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CMS-1403-FC to having a broad and robust set of quality measures for the PQRI. However, we largely depend on the development of measures by professional organizations and other measure developers. Although we had significant involvement in the development of measures applicable to eligible professionals at the start of the PQRI, ideally we would not need to be closely involved in the development of clinician-level quality measures but would select from measures that meet the statutory requirements. Thus, we encourage professional organizations and other measure developers to fund and develop measures that address some of the gaps identified by the commenters. Comment: One comment suggested that we add additional measures in July of each year for implementation in that year’s PQRI. For example, in July 2009, we should announce additional measures for inclusion in the 2009 PQRI. Response: Section 1848(k)(2)(B)(ii)requires us to publish a proposed set of quality measures for inclusion in a particular year’s PQRI program in the Federal Register by no later than August 15 th of the prior year. Additionally, section 1848(k)(2)(B)(iii) requires us to publish a final set of quality measures for inclusion in a particular year’s PQRI program in the Federal Register by no later than November 15 th of the prior year. We are not authorized 602

CMS-1403-FC to make any changes to the final set of PQRI quality measures for a particular year once the set has been published in the Federal Register. However, as explained in the CY 2009 PFS proposed rule (73 FR 38570) we introduced a test measures process during 2008, which gives eligible professionals the opportunity to submit the quality data codes for measures included in the 2008 Measure Testing Process. No financial incentive is associated with the reporting of these 2008 test measures though. Instead, the test measures process helps provide experience with using the measures which can contribute to future consideration for the PQRI. We proposed and are finalizing as 2009 PQRI measures certain measures included in the 2008 Test Measures Process. d. The Final 2009 PQRI Quality Measures In the CY 2009 PFS proposed rule (73 FR 38566 through 38567), we solicited comments on the implication of including or excluding 175 specific quality measures in 4 categories. We also explained that while we recognized that some commenters may wish to recommend additional measures for inclusion in the 2009 PQRI measures that we had not proposed, we would not be able to consider such additional measures for inclusion in the 2009 measure set. 603

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

to having a broad and robust set of quality measures for<br />

the PQRI. However, we largely depend on the development of<br />

measures by professional organizations and other measure<br />

developers. Although we had significant involvement in the<br />

development of measures applicable to eligible<br />

professionals at the start of the PQRI, ideally we would<br />

not need to be closely involved in the development of<br />

clinician-level quality measures but would select from<br />

measures that meet the statutory requirements. Thus, we<br />

encourage professional organizations and other measure<br />

developers to fund and develop measures that address some<br />

of the gaps identified by the commenters.<br />

Comment: One comment suggested that we add additional<br />

measures in July of each year for implementation in that<br />

year’s PQRI. For example, in July 2009, we should announce<br />

additional measures for inclusion in the 2009 PQRI.<br />

Response: Section 1848(k)(2)(B)(ii)requires us to<br />

publish a proposed set of quality measures for inclusion in<br />

a particular year’s PQRI program in the Federal Register by<br />

no later than August 15 th of the prior year. Additionally,<br />

section 1848(k)(2)(B)(iii) requires us to publish a final<br />

set of quality measures for inclusion in a particular<br />

year’s PQRI program in the Federal Register by no later<br />

than November 15 th of the prior year. We are not authorized<br />

602

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