2492 lines
88 KiB
Text
2492 lines
88 KiB
Text
<!DOCTYPE html>
|
||
<html lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ og: http://ogp.me/ns# rdfs: http://www.w3.org/2000/01/rdf-schema# schema: http://schema.org/ sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema# ">
|
||
<head>
|
||
<meta charset="utf-8" />
|
||
<meta name="description" content="A well-constructed business case includes six elements: net benefit summary, precise statement of need, measure impact, influencing factors, resources required for measure implementation, and costs of clinical care. " />
|
||
<link rel="canonical" href="http://mmshub.cms.gov/measure-lifecycle/measure-conceptualization/business-case/best-practices" />
|
||
<meta name="Generator" content="Drupal 10 (https://www.drupal.org)" />
|
||
<meta name="MobileOptimized" content="width" />
|
||
<meta name="HandheldFriendly" content="true" />
|
||
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
|
||
<script src="/sites/default/files/google_tag/gtm/google_tag.script.js?ss7w0y" defer></script>
|
||
|
||
<title>Business Case Best Practices | The Measures Management System</title>
|
||
<link rel="stylesheet" media="all" href="/core/assets/vendor/jquery.ui/themes/base/core.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/assets/vendor/jquery.ui/themes/base/controlgroup.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/assets/vendor/jquery.ui/themes/base/checkboxradio.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/assets/vendor/jquery.ui/themes/base/resizable.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/assets/vendor/jquery.ui/themes/base/button.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/assets/vendor/jquery.ui/themes/base/dialog.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/ajax-progress.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/align.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/autocomplete-loading.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/fieldgroup.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/container-inline.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/clearfix.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/details.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/hidden.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/item-list.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/js.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/nowrap.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/position-container.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/progress.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/reset-appearance.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/resize.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/sticky-header.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/system-status-counter.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/system-status-report-counters.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/system-status-report-general-info.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/tabledrag.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/tablesort.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/system/css/components/tree-child.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/ckeditor5/css/ckeditor5.dialog.fix.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/views/css/views.module.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/filter/css/filter.caption.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/modules/media/css/filter.caption.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/core/assets/vendor/jquery.ui/themes/base/theme.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/modules/contrib/extlink/extlink.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/modules/contrib/ckeditor_accordion/css/accordion.frontend.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/modules/contrib/ds/css/ds-2col-fluid.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/libraries/colorbox/example4/colorbox.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/modules/contrib/glossify/css/glossify_popup.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/themes/mms_hcd/assets/css/uswds.css?ss7w0y" />
|
||
<link rel="stylesheet" media="all" href="/themes/mms_hcd/assets/css/style.css?ss7w0y" />
|
||
|
||
|
||
</head>
|
||
<body class="page-node-50 page-node-type-page path-node anonymous">
|
||
<a href="#main-content" class="usa-sr-only focusable">
|
||
Skip to main content
|
||
</a>
|
||
<noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-PNNJP8D" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>
|
||
<div class="dialog-off-canvas-main-canvas" data-off-canvas-main-canvas>
|
||
|
||
<div class="usa-overlay"></div>
|
||
|
||
<header class="usa-header usa-header--extended usa-header--extended-megamenu" id="header">
|
||
|
||
|
||
|
||
<div class="region region-header usa-navbar">
|
||
<div class="usa-logo site-logo" id="logo">
|
||
|
||
<em class="usa-logo__text">
|
||
<a class="logo-img" href="/" accesskey="1" title="Homepage of mmshub.cms.gov" aria-label="Homepage of mmshub.cms.gov">
|
||
<img src="/themes/mms_hcd/assets/img/MMS-header-logo_LG.svg" alt="CMS.gov MMS Hub Logo" />
|
||
</a>
|
||
</em>
|
||
|
||
</div>
|
||
<button class="usa-menu-btn">Menu</button><div class="views-exposed-form search-block block block-views-exposed-filter-blocks block-views-exposed-filter-blocks-block" data-drupal-selector="views-exposed-form-search-block-1" id="block-viewsexposedfilterblock">
|
||
|
||
|
||
<form action="/search" method="get" id="views-exposed-form-search-block-1" accept-charset="UTF-8" class="usa-form">
|
||
<div class="form-item js-form-item form-type-textfield js-form-type-textfield form-item-search-api-fulltext js-form-item-search-api-fulltext form-no-label">
|
||
|
||
|
||
<input placeholder="Type to create a new search" data-drupal-selector="edit-search-api-fulltext" type="text" id="edit-search-api-fulltext" name="search_api_fulltext" value="" size="30" maxlength="128" class="form-text usa-input" />
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
</div>
|
||
<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions">
|
||
|
||
<input data-drupal-selector="edit-submit-search" type="submit" id="edit-submit-search" value="Search" class="button js-form-submit form-submit usa-button" />
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
</form>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
|
||
<nav class="usa-nav">
|
||
<div class="usa-nav__inner">
|
||
|
||
<button class="usa-nav__close">
|
||
<img src="/themes/mms_hcd/assets/img/close.svg" alt="close"/>
|
||
</button>
|
||
|
||
|
||
|
||
|
||
|
||
<ul class="usa-nav__primary usa-accordion" role="navigation">
|
||
|
||
|
||
<li class="usa-nav__primary-item is_expanded">
|
||
|
||
<button id="usa-accordion__button" class="usa-accordion__button usa-nav__link is_expanded " aria-expanded="false" aria-controls="extended-mega-nav-section-1">
|
||
<span>About Quality Measurement</span>
|
||
</button>
|
||
|
||
|
||
|
||
<div id="extended-mega-nav-section-1" class="usa-nav__submenu usa-megamenu" hidden="">
|
||
|
||
|
||
<div class="grid-row grid-gap-3 gridused">
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>About MMS</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-About-MMS" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-About-MMS" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/about-quality/MMS-overview">
|
||
