currently no existing, let alone ongoing, national priority-setting process to guide the development and/or selection of performance measures for public reporting. But there is no lack of priorities. A number of important stakeholder groups have legitimate vested interests in setting their own priorities. The AQA and HQA are important decision-making bodies that prioritize and recommend measures to CMS and other purchasers for use in public reporting. Professional societies and organizations involved in accreditation 1 See for example: Institute of Medicine, Performance Measurement: Accelerating Improvement, 2006; National Quality Forum s Strategic Framework Board, 2003; President s Advisory Commission on Consumer Protection and Quality, Page 2 of 7

3 and certification also have measurement agendas that fit their own evaluation objectives. And consumers and private-sector purchasers, and those organizations that represent these constituencies (e.g., the Consumer/Purchaser Disclosure Group, the AARP, the Leapfrog Group, the National Business Coalition on Health), each have efforts underway aimed at setting national performance improvement agendas. A coordinated national priority and goal-setting process is needed to: Focus Provider and Practitioner Attention. The greatest improvements will be achieved if attention is focused on a limited number of high-leverage areas having the greatest potential to enhance quality and slow the rate of growth in health care expenditures. Systematically Raise the Bar of Performance Expectations. Fundamental change in the delivery system will only be achieved if performance expectations are set through a legitimate consensus process and progressively raised over time. Assure the Efficient and Effective Deployment of Scarce Measure Development Resources. Measure development and testing is an expensive process, and each dollar committed to this effort needs to be well spent. The absence of national priorities and goals is a basic impediment to the development of a coherent national system of performance measurement. 2. Discordant Measure Development and Maintenance Activities. Sizable amounts of resources and energy are currently being invested in the development of performance measures by many organizations, including accrediting bodies, more than 30 specialty and subspecialty societies and boards, government organizations, proprietary organizations, and others. Having many organizations involved in measure development brings a wealth of knowledge and expertise to the table, and engages clinical and other leaders in shaping the quality agenda, but this also presents challenges: Incomplete Portfolio of Measures. In the absence of a national prioritysetting process, each measure developer naturally sets and follows its own measure development agenda. Most measure developers focus on a specific clinical area (e.g., cardiac measures) or provider setting (hospitallevel measures). The majority of quality measures tend to focus on narrow aspects of care, such as management of HbA1c levels in diabetics, as opposed to outcome measures or overall measures of diabetes management. Critical areas for which no single group is solely accountable such as care coordination, end-of-life care, longitudinal care, or even care efficiency and patient-safety tend to get short shrift and may be overlooked. Further, too little attention is paid to measures of Page 3 of 7

4 patient engagement in decision-making and patient knowledge and preparedness to implement their treatment plans. Inadequate attention is also being paid to high-volume, high-cost procedures (e.g., imaging) and to measures of underuse. Lack of Measure Harmonization. Efforts to develop measures for physician performance and for hospital performance have tended to move on separate tracks. While not unreasonable on its face, this approach creates the risk that different measures of precisely the same dimension of care will be created, and that is indeed now happening on a rapidly growing scale. This coordination failure, a result of diffusion of leadership, is more than a problem of duplicative efforts. This expanding problem will lead to misalignment of performance expectations for hospitals and physicians respecting care for specific conditions; will inevitably create conflict if such measures become the basis for incentive payment programs; and will create confusion among consumer users of the resulting performance data. Coordination of measure development for physicians and hospitals in the multiple overlapping areas of interest is needed to assure that, whenever possible, measures roll up (e.g., postsurgical infection rates should be calculated the same way for surgeons and hospitals); measures are setting-neutral (e.g., measures of pain management are the same for nursing home and home health patients); measures related to specific groups apply common conventions (e.g., paired process and outcome measures for patients with depression employ the same denominator population for each measure); and measures can be aggregated into composites or summary metrics that are meaningful to potential users of this information. Variability in Measure Specification, Testing and Maintenance. The quality of measures earlier endorsed by NQF and/or currently in use for public reporting (or in the pipeline) is highly variable. This is true with respect to the evidence bases for these measures, the level and precision of measure data element specification (necessary for reliable data collection), and the conduct of measure field-testing (if any). In addition, measure developers have exerted variable levels of effort to assure that their measures remain consistent with current evidence and practice (i.e., are maintained ). Some measure developers are highly skilled and experienced in measure development and testing, while others have had only modest levels of experience. Virtually all developers that produce measures intended for use in the public domain struggle with inadequate funding to support measure development and ongoing maintenance. 3. Insufficient Support for Measure Evaluation and Endorsement. In a relatively brief time period, the National Quality Forum has emerged as the Page 4 of 7

5 prime national evaluation and endorsement entity for performance measures. Most NQF measure evaluation and endorsement activities are currently supported by project-specific contracts and grants from a variety of public and private sector sources. While this type of funding is a great asset, it is also potentially problematic in that it may divert attention from measure development and evaluation efforts that are of greater importance to the public. The fact is that the lack of core, public sector support for NQF s measure evaluation and endorsement activities inhibits NQF s ability to establish an objective and relevant platform of standardized national measures. 4. The Challenging Transition to Electronic Health Records. Much of the future hope and promise for gathering and reporting performance measure results on a substantially broader scale than today is premised on the eventual wide adoption of EHRs by health care provider organizations and practitioners. The current rate of adoption is problematic in that regard, but an equally daunting problem is that few, if any, existing EHRs have demonstrated the ability to embed performance measures in a fashion that will consistently permit the accurate and reliable collection of performance data. This in fact is a high priority issue that is currently under consideration by the new Quality Committee of the American Health Information Community (AHIC). For EHRs to adequately support performance measurement and reporting, greater dialogue is needed between the performance measurement community and EHR suppliers. To permit ready incorporation of measures into EHRs, performance measure developers must follow common conventions (e.g., use standardized lists for denominator exclusions) and carefully specify measure data elements. Here again, the need for a performance measure coordinating center that could link with AHIC and the HIT community is evident. This would allow for closer alignment between performance measures and clinical decision-support. Potential Coordinating and Standard-Setting Roles for the National Quality Forum A Congressional mandate and a stable funding stream are needed to address the current gaps and weaknesses described above that stand between today s realities and the creation of a coherent national system for establishing performance measures. High quality standardized performance measures are a public need as well as a public good that benefits all stakeholders. The processes for developing, evaluating and promulgating standardized measures should be transparent, based on science and expert judgment, and free of vested interests. The National Quality Forum is, by orders of magnitude, the most logical and qualified entity to take on the challenges that have been framed herein. Congress should therefore designate the National Quality Forum as the National Coordinating and Standard-Setting Center for Performance Measures and provide adequate funding to close the four critical gaps identified in the current system. Page 5 of 7

