Notice: This CMS-approved document has been submitted - Philips ...

Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...

healthcare.philips.com
from healthcare.philips.com More from this publisher
19.02.2013 Views

CMS-1403-FC disease (IVD), cardiovascular disease and stroke care, stroke treatment, osteoporosis, and oral drug therapy. One commenter noted that the proposed measures groups are applicable to physicians only and encouraged us to consider other eligible professionals as new measures groups are identified. Some commenters suggested specific measures for inclusion in their suggested measures groups, but many commenters did not suggest specific groups of at least 4 measures. Response: While we welcome the additional measures groups suggested by commenters, we are not able to consider such additional measures groups for inclusion in the 2009 PQRI since there is no opportunity for public comment on the measures groups’ potential inclusion in the 2009 PQRI. However, to the extent that commenters suggested specific measures for inclusion in a particular measures group, we will take the commenters’ suggestions into consideration for purposes of identifying measures groups for possible inclusion in future years’ PQRI. As stated in the CY 2009 PFS proposed rule (73 FR 38560), each measures group suggested by commenters must contain at least 4 measures and must consist of the proposed measures cited in section II.O.4. of the proposed rule, “Proposed 2009 PQRI Quality Measures.” The measures 646

CMS-1403-FC groups must have a particular clinical condition or focus in common, as identified by the denominator definition and coding of the measures groups. We encourage professional organizations and measure developers to engage in the development of measures groups, including measures groups that are applicable to other nonphysician professionals. We will continue working with stakeholders to fill gaps for measures groups. Comment: We received multiple suggestions for altering the proposed measure groups. Response: As stated previously, we requested in the CY 2009 PFS proposed rule that suggestions for new measures groups or measures included in a particular measures group, must be based on individual measures included in the proposed 2009 PQRI quality measure set. In response to the suggestions provided by commenters, the Use of Imaging Studies in Low Back Pain measure has been removed from the Back Pain measures group due to the frequency for the process of care being inconsistent with the other measures in this measures group. No new measures groups have been established outside of what was included in the CY 2009 PFS proposed rule. However, we encourage professional organizations and measure developers to engage in the 647

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

disease (IVD), cardiovascular disease and stroke care,<br />

stroke treatment, osteoporosis, and oral drug therapy. One<br />

commenter noted that the proposed measures groups are<br />

applicable to physicians only and encouraged us to consider<br />

other eligible professionals as new measures groups are<br />

identified. Some commenters suggested specific measures<br />

for inclusion in their suggested measures groups, but many<br />

commenters did not suggest specific groups of at least 4<br />

measures.<br />

Response: While we welcome the additional measures groups<br />

suggested by commenters, we are not able to consider such<br />

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

since there is no opportunity for public comment on the<br />

measures groups’ potential inclusion in the 2009 PQRI.<br />

However, to the extent that commenters suggested specific<br />

measures for inclusion in a particular measures group, we<br />

will take the commenters’ suggestions into consideration<br />

for purposes of identifying measures groups for possible<br />

inclusion in future years’ PQRI.<br />

As stated in the CY 2009 PFS proposed rule (73 FR<br />

38560), each measures group suggested by commenters must<br />

contain at least 4 measures and must consist of the<br />

proposed measures cited in section II.O.4. of the proposed<br />

rule, “Proposed 2009 PQRI Quality Measures.” The measures<br />

646

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!