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CMS-1403-FC We also proposed (73 FR 38563) to require registries to complete a self-nomination process based on meeting specific technical and other requirements to submit on behalf of eligible professionals pursuing incentive payment for reporting clinical quality information on services furnished during 2009 for reporting both on individual measures and measures groups. We proposed that this self- nomination would be required regardless of whether or not the registry participated in any way in PQRI in 2008 (73 FR 38563). In the CY 2008 PFS proposed rule (73 FR 38564), we requested comments on the proposed options for registry- based PQRI reporting of data on measures and measures groups for services furnished in 2009. We received several comments on the proposed options for registry-based PQRI reporting of data on measures and measures groups for services furnished in 2009. Comments related to the proposed options for registry-based PQRI reporting of data on measures groups were summarized and addressed above in section II.O1.b.ii of this final rule with comment period. A summary of the comments received related to our proposed use of registries and the proposed options for registry- based PQRI reporting of data on individual quality measures and our responses to those comments are discussed below. 566

CMS-1403-FC Comment: We received numerous comments in support of continuing to allow registries to report quality measures results and numerator and denominator data on quality measures to CMS on behalf of eligible professionals who submit quality data to them. Some commenters thought permitting registry reporting would allow us to better track patient outcomes by looking at results over a period of time rather than only track processes of care and that registry reporting is less burdensome. Additionally, one commenter suggested we allow those registries that were “qualified” to report to PQRI in 2008 be “qualified” to report to PQRI in 2009. Response: For the 2009 PQRI, we are finalizing our proposal to accept quality measures results and numerator and denominator data on quality measures from registries as described in the proposed rule (73 FR 38562 through 38564). The specifications and qualifications for registries to participate in the 2009 PQRI will be listed on the PQRI section of the CMS Web site at www.cms.hhs.gov/pqri under the reporting tab, by November 15, 2008. Based on the commenter’s suggestion that registries that were “qualified” to report to PQRI in 2008 be “qualified” to report to PQRI in 2009, registries that were “qualified” for 2008 will not need to be “re-qualified” for 567

<strong>CMS</strong>-1403-FC<br />

Comment: We received numerous comments in support of<br />

continuing to allow registries to report quality measures<br />

results and numerator and denominator data on quality<br />

measures to <strong>CMS</strong> on behalf of eligible professionals who<br />

submit quality data to them. Some commenters thought<br />

permitting registry reporting would allow us to better<br />

track patient outcomes by looking at results over a period<br />

of time rather than only track processes of care and that<br />

registry reporting is less burdensome. Additionally, one<br />

commenter suggested we allow those registries that were<br />

“qualified” to report to PQRI in 2008 be “qualified” to<br />

report to PQRI in 2009.<br />

Response: For the 2009 PQRI, we are finalizing our<br />

proposal to accept quality measures results and numerator<br />

and denominator data on quality measures from registries as<br />

described in the proposed rule (73 FR 38562 through 38564).<br />

The specifications and qualifications for registries to<br />

participate in the 2009 PQRI will be listed on the PQRI<br />

section of the <strong>CMS</strong> Web site at www.cms.hhs.gov/pqri under<br />

the reporting tab, by November 15, 2008.<br />

Based on the commenter’s suggestion that registries<br />

that were “qualified” to report to PQRI in 2008 be<br />

“qualified” to report to PQRI in 2009, registries that were<br />

“qualified” for 2008 will not need to be “re-qualified” for<br />

567

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