6 1. National Priority and Goal-Setting Process. The National Quality Forum should assume a lead role in synthesizing evidence and periodically convening key stakeholders and other parties at interest for the purpose of establishing national priorities and goals as the basis for framing the going-forward performance measure development agenda. 2. Measure Development and Maintenance. The National Quality Forum should take the lead in defining measure development needs, identifying lead measure developers, channeling resources to these developers to permit them to fill those needs, and holding measure developers accountable for producing high quality measures that meet specified criteria and for maintaining these measures over time. 3. Measure Evaluation and Endorsement. The National Quality Forum should be provided sufficient unrestricted federal funding to permit it to carry out its proposed national priority-setting, measure development and maintenance, and measure evaluation and endorsement roles. 4. Transition to Electronic Health Records. The National Quality Forum should assume a coordinating role in linking measure developers, EHR vendors and the AHIC toward the goal of making the EHR the primary vehicle for performance measure data gathering and reporting. In sum, there is an urgent need for a credible, competent entity to take the lead in fulfilling the goal of establishing a coherent national system of performance measure development. Effective performance measurement is the linchpin for achieving some of this nation s highest health care priorities, whether these be sustained quality improvement, enhanced consumer decision-making capability, meaningful provider organization and practitioner accountability, or a more incentive-based payment system. The broad availability of high quality, standardized performance measures is today the Achilles heel of these efforts; tomorrow it must become their foundation. This will not happen without the federal designation and funding of a credible and competent leadership entity that can get this job done. That entity should be the National Quality Forum. About the National Quality Forum The mission of the National Quality Forum is to improve the quality of American health care by setting national priorities and goals for performance improvement, endorsing national consensus standards for measuring and publicly reporting on performance, and promoting the attainment of national goals through education and outreach programs. Founded in 1999 pursuant to the recommendations of the President s Advisory Commission on Consumer Protection and Quality, the National Quality Forum is uniquely positioned to serve as the proposed National Coordinating and Standard-Setting Center for Performance Measures. Page 6 of 7

7 Mission Alignment. The NQF s mission aligns directly with the responsibilities of the proposed Coordinating Center. Accountability to Consumers. One of NQF s founding principles is that consumers and those who purchase services on their behalf are to maintain a simple majority of at-large seats on the Governing Board. Standard-Setting Accountability. The National Quality Forum is a recognized standardsetting organization under the National Technology Transfer and Advancement Act. Public and Private Sector Partnership. The National Quality Forum is structured to assure public and private sector participation. The Governing Board includes permanent seats for the Agency for Healthcare Research and Quality, the Centers for Medicare and Medicaid Services, and the National Institutes of Health. Multi-Stakeholder Organization. The National Quality Forum is a multi-stakeholder organization in which 350 organizations representing consumers, purchasers, health care professionals, provider organizations, health systems, health insurers, suppliers, state governments, and federal agencies participate. Collaborator. The National Quality Forum works collaboratively with the multiple quality alliances and the many organizations involved in performance measure development. Experience. NQF has, to date, evaluated and endorsed over 200 performance measures, and many are in widespread use. The measures address physician performance and provider organization performance across a variety of health care settings and entities that provide acute care, nursing home care, ambulatory care, and home care, among other services. Page 7 of 7

October 15, 2010. Re: National Health Care Quality Strategy and Plan. Dear Dr. Wilson,

October 15, 2010. Re: National Health Care Quality Strategy and Plan. Dear Dr. Wilson, October 15, 2010 Dr. Nancy Wilson, R.N., M.D., M.P.H. Senior Advisor to the Director Agency for Healthcare Research and Quality (AHRQ) 540 Gaither Road Room 3216 Rockville, MD 20850 Re: National Health

More information

Putting Reliable Health Care Performance Measurement Systems into Practice

Putting Reliable Health Care Performance Measurement Systems into Practice An NCQA Issue Brief 2000 L Street, NW Washington, DC 20036 888-275-7585 www.ncqa.org Putting Reliable Health Care Performance Measurement Systems into Practice By Joachim Roski, PhD MPH; Vice President,

More information

How Health Reform Will Affect Health Care Quality and the Delivery of Services

How Health Reform Will Affect Health Care Quality and the Delivery of Services Fact Sheet AARP Public Policy Institute How Health Reform Will Affect Health Care Quality and the Delivery of Services The recently enacted Affordable Care Act contains provisions to improve health care

More information

December 23, 2010. Dr. David Blumenthal National Coordinator for Health Information Technology Department of Health and Human Services

December 23, 2010. Dr. David Blumenthal National Coordinator for Health Information Technology Department of Health and Human Services December 23, 2010 Dr. David Blumenthal National Coordinator for Health Information Technology Department of Health and Human Services RE: Prioritized measurement concepts Dear Dr. Blumenthal: Thank you

More information

Re: Electronic Standards for Public Health Information Exchange

Re: Electronic Standards for Public Health Information Exchange NCVHS June 16, 2014 Honorable Sylvia Mathews Burwell Secretary, Department of Health and Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 Re: Electronic Standards for Public Health Information

