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Quality Measures Subcommittee
Measures For Consideration
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Measures For Consideration
Rachel from Hart Health flagged the two announcements below for potential QCDC consideration.
Please review and let us know if you think we should proceed with a comment letter?
1) The first is an announcement that CMS has released its annual Measures Under Consideration (MUC) list for public comment. As a reminder, the MUC list includes measures that CMS is considering to propose for adoption (across its various quality programs) in its next round of rulemaking. Comments are submitted through the PQM (which took over the NQF) and are due Dec. 22. The PQM will then consider public comments and make formal recommendations to CMS about these measures.
There really aren’t any measures under consideration this year that are directly relevant to emergency care, but I did want to flag the following in case it is of interest to EDPMA:
- Age-Friendly Hospital
Measure:
This structural measure, developed by the American College of Surgeons and
under consideration for the Inpatient Quality Reporting (IQR) program,
assesses hospital commitment to improving care for patients ≥
65 years of age receiving services in the hospital, operating room,
or emergency department. It consists of 5 domains that each
address an essential aspect of clinical care for the older patient. A
verifiable attestation is met when all domain components are met for the
majority of patients ≥ 65.
2) The second announcement is in regard to the PQM’s consideration of Fall 2023 cycle measures. These are existing measures that were previously NQF-endorsed and are now up for re-endorsement or new measures up for initial endorsement. Comments on these measures are due Jan. 2.
There are two measures that might be of interest to EDPMA under the “Initial Recognition and Management” project:
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Head CT or MRI
Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke Patients who
Received Head CT or MRI Scan Interpretation within 45 minutes of ED Arrival [previously endorsed facility-level ED/Hospital
Outpatient Dept measure]:
additional details available here.· Waveform Capnography in Ventilated Patients: Percent of patient
transport contacts with advanced airways in whom continuous waveform
capnography was used [new
facility-level measure related to EMS/critical care]: additional
details available here.eur02.safelinks.protection.outlook.com
Head CT or MRI Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke Patients who Received Head CT or MRI Scan Interpretation within 45 minutes of ED Arrival | Partnership for Quality Measurement
- Age-Friendly Hospital
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2 Replies
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Hi all, I am quite familiar with this measure under consideration. I had met with Dr. Arjun Venkatash recently who is the Chief of EM at Yale, spearheaded ACEP E-QUAL and is very involved with CORE who is contracted by CMS for this type of measure development. He shared his thinking about the potential measure. While EM is the tip of the spear in terms of access to care with boarding at all time highs he expects this study will expose issues adjacent to the ED such as IP bed availability and insufficient community services as the underlying issues that need to be addressed. I could ask Arjun to attend a meeting to add color reasons for this new measure.
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Great connection @alan-eismand2ihc-com .
Would the group like to meet to explore and develop EDPMA’s strategy?
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