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Call for Public Comment on Hospital Harm eCQMs

February 13, 2018 - 12:50pm
The call for public comment periodinfo-icon opens on January 18, 2018 and closes on March 2, 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 four 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 Year 4. 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 four measures of hospital harm. CORE is working with Mathematica Policy Research, Inc. in this measure development and testing efforts. CMS is currently requesting feedback on four new eCQMs, in the areas of hypoglycemia, opioid-related adverse events, hospital-acquired pressure injury, and acute kidney injury.

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 (MATinfo-icon) header documentation for each of the four measures
  • Framing document for each of the four measures that includes instructions for searching the Value Setinfo-icon Authority Center (VSACinfo-icon) 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 on February 16, 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 Technologyinfo-icon:
  • 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.
  • For access to the Value Set Authority Center site, see the measure-specific framing documents in the Downloads section below.

Last Updated: February 13, 2018