More information

Introduction. The History of CMS/JCAHO Measure Alignment

Introduction. The History of CMS/JCAHO Measure Alignment Release Notes: Introduction - Version 2.2 Introduction The History of CMS/JCAHO Measure Alignment In early 1999, the Joint Commission solicited input from a wide variety of stakeholders (e.g., clinical

More information

The Promise of Regional Data Aggregation

The Promise of Regional Data Aggregation The Promise of Regional Data Aggregation Lessons Learned by the Robert Wood Johnson Foundation s National Program Office for Aligning Forces for Quality 1 Background Measuring and reporting the quality

More information

Introduction and Invitation for Public Comment

Introduction and Invitation for Public Comment 2 of 22 Introduction and Invitation for Public Comment The Patient-Centered Outcomes Research Institute (PCORI) is an independent, non-profit health research organization. Its mission is to fund research

More information

ORGANIZATIONAL MEMBERSHIP APPLICATION

ORGANIZATIONAL MEMBERSHIP APPLICATION ABOUT NQF The National Quality Forum (NQF) operates under a three-part mission to improve the quality of American healthcare by: Building consensus on national priorities and goals for performance improvement

More information

Health Information Technology

Health Information Technology Background Brief on September 2014 Inside this Brief Terminology Relevant Federal Policies State HIT Environment, Policy, and HIT Efforts Staff and Agency Contacts Legislative Committee Services State

More information

May 7, 2012. Submitted Electronically

May 7, 2012. Submitted Electronically May 7, 2012 Submitted Electronically Secretary Kathleen Sebelius Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention: 2014 edition EHR

More information

CMS Physician Quality Reporting Programs Strategic Vision

CMS Physician Quality Reporting Programs Strategic Vision CMS Physician Quality Reporting Programs Strategic Vision FINAL DRAFT March 2015 1 EXECUTIVE SUMMARY As the largest payer of healthcare services in the United States, the Centers for Medicare & Medicaid

More information

Hospital Quality Initiative Overview CENTERS FOR MEDICARE & MEDICAID SERVICES December 2005

Hospital Quality Initiative Overview CENTERS FOR MEDICARE & MEDICAID SERVICES December 2005 Hospital Quality Initiative Overview CENTERS FOR MEDICARE & MEDICAID SERVICES December 2005 Background Quality health care is a high priority for the Bush administration, the Department of Health and Human

More information

Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation

Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation Sustainable Growth Rate (SGR) Repeal and Replace: Comparison of 2014 and 2015 Legislation Proposal 113 th Congress - - H.R.4015/S.2000 114 th Congress - - H.R.1470 SGR Repeal and Annual Updates General

More information

Guidelines for Patient-Centered Medical Home (PCMH) Recognition and Accreditation Programs. February 2011

Guidelines for Patient-Centered Medical Home (PCMH) Recognition and Accreditation Programs. February 2011 American Academy of Family Physicians (AAFP) American Academy of Pediatrics (AAP) American College of Physicians (ACP) American Osteopathic Association (AOA) Guidelines for Patient-Centered Medical Home

More information

April 3, 2015. Re: Request for Comment: ONC Interoperability Roadmap. Dear Dr. DeSalvo:

April 3, 2015. Re: Request for Comment: ONC Interoperability Roadmap. Dear Dr. DeSalvo: Karen DeSalvo, M.D., M.P.H., M.Sc. Acting Assistant Secretary for Health National Coordinator for Health Information Technology U.S. Department of Health and Human Services 200 Independence Avenue, S.W.,

More information

The ONC-Coordinated Federal Health Information Technology Strategic Plan: 2008-2012 SYNOPSIS

The ONC-Coordinated Federal Health Information Technology Strategic Plan: 2008-2012 SYNOPSIS The ONC-Coordinated Federal Health Information Technology Strategic Plan: 2008-2012 SYNOPSIS The ONC-Coordinated Federal Health Information Technology Strategic Plan: 2008-2012 Using the Power of Information

More information

Karen DeSalvo, M.D., M.P.H., M.Sc. May 29, 2015 Page 2 of 7

Karen DeSalvo, M.D., M.P.H., M.Sc. May 29, 2015 Page 2 of 7 Karen DeSalvo, M.D., M.P.H., M.Sc. Acting Assistant Secretary for Health National Coordinator for Health Information Technology U.S. Department of Health and Human Services 200 Independence Avenue, S.W.

More information

DIALOGUE SUMMARY ADDRESSING THE INTEGRATION OF CLINICAL NURSE SPECIALISTS AND NURSE PRACTITIONERS IN ACUTE HEALTHCARE SETTINGS IN CANADA

DIALOGUE SUMMARY ADDRESSING THE INTEGRATION OF CLINICAL NURSE SPECIALISTS AND NURSE PRACTITIONERS IN ACUTE HEALTHCARE SETTINGS IN CANADA DIALOGUE SUMMARY ADDRESSING THE INTEGRATION OF CLINICAL NURSE SPECIALISTS AND NURSE PRACTITIONERS IN ACUTE HEALTHCARE SETTINGS IN CANADA 7 JULY 2011 McMaster Health Forum Dialogue Summary: Addressing

More information

CSR / Sustainability Governance and Management Assessment By Coro Strandberg Principal, Strandberg Consulting www.corostrandberg.

