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CMS-1403-FC
solely by physician-controlled organizations. Any such
restriction would unduly limit the basic development of
physician quality measures and the scope and utility of
measures that may be considered for endorsement as
voluntary consensus standards. We do not interpret the
provisions in section 1848(k)(2)(B)(i) of the Act to place
special restrictions on the type or make up of the
organizations carrying out this basic development of
physician measures, such as restricting the initial
development to physician-controlled organizations.
Similarly, we do not interpret section 1848(k)(2)(B)(i) of
the Act to require that each measure included in the 2009
PQRI have been developed by a physician specialty.
Section 1848(k)(2)(B)(i) of the Act, thereby,
maintains flexibility in potential sources of measure
consensus review, which is, like having multiple sources of
measure development, key to maintaining a robust
marketplace for development and review of quality measures.
Comment: Several comments addressed gaps in the PQRI
measure set, such as the lack of measures related to
patient-centeredness, equity/disparities, and episodes of
care based efficiency. One comment expressed concern that
the PQRI measures appear to be targeted to single
conditions and to patients where classical treatment goals
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