<span>MMS Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>New to Measures</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-New-to-Measures" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-New-to-Measures" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/about-quality/new-to-measures/what-is-a-measure">
|
||
<span>Get Started with Quality Measures</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/about-quality/new-to-measures/roles">
|
||
<span>Roles in Measure Development</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>Types of Measures</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Types-of-Measures" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Types-of-Measures" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/about-quality/types/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-3 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Types-of-Measures">
|
||
<span>Composite Measure</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Composite-Measure" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Composite-Measure" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/about-quality/types/composite-measure/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/about-quality/types/composite-measure/component-measures">
|
||
<span>Component Measures</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/about-quality/types/population-health">
|
||
<span>Population Health Measures</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>Quality Measurement at CMS</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Quality-Measurement-at-CMS" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Quality-Measurement-at-CMS" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/about-quality/quality-at-CMS/goals">
|
||
<span>CMS Goals and Priorities</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/about-quality/quality-at-CMS/principles">
|
||
<span>Measure Development Principles</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/about-quality/quality-at-CMS/quality">
|
||
<span>Quality Across CMS</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
</div>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__primary-item is_expanded">
|
||
|
||
<button id="usa-accordion__button" class="usa-accordion__button usa-nav__link usa-current is_expanded " aria-expanded="false" aria-controls="extended-mega-nav-section-2">
|
||
<span>Blueprint Measure Lifecycle</span>
|
||
</button>
|
||
|
||
|
||
|
||
<div id="extended-mega-nav-section-2" class="usa-nav__submenu usa-megamenu" hidden="">
|
||
|
||
|
||
<div class="grid-row grid-gap-3 gridused">
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>Blueprint Measure Lifecycle</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Blueprint-Measure-Lifecycle" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Blueprint-Measure-Lifecycle" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/blueprint-measure-lifecycle-overview">
|
||
<span>Blueprint Measure Lifecycle Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/about-quality/blueprint-measure-lifecycle/theory">
|
||
<span>Measure Development Theory</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>Measure Conceptualization</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Measure-Conceptualization" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Measure-Conceptualization" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-conceptualization/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-2 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Measure-Conceptualization">
|
||
<span>Information Gathering</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Information-Gathering" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Information-Gathering" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-conceptualization/information-gathering/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-conceptualization/information-gathering/conduct-environment-scan">
|
||
<span>Conduct an Environmental Scan</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-conceptualization/information-gathering/analyze-data-gap-analysis">
|
||
<span>Analyze Data & Conduct Gap Analysis</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-conceptualization/information-gathering/respecified-measures">
|
||
<span>Respecified Measures</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-conceptualization/information-gathering/justify-creation-new-measures">
|
||
<span>Justify the Creation of New Measures</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-2 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link usa-currentis_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Measure-Conceptualization">
|
||
<span>Business Case Development</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Business-Case-Development" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Business-Case-Development" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-conceptualization/business-case/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-conceptualization/business-case/outcomes">
|
||
<span>Documenting Outcomes, Benefits, & Costs</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-conceptualization/business-case/best-practices">
|
||
<span>Business Case Best Practices</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>Measure Specification</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Measure-Specification" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Measure-Specification" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/specifications-measure-category">
|
||
<span>Specifications by Measure Category</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/define-data-sources">
|
||
<span>Define Data Sources</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-3 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Measure-Specification">
|
||
<span>Develop Specifications</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Develop-Specifications" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Develop-Specifications" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/target-initial-population">
|
||
<span>Define the Target/Initial Population</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/denominator">
|
||
<span>Define the Denominator</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/numerator">
|
||
<span>Define the Numerator and Exclusions</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/stratification">
|
||
<span>Define Stratification Scheme</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/respecifying-registry-measures">
|
||
<span>Respecifying Registry Measures to Electronic Clinical Quality Measures (eCQMs)</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-3 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Measure-Specification">
|
||
<span>Specify the Code</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Specify-the-Code" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Specify-the-Code" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/specify-code/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/specify-code/code-systems-vocabularies-terminologies">
|
||
<span>Code Systems, Vocabularies, and Terminologies</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/specify-code/encode-clinical-information">
|
||
<span>Encoding Clinical Information</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/specify-code/data-standards">
|
||