CSR / Sustainability Governance and Management Assessment By Coro Strandberg Principal, Strandberg Consulting www.corostrandberg. Introduction CSR / Sustainability Governance and Management Assessment By Coro Strandberg Principal, Strandberg Consulting www.corostrandberg.com June 2015 Companies which adopt CSR or sustainability 1

More information

July 23, 2015. Page 1

July 23, 2015. Page 1 Testimony of Paul Black, Before the Senate Committee on Health Education Labor and Pensions Achieving the Promise of Health Information Technology: Information Blocking and Potential Solutions July 23,

More information

Crosswalk: CMS Shared Savings Rules & NCQA ACO Accreditation Standards 12/1/2011

Crosswalk: CMS Shared Savings Rules & NCQA ACO Accreditation Standards 12/1/2011 Crosswalk: CMS Shared Savings Rules & NCQA ACO Accreditation Standards 12/1/2011 The table below details areas where NCQA s ACO Accreditation standards overlap with the CMS Final Rule CMS Pioneer ACO CMS

More information

hospitals within a hospital system for other payment purposes and could easily do so for this program as well.

hospitals within a hospital system for other payment purposes and could easily do so for this program as well. Statement by Phyllis Teater on Health Information Technology and the Electronic Health Records Incentive Program submitted to the Committee on Ways and Means United States House of Representatives July

More information

CPDP Strategy Session on Stage 2 Meaningful Use

CPDP Strategy Session on Stage 2 Meaningful Use CPDP Strategy Session on Stage 2 Meaningful Use March 29, 2012 Christine Bechtel, Vice President National Partnership for Women & Families David Lansky,President and Chief Executive Officer Pacific Business

More information

Health Information Technology (HIT) and the Public Mental Health System

Health Information Technology (HIT) and the Public Mental Health System National Association of State Mental Health Program Directors (NASMHPD) NASMHPD Policy Brief Health Information Technology (HIT) and the Public Mental Health System December 2010 NASMHPD Policy Brief Health

More information

April 8, 2013. Dear Ms. Tavenner:

April 8, 2013. Dear Ms. Tavenner: April 8, 2013 Marilyn B. Tavenner Acting Administrator and Chief Operating Officer Centers for Medicare & Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence

More information

CMS AND ONC FINAL REGULATIONS DEFINE MEANINGFUL USE AND SET STANDARDS FOR ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM

CMS AND ONC FINAL REGULATIONS DEFINE MEANINGFUL USE AND SET STANDARDS FOR ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM CMS AND ONC FINAL REGULATIONS DEFINE MEANINGFUL USE AND SET STANDARDS FOR ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator

More information

Accountable Care Organizations (ACOs): Potential to Foster Quality While Reducing Costs

Accountable Care Organizations (ACOs): Potential to Foster Quality While Reducing Costs Accountable Care Organizations (ACOs): Potential to Foster Quality While Reducing Costs Debra Ness Co-Chair, Consumer-Purchaser Disclosure Project President, National Partnership for Women & Families David

More information

TRANSFORMING HEALTHCARE

TRANSFORMING HEALTHCARE TRANSFORMING HEALTHCARE FROM REACTIVE TREATMENT TO PROACTIVE HEALTH MANAGEMENT CRITICAL THInKInG AT THE CRITICAL TIME 1 Looking Forward Transforming Healthcare from Reactive Treatment to Proactive Health

More information

Consensus Framework for Advancing Public Health Informatics

Consensus Framework for Advancing Public Health Informatics Consensus Framework for Advancing Public Health Informatics Approved by the JPHIT Board on April 20, 2011 How will public health choose to transform and galvanize itself in light of the historic national

More information

RE: CMS 1461-P; Medicare Shared Savings Program: Accountable Care Organizations Dear Administrator Tavenner:

RE: CMS 1461-P; Medicare Shared Savings Program: Accountable Care Organizations Dear Administrator Tavenner: February 6, 2015 Marilyn Tavenner Administrator Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore MD, 21244 RE: CMS 1461-P; Medicare Shared Savings Program: Accountable Care

More information

Multistakeholder Collaborative Leads Initiative on Health Care Quality Measurement

Multistakeholder Collaborative Leads Initiative on Health Care Quality Measurement Multistakeholder Collaborative Leads Initiative on Health Care Quality Measurement February 2016 Frequently Asked Questions: What is the goal of the Collaborative? There is a great demand today for accurate,

More information

CHCS. Case Study Arkansas Charts a Course for HIE and Quality Reporting

CHCS. Case Study Arkansas Charts a Course for HIE and Quality Reporting CHCS Center for Health Care Strategies, Inc. Case Study Arkansas Charts a Course for HIE and Quality Reporting L AUGUST 2010 ike many states, Arkansas is looking to advance its use of health information

More information

DETAILED SUMMARY--MEDCIARE SHARED SAVINGS/ACCOUNTABLE CARE ORGANIZATION (ACO) PROGRAM

DETAILED SUMMARY--MEDCIARE SHARED SAVINGS/ACCOUNTABLE CARE ORGANIZATION (ACO) PROGRAM 1 DETAILED SUMMARY--MEDCIARE SHARED SAVINGS/ACCOUNTABLE CARE ORGANIZATION (ACO) PROGRAM Definition of ACO General Concept An ACO refers to a group of physician and other healthcare providers and suppliers

More information

Repeal the Sustainable Growth Rate (SGR), avoiding annual double digit payment cuts;

Repeal the Sustainable Growth Rate (SGR), avoiding annual double digit payment cuts; Background Summary of H.R. 2: The Medicare Access and CHIP Reauthorization Act of 2015 SGR Reform Law Enacts Payment Reforms to Improve Quality, Outcomes, and Cost On April 16, 2015, the President signed

More information

The Honorable Sander Levin Ranking Member, Committee on Ways and Means

The Honorable Sander Levin Ranking Member, Committee on Ways and Means 33 W. Monroe, Suite 1700 Chicago, IL 60603 Phone: 312-915-9582 Fax: 312-915-9511 E-mail: himssehra@himss.org AllMeds, Inc. Allscripts Healthcare Solutions Amazing Charts Aprima Medical Software, Inc. athenahealth,

More information

An Oversight Framework for Assuring Patient Safety in Health Information Technology. Bipartisan Policy Center Health Innovation Initiative

