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CMS-1403-FC Comment: Numerous commenters were in support of the inclusion of the following proposed additional AQA-adopted measures in the final 2009 PQRI measures: ● T138 Melanoma: Coordination of Care. ● T139 Cataracts: Cataracts: Comprehensive Preoperative Assessment for Cataract Surgery with Intraocular Lens (IOL) Placement. ● T140 Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement ● T141 Primary Open-Angle Glaucoma (POAG) : Reduction of Intraocular Pressure (IOP) by 15 percent OR Documentation of a Plan of Care ● T143 Oncology: Medical and Radiation – Plan of Care for Pain Quantified ● Oncology: Medical and Radiation- Pain Intensity ● Oncology: Recording of Clinical Stage for Lung Cancer and Esophageal Cancer However, we received 2 comments specifically suggesting that the proposed measure, T144 Radiology: Computed Tomography (CT) Radiation Dose Reduction, not be finalized as part of the 2009 PQRI quality measures for failure to achieve a recommendation for endorsement by the NQF Steering Committee on Outpatient Imaging Efficiency. 634
CMS-1403-FC Response: As suggested by commenters Measure T144 Radiology: Computed Tomography (CT) Radiation Dose Reduction will not be finalized as part of the 2009 PQRI quality measures set because the measure was specifically reviewed by NQF on or before August 31, 2008 but declined for endorsement. All other additional AQA-adopted measures specifically supported by commenters are being finalized for the 2009 PQRI. We are including in the final 2009 PQRI quality measure set 19 of the 21 proposed measures adopted by AQA that had not yet been reviewed or endorsed by the NQF at the time the CY 2009 PFS proposed rule was published and that were not included in the final set of 2008 PQRI quality measures. These measures are identified in Table 17. TABLE 17: Final Additional AQA-Adopted Measures Measure Title Measure Source Chronic Kidney Disease (CKD): Influenza Immunization AMA-PCPI Melanoma: Follow-Up Aspects of Care AMA-PCPI/NCQA Melanoma: Continuity of Care – Recall System AMA-PCPI/NCQA Melanoma: Coordination of Care AMA-PCPI/NCQA Cataracts: Comprehensive Preoperative Assessment for Cataract Surgery with Intraocular Lens (IOL) Placement Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement Primary Open-Angle Glaucoma (POAG) : Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care AMA-PCPI/NCQA AMA-PCPI/NCQA AMA-PCPI/NCQA Oncology: Medical and Radiation – Plan of Care for Pain AMA-PCPI 635
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<strong>CMS</strong>-1403-FC<br />
Response: As suggested by commenters Measure T144<br />
Radiology: Computed Tomography (CT) Radiation Dose<br />
Reduction will not be finalized as part of the 2009 PQRI<br />
quality measures set because the measure was specifically<br />
reviewed by NQF on or before August 31, 2008 but declined<br />
for endorsement. All other additional AQA-adopted measures<br />
specifically supported by commenters are being finalized<br />
for the 2009 PQRI.<br />
We are including in the final 2009 PQRI quality<br />
measure set 19 of the 21 proposed measures adopted by AQA<br />
that had not yet <strong>been</strong> reviewed or endorsed by the NQF at<br />
the time the CY 2009 PFS proposed rule was published and<br />
that were not included in the final set of 2008 PQRI<br />
quality measures. These measures are identified in<br />
Table 17.<br />
TABLE 17: Final Additional AQA-Adopted Measures<br />
Measure Title Measure Source<br />
Chronic Kidney Disease (CKD): Influenza Immunization AMA-PCPI<br />
Melanoma: Follow-Up Aspects of Care AMA-PCPI/NCQA<br />
Melanoma: Continuity of Care – Recall System AMA-PCPI/NCQA<br />
Melanoma: Coordination of Care AMA-PCPI/NCQA<br />
Cataracts: Comprehensive Preoperative Assessment for Cataract Surgery<br />
with Intraocular Lens (IOL) Placement<br />
Age-Related Macular Degeneration (AMD): Counseling on Antioxidant<br />
Supplement<br />
Primary Open-Angle Glaucoma (POAG) : Reduction of Intraocular<br />
Pressure (IOP) by 15% OR Documentation of a Plan of Care<br />
AMA-PCPI/NCQA<br />
AMA-PCPI/NCQA<br />
AMA-PCPI/NCQA<br />
Oncology: Medical and Radiation – Plan of Care for Pain AMA-PCPI<br />
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