The Centers for Medicare & Medicaid Services (CMS) and America’s Health Insurance Plans (AHIP), as part of a broad Core Quality Measures Collaborative of health care system participants, released seven sets of clinical quality measures on Tuesday, February 16, 2016 (https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Core-Measures.html).
This first set of core measures, used as basis for quality-based payments, were developed by a new broad collaborative of health care system participants, including employers and consumers such as the Memphis Business Group on Health, Pacific Business Group on Health, National Partnership for Women and Families, AARP, and National Patient Advocate Foundation. The
Collaborative also includes physician groups and professional
organizations such as the American Academy of Family
Physicians, American Academy of Orthopaedic Surgeons, American College of Cardiology,
American Heart Association, American College of Physicians, American Gastroenterological
Association, HIV Medicine Association, Infectious Diseases Society of America, American Academy
of Pediatrics, American Society of Clinical Oncology, Council of Medical Specialty Societies, CAPG,
and the American Medical Association. Regional collaboratives such as
the Wisconsin Collaborative for Healthcare Quality and Minnesota Community Measurement, are
also participants in the Collaborative and have provided their input and recommendations.
The guiding principles used by the Collaborative in developing the core measure sets are that they be meaningful to patients, consumers, and physicians, while reducing variability in measure selection, collection burden, and cost.
The goal is to establish broadly agreed upon core measure sets that could be harmonized across both commercial and government payers.The core measures are in the following seven sets:
- Accountable Care Organizations (ACOs), Patient Centered Medical Homes (PCMHs), and Primary Care
- HIV and Hepatitis C
- Medical Oncology
- Obstetrics and Gynecology
The Collaborative will continue to convene to monitor progress, invite broader participation, and add additional measures and measure sets.
Click here to see the selected measures.