An Oversight Framework for Assuring Patient Safety in Health Information Technology. Bipartisan Policy Center Health Innovation Initiative An Oversight Framework for Assuring Patient Safety in Health Information Technology Bipartisan Policy Center Health Innovation Initiative February 2013 ABOUT BPC Founded in 2007 by former Senate Majority

More information

Re: CMS Notice of Proposed Rulemaking for Accountable Care Organizations

Re: CMS Notice of Proposed Rulemaking for Accountable Care Organizations Donald Berwick, MD, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1345-P Submitted electronically Re: CMS Notice of Proposed Rulemaking for

More information

Premier ACO Collaboratives Driving to a Patient-Centered Health System

Premier ACO Collaboratives Driving to a Patient-Centered Health System Premier ACO Collaboratives Driving to a Patient-Centered Health System As a nation we all must work to rein in spiraling U.S. healthcare costs, expand access, promote wellness and improve the consistency

More information

Centers for Medicare & Medicaid Services Quality Measurement and Program Alignment

Centers for Medicare & Medicaid Services Quality Measurement and Program Alignment Centers for Medicare & Medicaid Services Quality Measurement and Program Alignment 1 Conflict of Interest Disclosure Deborah Krauss, MS, BSN, RN Maria Michaels, MBA, CCRP, PMP Maria Harr, MBA, RHIA Have

More information

TECHNOLOGY. Health Information. The final goal of the legislation is to establish an electronic health record (EHR) for every American by 2014.

TECHNOLOGY. Health Information. The final goal of the legislation is to establish an electronic health record (EHR) for every American by 2014. Health Information TECHNOLOGY By Melissa Rutala, MPH Arizona s : An Opportunity to Make Healthcare Higher in Quality and Lower in Costs through Adoption of Electronic Health Records Congress, the executive

More information

ANA Comments to FTC with respect to Health Care Competition

ANA Comments to FTC with respect to Health Care Competition ANA Comments to FTC with respect to Health Care Competition The American Nurses Association (ANA) welcomes the opportunity to provide comments to the Federal Trade Commission (FTC) on its recent public

More information

PSYCHIATRY IN HEALTHCARE REFORM SUMMARY REPORT A REPORT BY AMERICAN PSYCHIATRIC ASSOCIATION BOARD OF TRUSTEES WORK GROUP ON THE ROLE OF

PSYCHIATRY IN HEALTHCARE REFORM SUMMARY REPORT A REPORT BY AMERICAN PSYCHIATRIC ASSOCIATION BOARD OF TRUSTEES WORK GROUP ON THE ROLE OF ROLE OF PSYCHIATRY IN HEALTHCARE REFORM SUMMARY REPORT A REPORT BY AMERICAN PSYCHIATRIC ASSOCIATION BOARD OF TRUSTEES WORK GROUP ON THE ROLE OF PSYCHIATRY IN HEALTHCARE REFORM 2014 Role of Psychiatry in

More information

Center for Healthcare Transparency

Center for Healthcare Transparency RFP Contents I. Project Description and Background II. Funding Available III. Proposal Requirements IV. Proposal Scoring V. Proposal Submission Process VI. Proposal Documents I. Project Description and

More information

Welcome to the Data Analytics Toolkit PowerPoint presentation on clinical quality measures, meaningful use, and data analytics.

Welcome to the Data Analytics Toolkit PowerPoint presentation on clinical quality measures, meaningful use, and data analytics. Welcome to the Data Analytics Toolkit PowerPoint presentation on clinical quality measures, meaningful use, and data analytics. According to the Centers for Medicare and Medicaid Services, Clinical Quality

More information

HEALTH REFORM LAW: ACCOUNTABLE CARE ORGANIZATIONS

HEALTH REFORM LAW: ACCOUNTABLE CARE ORGANIZATIONS HEALTH REFORM LAW: ACCOUNTABLE CARE ORGANIZATIONS PRESENTED AT THE NASABA 2011 CONVENTION BY: PURVI B. MANIAR Context and Background Patient Protection and Affordable Care Act of 2010 ( PPACA ) (Section

More information

Clinical Quality Measures for Providers

Clinical Quality Measures for Providers Meaningful Use White Paper Series Paper no. 6a: Clinical Quality Measures for Providers Published September 15, 2010 Clinical Quality Measures for Providers Papers 5a and 5b in this series reviewed the

More information

REPORT TO THE 28 TH LEGISLATURE STATE OF HAWAIʻI 2015

REPORT TO THE 28 TH LEGISLATURE STATE OF HAWAIʻI 2015 REPORT TO THE 28 TH LEGISLATURE STATE OF HAWAIʻI 2015 Pursuant to Act 224, Session Laws of Hawaiʻi (SLH) 2013 RELATING TO HEALTH CARE ADMINISTRATIVE UNIFORMITY Prepared by: The Office of the Governor/Health

More information

Overview of Strategic Actions to Drive HIT Adoption

Overview of Strategic Actions to Drive HIT Adoption Overview of Strategic Actions to Drive HIT Adoption Kelly Cronin Senior Advisor Office of the National Coordinator for Health Information Technology March 2005 Overview Background Critical barriers and

More information

Summary of the Final Medicaid Redesign Team (MRT) Report A Plan to Transform The Empire State s Medicaid Program

Summary of the Final Medicaid Redesign Team (MRT) Report A Plan to Transform The Empire State s Medicaid Program Summary of the Final Medicaid Redesign Team (MRT) Report A Plan to Transform The Empire State s Medicaid Program May 2012 This document summarizes the key points contained in the MRT final report, A Plan

More information

Comments on the 21 st Century Cures: Digital Health Care

Comments on the 21 st Century Cures: Digital Health Care Comments on the 21 st Century Cures: Digital Health Care July 22, 2014 The Pharmaceutical Research and Manufacturers of America (PhRMA) appreciates the opportunity to provide input to the House Energy

