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CMS-1403-FC period of 12 months and reporting that identifies whether A1c control is good (that is, A1c ≤ 7.0 percent), moderate (that is, A1c ≤ 9.0 percent, but > 7.0 percent), or poor (that is, A1c > 9.0 percent). Another commenter requested that CMS re-evaluate the use of inpatient site of service codes (99241 through 99245) for Measure #5 Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD), Measure #6 CAD: Oral Antiplatelet Therapy Prescribed for Patients with CAD, Measure #7 CAD: Beta-Blocker Therapy for CAD Patients with Prior MI, and Measure #8 Heart Failure: Beta-Blocker Therapy for LVSD. Also another commenter requested the addition of specifications for inpatient reporting for Measure #56 Community-Acquired Pneumonia (CAP): Vital Signs, Measure #57 CAP: Assessment of Oxygen Saturation, Measure #58 CAP: Assessment of Mental Status, and Measure #59 CAP: Empiric Antibiotic. One commenter expressed gratitude that audiologists are now eligible to participate in PQRI and willingness to work with the measure developer to expand Measure #94 Otitis Media with Effusion (OME): Diagnostic Evaluation – Assessment of Tympanic Membrane Mobility and Measure #95 Otitis Media with Effusion (OME): Hearing Testing. Lastly, one commenter requested that we 612

CMS-1403-FC not use Measures #73 Cancer: Plan for Chemotherapy Documented and Measure T143 Cancer Care: Medical and Radiation – Plan of Care for Pain until the measure developers revise the measure specifications to include all chemotherapy and biologic disease modalities recognized in clinical guidelines. Also, this same commenter requested that we not use the Rheumatoid Arthritis measures group until the measures’ developer revises the measures to include all biologic disease-modifying antirheumatic drugs (DMARDS) used as a monotherapy or in combination with nonbiologic DMARDS, such as methotrexate. Response: Quality measures that have completed the consensus processes of NQF or AQA have a designated party (generally the measure developer/owner) who has accepted responsibility for maintaining the measure. In general, it is the role of the measure owner, developer, or maintainer to make changes to a measure. The measure maintainer and/or the developer/owner of a measure included in the final set of quality measures selected for the 2009 PQRI is identified as the “Measure Source” in Tables 15 through 18. In addition, NQF has, for its endorsed measures, an established maintenance process which may be accessed. The Secretary is required to select measures through notice and comment rulemaking. We do not, however, use 613

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

period of 12 months and reporting that identifies whether<br />

A1c control is good (that is, A1c ≤ 7.0 percent), moderate<br />

(that is, A1c ≤ 9.0 percent, but > 7.0 percent), or poor<br />

(that is, A1c > 9.0 percent). Another commenter requested<br />

that <strong>CMS</strong> re-evaluate the use of inpatient site of service<br />

codes (99241 through 99245) for Measure #5 Heart Failure:<br />

Angiotensin-Converting Enzyme (ACE) Inhibitor or<br />

Angiotensin Receptor Blocker (ARB) Therapy for Left<br />

Ventricular Systolic Dysfunction (LVSD), Measure #6 CAD:<br />

Oral Antiplatelet Therapy Prescribed for Patients with CAD,<br />

Measure #7 CAD: Beta-Blocker Therapy for CAD Patients with<br />

Prior MI, and Measure #8 Heart Failure: Beta-Blocker<br />

Therapy for LVSD. Also another commenter requested the<br />

addition of specifications for inpatient reporting for<br />

Measure #56 Community-Acquired Pneumonia (CAP): Vital<br />

Signs, Measure #57 CAP: Assessment of Oxygen Saturation,<br />

Measure #58 CAP: Assessment of Mental Status, and Measure<br />

#59 CAP: Empiric Antibiotic. One commenter expressed<br />

gratitude that audiologists are now eligible to participate<br />

in PQRI and willingness to work with the measure developer<br />

to expand Measure #94 Otitis Media with Effusion (OME):<br />

Diagnostic Evaluation – Assessment of Tympanic Membrane<br />

Mobility and Measure #95 Otitis Media with Effusion (OME):<br />

Hearing Testing. Lastly, one commenter requested that we<br />

612

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