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CMS-1403-FC notice and comment rulemaking as a means to update or modify measure specifications. We retain the ability to update or modify specifications to the measures until December 31, 2008. After that date, there will be no changes to the measure for the 2009 reporting period(s). Comment: A number of comments requested or recommended that CMS include “paired” measures in the 2009 PQRI. Commenters noted that while under review by the NQF Steering Committee several measures proposed for 2009 were recommended to be implemented as “paired measures” by the NQF. Commenters referenced the following proposed measures as paired measures based on the NQF Steering Committee’s recommendations: (1) Hepatitis C: Hepatitis A Vaccination and Hepatitis C: Hepatitis B Vaccination (2) Hepatitis C: Ribonucleic Acid (RNA) Testing Before Initiating Treatment and Hepatitis C: HCV Genotype Testing Prior to Therapy (3) Oncology: Medical and Radiation - Pain Intensity Quantified and Oncology: Medical and Radiation - Plan of Care for Pain. Response: The 2009 PQRI will include four measures sets that can be considered paired measures. Each paired measures set consists of two closely related individual 614
CMS-1403-FC measures, but which are composed of two similar and complementary aspects of care. The measures assess uniquely different constructs in the assessment and/or management of a particular condition. Thus, while we note the recommendation that the measures in a particular paired measures set be reported together, we do not require for the 2009 PQRI that the measures in a particular paired measures set be reported together. These paired measures do not constitute a measures group. These measures may be subject to the measures validation strategy posted on PQRI section of the CMS Web site at http://www.cms.hhs.gov/PQRI/25_AnalysisAndPayment.asp#TopOf Page. Under the measures validation strategy for eligible professionals that satisfactorily report less than three measures, failure to report the additional measure(s) in a valid set would cause the eligible professional to fail to meet the validation requirements. follows: The four paired measures sets for the 2009 PQRI are as (1) Hepatitis C: Hepatitis A Vaccination and Hepatitis C: Hepatitis B Vaccination 615
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<strong>CMS</strong>-1403-FC<br />
measures, but which are composed of two similar and<br />
complementary aspects of care. The measures assess<br />
uniquely different constructs in the assessment and/or<br />
management of a particular condition. Thus, while we note<br />
the recommendation that the measures in a particular paired<br />
measures set be reported together, we do not require for<br />
the 2009 PQRI that the measures in a particular paired<br />
measures set be reported together.<br />
These paired measures do not constitute a measures<br />
group. These measures may be subject to the measures<br />
validation strategy posted on PQRI section of the <strong>CMS</strong> Web<br />
site at<br />
http://www.cms.hhs.gov/PQRI/25_AnalysisAndPayment.asp#TopOf<br />
Page. Under the measures validation strategy for eligible<br />
professionals that satisfactorily report less than three<br />
measures, failure to report the additional measure(s) in a<br />
valid set would cause the eligible professional to fail to<br />
meet the validation requirements.<br />
follows:<br />
The four paired measures sets for the 2009 PQRI are as<br />
(1) Hepatitis C: Hepatitis A Vaccination and<br />
Hepatitis C: Hepatitis B Vaccination<br />
615
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