More information

Post-Acute/Long- Term Care Planning for Accountable Care Organizations

Post-Acute/Long- Term Care Planning for Accountable Care Organizations White Paper Post-Acute/Long- Term Care Planning for Accountable Care Organizations SCORE A Model for Using Incremental Strategic Positioning as a Planning Tool for Participation in Future Healthcare Integrated

More information

CMS FINALIZES REQUIREMENTS FOR THE MEDICAID ELECTRONIC HEALTH RECORDS (EHR) INCENTIVE PROGRAM

CMS FINALIZES REQUIREMENTS FOR THE MEDICAID ELECTRONIC HEALTH RECORDS (EHR) INCENTIVE PROGRAM CMS FINALIZES REQUIREMENTS FOR THE MEDICAID ELECTRONIC HEALTH RECORDS (EHR) INCENTIVE PROGRAM For Immediate Release: Friday, July 16, 2010 Contact: CMS Office of Public Affairs 202-690-6145 The Centers

More information

Healthcare Technology and Physician Services

Healthcare Technology and Physician Services Healthcare Technology and Physician Services A Regional Alignment Strategy for Healthcare Systems and Community Physicians Presented by: Bob Svendsen, CEO December 30, 2009 TABLE OF CONTENTS Executive

More information

CAHPS : Assessing Health Care Quality From the Patient s Perspective

CAHPS : Assessing Health Care Quality From the Patient s Perspective P R O G R A M B R I E F CAHPS : Assessing Health Care Quality From the Patient s Perspective The Agency for Healthcare Research and Quality's (AHRQ s) mission is to produce evidence to make health care

More information

PART D HEALTH CARE QUALITY IMPROVEMENT Subpart I Quality Measure Development

PART D HEALTH CARE QUALITY IMPROVEMENT Subpart I Quality Measure Development H. R. 3590 263 (H) the Office of the National Coordinator for Health Information Technology; (I) the Substance Abuse and Mental Health Services Administration; (J) the Administration for Children and Families;

More information

Healthcare Reform Update Conference Call VI

Healthcare Reform Update Conference Call VI Healthcare Reform Update Conference Call VI Sponsored by the Healthcare Reform Educational Task Force October 9, 2009 2:00-2:45 2:45 pm Eastern Healthcare Delivery System Reform Provisions in America s

More information

April 22, 2013. Re: Advancing Interoperability and Health Information Exchange. Dear Dr. Mostashari,

April 22, 2013. Re: Advancing Interoperability and Health Information Exchange. Dear Dr. Mostashari, Farzad Mostashari, MD, ScM National Coordinator for Health Information Technology Department of Health and Human Services Office of the National Coordinator for Health Information Technology Hubert H.

More information

Dear Honorable Members of the Health information Technology (HIT) Policy Committee:

Dear Honorable Members of the Health information Technology (HIT) Policy Committee: Office of the National Coordinator for Health Information Technology 200 Independence Avenue, S.W. Suite 729D Washington, D.C. 20201 Attention: HIT Policy Committee Meaningful Use Comments RE: DEFINITION

More information

Big Data for Patients (BD4P) Program Overview

Big Data for Patients (BD4P) Program Overview Big Data for Patients (BD4P) Program Overview [Updated August 5, 2015] Proposal: Big Data for Patients (BD4P) Training Program Page 1 Background The new and emerging field of data science ( Big Data )

More information

Re: Comments on 2015 Interoperability Standards Advisory Best Available Standards and Implementation Specifications

Re: Comments on 2015 Interoperability Standards Advisory Best Available Standards and Implementation Specifications April 29, 2015 Karen DeSalvo, MD, MPH, MSc National Coordinator Office of National Coordinator for Health IT Department of Health and Human Services 200 Independence Ave, SW Washington, DC 20201 Re: Comments

More information

Introduction. What is Transparency in Health Care?

Introduction. What is Transparency in Health Care? Introduction Transparency is a vital component of an efficient and effective health care system. As concerns about the cost and quality of health care in the United States continue to grow and large employers

More information

Issue Brief. Raising the Bar. Standards for Accountable Care Organizations to Truly Improve Health Care Quality and Affordability in the United States

Issue Brief. Raising the Bar. Standards for Accountable Care Organizations to Truly Improve Health Care Quality and Affordability in the United States Raising the Bar Standards for Accountable Care Organizations to Truly Improve Health Care Quality and Affordability in the United States Issue Brief Introduction Health care costs continue to rise at an

More information

The Challenge of Implementing Interoperable Electronic Medical Records

The Challenge of Implementing Interoperable Electronic Medical Records Annals of Health Law Volume 19 Issue 1 Special Edition 2010 Article 37 2010 The Challenge of Implementing Interoperable Electronic Medical Records James C. Dechene Follow this and additional works at:

More information

Proven Innovations in Primary Care Practice

Proven Innovations in Primary Care Practice Proven Innovations in Primary Care Practice October 14, 2014 The opinions expressed are those of the presenter and do not necessarily state or reflect the views of SHSMD or the AHA. 2014 Society for Healthcare

More information

The ACA and Beyond: Public Policy and Marketplace Changes Affecting the Future of Rural Health

The ACA and Beyond: Public Policy and Marketplace Changes Affecting the Future of Rural Health The ACA and Beyond: Public Policy and Marketplace Changes Affecting the Future of Rural Health KEITH J. MUELLER, PHD UNIVERSITY OF IOWA COLLEGE OF PUBLIC HEALTH AND RURAL POLICY RESEARCH INSTITUTE CENTER

More information

The Cornerstones of Accountable Care ACO

The Cornerstones of Accountable Care ACO The Cornerstones of Accountable Care Clinical Integration Care Coordination ACO Information Technology Financial Management The Accountable Care Organization is emerging as an important care delivery and

