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 ...
CMS-1403-FC development of measure groups. We plan to continue working with stakeholders to fill gaps for measures groups. Comment: Several commenters recommended retaining the ESRD Measures Group for the 2009 PQRI by replacing the 2008 PQRI Measure #80: Plan of Care for ESRD Patients with Anemia which was declined for NQF endorsement with the proposed 2009 PQRI Measure # 82 ESRD: Plan of Care for Inadequate Peritoneal Dialysis listed in section II.O1.d. of this final rule, “The Final 2009 PQRI Quality Measures.” Response: As stated in the proposed rule (73 FR 38560), the ESRD measures groups is not being included in the 2009 PQRI because one of the measures in the group is no longer NQF-endorsed. The denominator definition and coding of the ESRD measures proposed and selected for the 2009 PQRI do not meet the requirements for a measures group as stated in section II.O1.b.ii. of this final rule with comment period. However, the proposed 2009 PQRI Measure #82 ESRD: Plan of Care for Inadequate Peritoneal Dialysis is available to be reported as an individual quality measure in the 2009 PQRI. Based on the comments we received, we are retaining three 2008 PQRI measures groups for the 2009 PQRI – (1) Diabetes Mellitus, (2) CKD, and (3) Preventive Care. In some cases, different or additional measures may be 648
CMS-1403-FC selected for inclusion in a particular measures group for use in 2009, compared to 2008. Therefore, the composition of the Diabetes Mellitus, CKD, and Preventive Care measures groups may be different for the 2009 PQRI than for the 2008 PQRI. The measures selected for inclusion in the 2009 Diabetes Mellitus, CKD, and Preventive Care measures groups are listed in Tables 19 through 21. Some measures selected for inclusion in a 2009 measures group are current 2008 PQRI measures. The title of each such measure is preceded with its PQRI Measure Number in Tables 19 through 25. The PQRI Measure Number is a unique identifier assigned by CMS to all measures in the PQRI measure set. Once a PQRI Measure Number is assigned to a measure, it will not be used again, even if the measure is subsequently retired from the PQRI measure set. Measures that are not preceded by a number have never been part of a PQRI measure set until now. A number will be assigned to such measures for the 2009 PQRI. As with measures group reporting in the 2008 PQRI, each eligible professional electing to report a group of measures for 2009 must report all measures in the group that are applicable to each patient or encounter to which the measures group applies at least up to the minimum number of 649
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<strong>CMS</strong>-1403-FC<br />
development of measure groups. We plan to continue working<br />
with stakeholders to fill gaps for measures groups.<br />
Comment: Several commenters recommended retaining the<br />
ESRD Measures Group for the 2009 PQRI by replacing the 2008<br />
PQRI Measure #80: Plan of Care for ESRD Patients with<br />
Anemia which was declined for NQF endorsement with the<br />
proposed 2009 PQRI Measure # 82 ESRD: Plan of Care for<br />
Inadequate Peritoneal Dialysis listed in section II.O1.d.<br />
of this final rule, “The Final 2009 PQRI Quality Measures.”<br />
Response: As stated in the proposed rule (73 FR<br />
38560), the ESRD measures groups is not being included in<br />
the 2009 PQRI because one of the measures in the group is<br />
no longer NQF-endorsed. The denominator definition and<br />
coding of the ESRD measures proposed and selected for the<br />
2009 PQRI do not meet the requirements for a measures group<br />
as stated in section II.O1.b.ii. of this final rule with<br />
comment period. However, the proposed 2009 PQRI Measure<br />
#82 ESRD: Plan of Care for Inadequate Peritoneal Dialysis<br />
is available to be reported as an individual quality<br />
measure in the 2009 PQRI.<br />
Based on the comments we received, we are retaining<br />
three 2008 PQRI measures groups for the 2009 PQRI – (1)<br />
Diabetes Mellitus, (2) CKD, and (3) Preventive Care. In<br />
some cases, different or additional measures may be<br />
648