CMS Accepting Suggestions for Potential PQRS Measures through July 1

CMS to Begin Accepting Suggestions for PQRS Measures

Encourages Providers to Submit PQRS Measures to Boost Program Participation 

CMS will accept quality measure suggestions for potential inclusion in the proposed set of quality measures in the Physician Quality Reporting System (PQRS) for future rule-making years. Deadline for submitting suggestions is July 1, CMS is seeking a quality set of measures that are outcome-based and fall into one of the National Quality Strategy (NQS) Priorities domains where there are known measure and performance gaps. The measure gaps that CMS most wishes to fill include clinical outcomes, patient-reported outcomes, care coordination, safety, appropriateness, efficiency, and patient experience and engagement.

Measures submitted for consideration will be assessed to ensure that they meet the needs of the Physician Quality Reporting Program. In addition, CMS encourages eligible providers to submit measures that do not have an adequate representation within the program for participation. When submitting measures for consideration, please ensure that your submission is not duplicative of another existing or proposed measure. Each measure submitted for consideration must include all required supporting documentation. Documentation requirements will be posted on the Measures Management System Call for Measures web page. Only those measures submitted in the provided format will be accepted for consideration. 

CMS’ Measure Selection Core Criteria (each measure must meet all elements):

  • Measure addresses an important condition/topic with a performance gap and has a strong scientific
  • evidence base to demonstrate that the measure, when implemented, can lead to the desired outcomes
  • and/or more appropriate costs (i.e., the National Quality Forum’s Importance criteria)
  • Measure addresses one or more of the six National Quality Strategy Priorities (safer care, effective
  • communication and care coordination, preventing and treating leading causes of mortality and morbidity,
  • person- and family-experience of care, better health in communities, making care more affordable)
  • Promotes alignment with specific program attributes and across CMS and HHS programs
  • Program measure set includes consideration for health care disparities
  • Measure reporting is feasible

Read complete details on how to submit here.