More information

AQA Measures and Improvement Workgroup Conference Call Notes September 27, 2013

AQA Measures and Improvement Workgroup Conference Call Notes September 27, 2013 AQA Measures and Improvement Workgroup Conference Call Notes September 27, 2013 Participants Bruce Bagley, TranforMed, Co-chair Andy Baskin, Aetna, Co-chair Kevin Weiss, American College for Graduate Medical

More information

ALTARUM. Modernizing Health Care: Leveraging Our Regional Extension Centers

ALTARUM. Modernizing Health Care: Leveraging Our Regional Extension Centers ALTARUM Modernizing Health Care: Leveraging Our Regional Extension Centers HITECH Portfolio and the REC Infrastructure The Health Information Technology for Economic and Clinical Health (HITECH) Act, which

More information

Quality Health Care. Centers of Excellence Improving Quality Pay for Performance Literature. Quality Health Care

Quality Health Care. Centers of Excellence Improving Quality Pay for Performance Literature. Quality Health Care . Quality Health Care Centers of Excellence Improving Quality Pay for Performance Literature Quality Health Care Centers of Excellence The term Center of Excellence has been widely used and in many different

More information

PROPOSED MEDICARE SHARED SAVINGS (ACO) PROGRAM RULES

PROPOSED MEDICARE SHARED SAVINGS (ACO) PROGRAM RULES PROPOSED MEDICARE SHARED SAVINGS (ACO) PROGRAM RULES The Centers for Medicare and Medicaid Services (CMS) and other affected agencies released their notice of proposed rulemaking/request for comment for

More information

Physicians on Hospital Boards: Time for New Approaches

Physicians on Hospital Boards: Time for New Approaches February 1, 2011 Physicians on Hospital Boards: Time for New Approaches It s rule one of good governance: All members of a not forprofit governing board have a fiduciary responsibility to act in the best

More information

MODEL HEALTH PLAN CONTRACT LANGUAGE ON PAYMENT REFORM

MODEL HEALTH PLAN CONTRACT LANGUAGE ON PAYMENT REFORM MODEL HEALTH PLAN CONTRACT LANGUAGE ON PAYMENT REFORM IMPROVING VALUE THROUGH PAYMENT REFORM This Agreement is made and entered into this _ day of, 2012, by and between [health plan name], hereinafter

More information

Improving Hospital Performance

Improving Hospital Performance Improving Hospital Performance Background AHA View Putting patients first ensuring their care is centered on the individual, rooted in best practices and utilizes the latest evidence-based medicine is

More information

1) Is WISHIN able to release any information regarding the budget allocated for the services requested in this RFP? If so, please provide.

1) Is WISHIN able to release any information regarding the budget allocated for the services requested in this RFP? If so, please provide. 1) Is WISHIN able to release any information regarding the budget allocated for the services requested in this RFP? If so, please provide. No. We are asking firms to bid on what they think is necessary

More information

The ONC-Coordinated Federal Health IT Strategic Plan: 2008-2012

The ONC-Coordinated Federal Health IT Strategic Plan: 2008-2012 The ONC-Coordinated Federal Health IT Strategic Plan: 2008-2012 June 3, 2008 Table of Contents Executive Summary...iii Strategic Plan Overview... 1 Tabular Summary of Plan... 8 Goal 1: Patient-focused

More information

HANYS REPORT ON REPORT CARDS UNDERSTANDING PUBLICLY REPORTED HOSPITAL QUALITY MEASURES

HANYS REPORT ON REPORT CARDS UNDERSTANDING PUBLICLY REPORTED HOSPITAL QUALITY MEASURES HANYS REPORT ON REPORT CARDS UNDERSTANDING PUBLICLY REPORTED HOSPITAL QUALITY MEASURES Real Hospital Scores! top 20 C 61 44 check top B 35 42 not A ranked F not ranked D recognized 9?449 check C A 41 D

More information

Details for: CMS PROPOSES DEFINITION OF MEANINGFUL USE OF CERTIFIED ELECTRONIC HEALTH RECORDS (EHR) TECHNOLOGY. Wednesday, December 30, 2009

Details for: CMS PROPOSES DEFINITION OF MEANINGFUL USE OF CERTIFIED ELECTRONIC HEALTH RECORDS (EHR) TECHNOLOGY. Wednesday, December 30, 2009 Details for: CMS PROPOSES DEFINITION OF MEANINGFUL USE OF CERTIFIED ELECTRONIC HEALTH RECORDS (EHR) TECHNOLOGY Return to List For Immediate Release: Contact: Wednesday, December 30, 2009 CMS Office of

More information

Advancing Ambulatory Patient Experience Measurement and Reporting Roadmap

Advancing Ambulatory Patient Experience Measurement and Reporting Roadmap Advancing Ambulatory Patient Experience Measurement and Reporting Roadmap Goals 1. Improve existing data collection methods to improve value and reduce costs. 2. Improve the alignment of existing survey

More information

Chief Executive Officer

Chief Executive Officer Position Specification Chief Executive Officer Massachusetts Health Data Consortium Waltham, MA May 2012 1 Massachusetts Health Data Consortium Chief Executive Officer The Opportunity The Massachusetts

More information

National Strategy for Quality Improvement in Health Care

National Strategy for Quality Improvement in Health Care 2012 Annual Progress Report to Congress National Strategy for Quality Improvement in Health Care Submitted by the U.S. Department of Health and Human Services April 2012 Corrected August 2012 and May 2014

More information

Center for Health Care Strategies, Inc. Supporting Meaningful Use of HIT in Small, High-Volume Medicaid Practices

Center for Health Care Strategies, Inc. Supporting Meaningful Use of HIT in Small, High-Volume Medicaid Practices CHCS Center for Health Care Strategies, Inc. Supporting Meaningful Use of HIT in Small, High-Volume Medicaid Practices Technical Assistance Brief July 2010 T he American Recovery and Reinvestment Act of

