Call for Public Comment on Hospital Harm eCQMS

November 5, 2018 - 12:00pm

Project Title: Hospital Harm – Severe Hyperglycemia and Medication-Related Bleeding

The call for public comment periodinfo-icon opens on October 1, 2018 and closes on November 20, 2018.

The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation – Center for Outcomes Research and Evaluation (CORE) to develop two hospital-level electronic clinical quality measuresinfo-icon (eCQMsinfo-icon) on dimensions of patient harm or adverse patient safety events that can be improved with high-quality care. The contract name is Development, Reevaluation, and Implementation of Outcome/Efficiency Measures for Hospital and Eligible Cliniciansinfo-icon, Option Period 5. The contract number is HHSM-500-2013-13018I, Task Order HHSM-500-T0001. As part of its measure development process, CMS requests interested parties to submit comments on the candidate or concept measures that may be suitable for this project.

Project Objectives:

The goal of this project is to develop eCQMs for use by hospitals for CMS quality programs. We consulted with clinical experts and a Technical Expert Panel comprised of multiple stakeholders to develop the two measures of hospital harm. CMS is currently requesting feedback on two new eCQMs, in the areas of hyperglycemia and medication-related bleeding.

Documents and Measures for Comment:

The following documents are provided for your review and comment. The files can be found in the Download section.

  • Measure Authoring Tool (MAT) header documentation for each of the two measures.
  • Framing document for each of the two measures that includes instructions for searching the Value Setinfo-icon Authority Center (VSAC) and commenting via the JIRA website.

Project-Specific Instructions:

  • If you are providing comments on behalf of an organization, include the organization’s name and contact information.
  • If you are commenting as an individual, submit identifying or contact information, or indicate you wish to be anonymous.
  • Comments are due by 11:59 PM EST November 20, 2018.
  • Please do not include personal health information (for example, date of birth, social security number, health insurance claim number) in your comments.

How to Leave a Comment:

  • To participate in the public comment, please visit the eCQMinfo-icon Tracker JIRA website, hosted by the Office of the National Coordinator for Health Information Technology: https://oncprojectracking.healthit.gov/support/secure/Dashboard.jspa (please note this is an updated weblink where users should be able to directly access JIRA) or e-mail your comments to CMSHospitalHarmMeasure@yale.edu.
  • For instructions on accessing JIRA and creating an account, please see the guidance included in the measure-specific framing documents in the Downloads section below. All comments should be submitted using JIRA or via e-mail at CMSHospitalHarmMeasure@yale.edu.
  • For access to the VSAC site, see the measure-specific framing documents in the Downloads section below.
Last Updated: November 6, 2018