MUCking Around for New Quality Measures

Cheryl Clark, for HealthLeaders Media , December 12, 2013

There's even a proposal to gauge adequacy of services for those who might be at risk of violent behavior.

This bundle of measures will be vetted over the next six weeks by dozens of members of the National Quality Forum's Measure Application Partnership (MAP), which is an assembly of various committees, each of which specializes in a particular measure area.

The MAP is under CMS contract, by the authority of the Patient Protection and Affordable Care Act, to do this task each year, and send a report with its recommendations back to CMS by February after collecting hundreds of stakeholder comments.

"We vet them, make sure they make sense, comb through and make recommendations back to CMS on the ones that we think are the highest priority and the most useful," says William Kramer, a member of the MAP Coordinating Committee who is a former Kaiser Permanente CFO and now National Policy Executive Director for the Pacific Business Group on Health.

Some measures will be deemed so important, he says, they will be fast-tracked for NQF endorsement, which speeds their way to use in various performance programs, like those under discussion in the bipartisan plan to replace the Sustainable Growth Rate and current physician fee schedules with those that reward doctors as much as 12% of their pay for good performance on certain measures, such as those measuring functional outcomes, by 2021.

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