More information

Prospective Attribution as a Single-Step Assignment Process

Prospective Attribution as a Single-Step Assignment Process Marilyn Tavenner, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS 1461 P P.O. Box 8013 Baltimore, MD 21244 8013 Dear Administrator Tavenner:

More information

United States HIT Case Study

United States HIT Case Study center for health and aging Health Information Technology and Policy Lab Howard Isenstein, Vice President for Public Affairs and Quality, Federation of American Hospitals Summary U.S. adoption of health

More information

DEPARTMENT OF HEALTH AND HUMAN SERVICES. Medicare Program; Changes to the Electronic Prescribing (erx) Incentive Program

DEPARTMENT OF HEALTH AND HUMAN SERVICES. Medicare Program; Changes to the Electronic Prescribing (erx) Incentive Program DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Part 414 [CMS-3248-F] RIN 0938-AR00 Medicare Program; Changes to the Electronic Prescribing (erx) Incentive Program

More information

AGREEMENT CONCERNING PHYSICIAN PERFORMANCE MEASUREMENT, REPORTING AND TIERING PROGRAMS PURSUANT TO EXECUTIVE LAW SECTION 63, SUBDIVISION 15

AGREEMENT CONCERNING PHYSICIAN PERFORMANCE MEASUREMENT, REPORTING AND TIERING PROGRAMS PURSUANT TO EXECUTIVE LAW SECTION 63, SUBDIVISION 15 ATTORNEY GENERAL OF THE STATE OF NEW YORK In the Matter of CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND CIGNA HEALTHCARE OF NEW YORK, INC. AGREEMENT CONCERNING PHYSICIAN PERFORMANCE MEASUREMENT, REPORTING

More information

OVERALL IMPLEMENTATION CONSIDERATIONS

OVERALL IMPLEMENTATION CONSIDERATIONS Donald Berwick, M.D., M.P.H. Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, S.W., Room 445-G Washington,

More information

WHY IS MEANINGFUL USE IMPORTANT TO COORDINATED CARE?

WHY IS MEANINGFUL USE IMPORTANT TO COORDINATED CARE? WHY IS MEANINGFUL USE IMPORTANT TO COORDINATED CARE? Before behavioral health providers can truly participate in coordinated care, the secure exchange of health information must be facilitated. Meaningful

More information

New York ehealth Collaborative

New York ehealth Collaborative New York ehealth Collaborative Policy and Governance Structure January 2012 0 Table of Contents Executive Summary 2-4 Introduction 5-6 Achieving Statewide Interoperability Goals 7-8 SHIN-NY Governance

More information

Sustaining the Race to the Top Reforms

Sustaining the Race to the Top Reforms Sustaining the Race to the Top Reforms Race to the Top (RTTT) presents states with a unique opportunity to accelerate their efforts to graduate all high school students prepared for college, careers and

More information

Establishment of a Temporary and Permanent Testing Program

Establishment of a Temporary and Permanent Testing Program April 9, 2010 David Blumenthal, MD, MPP Office of the National Coordinator for Health Information Technology (ONCHIT) Attn: Certification Programs Proposed Rule Hubert H. Humphrey Building, Suite 729D

More information

Health Information Technology in the United States: Information Base for Progress. Executive Summary

Health Information Technology in the United States: Information Base for Progress. Executive Summary Health Information Technology in the United States: Information Base for Progress 2006 The Executive Summary About the Robert Wood Johnson Foundation The Robert Wood Johnson Foundation focuses on the pressing

More information

Kevin B. Weiss, MD, MPH Senior Vice President for Institutional Accreditation

Kevin B. Weiss, MD, MPH Senior Vice President for Institutional Accreditation Kevin B. Weiss, MD, MPH Senior Vice President for Institutional Accreditation Kevin B. Weiss, MD, MPH has devoted his medical career to issues of health care quality, equity and access to care, and training

More information

T he Health Information Technology for Economic

T he Health Information Technology for Economic A BNA, INC. HEALTH IT! LAW & INDUSTRY REPORT Reproduced with permission from Health IT Law & Industry Report, 2 HITR 23, 01/18/2010. Copyright 2010 by The Bureau of National Affairs, Inc. (800-372- 1033)

More information

Request for Feedback on the CMS Quality Strategy: 2013 Beyond

Request for Feedback on the CMS Quality Strategy: 2013 Beyond Ms. Marilyn Tavenner Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, MD 21244-1850 Request for Feedback on the CMS Quality

More information

Integrated Leadership for Hospitals and Health Systems: Principles for Success

Integrated Leadership for Hospitals and Health Systems: Principles for Success Integrated Leadership for Hospitals and Health Systems: Principles for Success In the current healthcare environment, there are many forces, both internal and external, that require some physicians and

More information

CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS

CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS American Urological Association Quality Improvement Summit

More information

Scope of Measurement: Defining Interoperability and Population

Scope of Measurement: Defining Interoperability and Population Karen DeSalvo, MD, MPH, MSc Acting Assistant Secretary for Health U.S. Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention, RFI Regarding

More information

A Guide to Choosing the Right EMR Software. A Guide to Choosing the Right EMR Software

A Guide to Choosing the Right EMR Software. A Guide to Choosing the Right EMR Software A Guide to Choosing the Right EMR Software A Guide to Choosing the Right EMR Software Eight Important Benchmarks for Community and Critical Access Hospitals Eight Important Benchmarks for Community and

More information

June 26, 2009. RE: HIT Policy Committee Meaningful Use Comments. Dear Dr. Blumenthal:

June 26, 2009. RE: HIT Policy Committee Meaningful Use Comments. Dear Dr. Blumenthal: June 26, 2009 David Blumenthal, MD, MPP National Coordinator Office of the National Coordinator for Health Information Technology 200 Independence Avenue, SW Suite 729D Washington, DC 20201 RE: HIT Policy

More information