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CMS-1403-FC TABLE 23: Final Measures Selected for 2009 Rheumatoid Arthritis Measures Group Measure Title Measure Source 108. Rheumatoid Arthritis: Disease Modifying Anti-Rheumatic Drug NCQA (DMARD) Therapy Rheumatoid Arthritis: Tuberculosis Screening AMA-PCPI/NCQA Rheumatoid Arthritis: Periodic Assessment of Disease Activity AMA-PCPI/NCQA Rheumatoid Arthritis: Functional Limitation Assessment AMA-PCPI/NCQA Rheumatoid Arthritis: Assessment and Classification of Disease Prognosis AMA-PCPI/NCQA Rheumatoid Arthritis: Glucocorticoid Management AMA-PCPI/NCQA TABLE 24: Final Measures Selected for 2009 Perioperative Care Measures Group Measure Title Measure Source 20. Perioperative Care: Timing of Antibiotic Prophylaxis - Ordering Physician 21. Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin 22. Perioperative Care: Discontinuation of Prophylactic Antibiotics (Non- Cardiac Procedures) 23. Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) AMA-PCPI/NCQA AMA-PCPI/NCQA AMA-PCPI/NCQA AMA-PCPI/NCQA TABLE 25: Final Measures Selected for 2009 Back Pain Measures Group Measure Title Measure Source Back Pain: Initial Visit NCQA Back Pain: Physical Exam NCQA Back Pain: Advice for Normal Activities NCQA Back Pain: Advice Against Bed Rest NCQA We are not finalizing the proposed CAD and HIV/AIDS measures groups. Analysis of the proposed CAD measures group has revealed difficulty with determining a common denominator and that two of the four measures within this measures group would require additional diagnosis codes in order to be applicable for the group. Analysis of the 652
CMS-1403-FC proposed HIV/AIDS measures group has revealed several barriers for establishing the common denominator and the consecutive patient determination. While these are meaningful individual quality measures, we believe that the issues as stated make it impractical to use these measures as measures groups. The measures in the Diabetes Mellitus; CKD; Preventive Care; Rheumatoid Arthritis, and Perioperative Care measures groups are reportable either individually or as part of the measures group. The measures in these measures groups can be reported through claims-based or registry-based submission. The measures in the Back Pain measures group are reportable only as a measures group, not as individual measures. As individual measures, the measures in the Back Pain measures group, are too basic; however, taken together they are meaningful indicators of quality of care for back pain. These measures are also reportable through claims- based or registry-based submission. Eight measures in the CABG surgery measures group are reportable only via registry-based reporting as a measures group or as individual measures. These measures cannot be reported through claims-based reporting because they cannot be feasibly specified for claims-based reporting. 653
- Page 601 and 602: CMS-1403-FC are appropriate and do
- Page 603 and 604: CMS-1403-FC to make any changes to
- Page 605 and 606: CMS-1403-FC post the measures for p
- Page 607 and 608: CMS-1403-FC beneficiaries. We now h
- Page 609 and 610: CMS-1403-FC identified in Tables 15
- Page 611 and 612: CMS-1403-FC important difference in
- Page 613 and 614: CMS-1403-FC not use Measures #73 Ca
- Page 615 and 616: CMS-1403-FC measures, but which are
- Page 617 and 618: CMS-1403-FC with comment period. Ho
- Page 619 and 620: CMS-1403-FC ● Measure #41 Osteopo
- Page 621 and 622: CMS-1403-FC professional to simply
- Page 623 and 624: CMS-1403-FC measures. We consider t
- Page 625 and 626: CMS-1403-FC Measure Number and Titl
- Page 627 and 628: CMS-1403-FC Measure Number and Titl
- Page 629 and 630: CMS-1403-FC ● Measure #120 CKD: A
- Page 631 and 632: CMS-1403-FC For the 2009 PQRI quali
- Page 633 and 634: CMS-1403-FC rule indicated that the
- Page 635 and 636: CMS-1403-FC Response: As suggested
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- Page 639 and 640: CMS-1403-FC ● Achievement of NQF
- Page 641 and 642: CMS-1403-FC These additional measur
- Page 643 and 644: CMS-1403-FC We did not include this
- Page 645 and 646: CMS-1403-FC Comment: Many commenter
- Page 647 and 648: CMS-1403-FC groups must have a part
- Page 649 and 650: CMS-1403-FC selected for inclusion
- Page 651: CMS-1403-FC Measure Title Measure S
- Page 655 and 656: CMS-1403-FC set of denominator spec
- Page 657 and 658: CMS-1403-FC results, for this purpo
- Page 659 and 660: CMS-1403-FC informed decision-makin
- Page 661 and 662: CMS-1403-FC Comment: Several commen
- Page 663 and 664: CMS-1403-FC prior commitments that
- Page 665 and 666: CMS-1403-FC groups who successfully
- Page 667 and 668: CMS-1403-FC ● Eligible profession
- Page 669 and 670: CMS-1403-FC patients, families, and
- Page 671 and 672: CMS-1403-FC that have satisfactoril
- Page 673 and 674: CMS-1403-FC e-prescribing quality m
- Page 675 and 676: CMS-1403-FC Douglas S. and Friedman
- Page 677 and 678: CMS-1403-FC subsequent year, if the
- Page 679 and 680: CMS-1403-FC eligible professional f
- Page 681 and 682: CMS-1403-FC and is included in the
- Page 683 and 684: CMS-1403-FC The measure becomes app
- Page 685 and 686: CMS-1403-FC is, Measure #125) appli
- Page 687 and 688: CMS-1403-FC outpatient setting. Whi
- Page 689 and 690: CMS-1403-FC ability of an electroni
- Page 691 and 692: CMS-1403-FC October 2005 (hereinaft
- Page 693 and 694: CMS-1403-FC We are aware that there
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<strong>CMS</strong>-1403-FC<br />
proposed HIV/AIDS measures group <strong>has</strong> revealed several<br />
barriers for establishing the common denominator and the<br />
consecutive patient determination. While these are<br />
meaningful individual quality measures, we believe that the<br />
issues as stated make it impractical to use these measures<br />
as measures groups.<br />
The measures in the Diabetes Mellitus; CKD; Preventive<br />
Care; Rheumatoid Arthritis, and Perioperative Care measures<br />
groups are reportable either individually or as part of the<br />
measures group. The measures in these measures groups can<br />
be reported through claims-based or registry-based<br />
submission.<br />
The measures in the Back Pain measures group are<br />
reportable only as a measures group, not as individual<br />
measures. As individual measures, the measures in the Back<br />
Pain measures group, are too basic; however, taken together<br />
they are meaningful indicators of quality of care for back<br />
pain. These measures are also reportable through claims-<br />
based or registry-based submission.<br />
Eight measures in the CABG surgery measures group are<br />
reportable only via registry-based reporting as a measures<br />
group or as individual measures. These measures cannot be<br />
reported through claims-based reporting because they cannot<br />
be feasibly specified for claims-based reporting.<br />
653
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