<span>Data Standards</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-3 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Measure-Specification">
|
||
<span>Construct Data Protocol</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Construct-Data-Protocol" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Construct-Data-Protocol" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/data-protocol/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/data-protocol/key-terms">
|
||
<span>Define Key Terms, Data Elements, Codes, and Code Systems</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/data-protocol/level-measurement-analysis">
|
||
<span>Describe Level of Measurement & Sampling</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/data-protocol/risk-adjustment">
|
||
<span>Determine Risk Adjustment</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/data-protocol/time-interval">
|
||
<span>Define Any Time Intervals</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/data-protocol/scoring">
|
||
<span>Describe Scoring & Calculation Algorithm</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/document-measure">
|
||
<span>Document the Measures</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-3 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Measure-Specification">
|
||
<span>Measure Harmonization</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Measure-Harmonization" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Measure-Harmonization" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/measure-harmonization/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/measure-harmonization/alignment">
|
||
<span>Measure Harmonization and Alignment</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-specification/measure-harmonization/when-to-consider">
|
||
<span>When to Consider Measure Harmonization</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>Measure Testing</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Measure-Testing" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Measure-Testing" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-testing/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-4 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Measure-Testing">
|
||
<span>Measure Testing Process</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Measure-Testing-Process" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Measure-Testing-Process" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-testing/process/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-testing/process/develop-workplan">
|
||
<span>Develop The Testing Work Plan</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-testing/process/perform-sampl">
|
||
<span>Perform Sampling</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-testing/process/implement-and-analyze">
|
||
<span>Implement, Analyze, Refine & Retest</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-testing/process/summary">
|
||
<span>Measure Testing Summary</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-testing/process/testing-respecified-measures">
|
||
<span>Testing Respecified Measures</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-4 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Measure-Testing">
|
||
<span>Measure Evaluation Criteria</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Measure-Evaluation-Criteria" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Measure-Evaluation-Criteria" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-testing/evaluation-criteria/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-testing/evaluation-criteria/importance">
|
||
<span>Importance</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-testing/evaluation-criteria/scientific-acceptability">
|
||
<span>Scientific Acceptability</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-testing/evaluation-criteria/feasibility">
|
||
<span>Feasibility</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-testing/evaluation-criteria/usability">
|
||
<span>Usability & Use</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>Measure Implementation</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Measure-Implementation" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Measure-Implementation" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-implementation/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-implementation/selection">
|
||
<span>Measure Selection</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-5 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Measure-Implementation">
|
||
<span>Pre-Rulemaking</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Pre-Rulemaking" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Pre-Rulemaking" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-implementation/pre-rulemaking/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-implementation/pre-rulemaking/guidance-measure-submitters">
|
||
<span>Guidance for Measure Submitters</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-implementation/pre-rulemaking/measure-priorities">
|
||
<span>Measure Priorities</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-implementation/pre-rulemaking/lists-and-reports">
|
||
<span>MUC Lists and Recommendation Reports</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-implementation/rollout">
|
||
<span>Measure Rollout</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-5 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Measure-Implementation">
|
||
<span>CMS Consensus-Based Entity (CBE) Endorsement and Maintenance</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-CMS-Consensus-Based-Entity-(CBE)-Endorsement-and-Maintenance" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-CMS-Consensus-Based-Entity-(CBE)-Endorsement-and-Maintenance" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-implementation/CMS-CBE-EM/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-implementation/CMS-CBE-EM/Measure-Submission-to-the-CMS-CBE">
|
||
<span>Measure Submission to the CMS CBE</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-implementation/CMS-CBE-EM/Endorsement-Process">
|
||
<span>The CMS CBE Endorsement Process</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>Measure Use, Continuing Evaluation & Maintenance</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Measure-Use,-Continuing-Evaluation-&-Maintenance" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Measure-Use,-Continuing-Evaluation-&-Maintenance" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-use/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-use/production-and-monitoring">
|
||
<span>Measure Production & Monitoring</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-use/evaluation">
|
||
<span>Continuing Evaluation</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-6 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Measure-Use,-Continuing-Evaluation-&-Maintenance">
|
||
<span>Measure Maintenance Reviews</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Measure-Maintenance-Reviews" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Measure-Maintenance-Reviews" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-use/maintenance/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-use/maintenance/annual-update">
|
||
<span>Annual Update</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-use/maintenance/comprehensive-reevaluation">
|
||
<span>Comprehensive Reevaluation</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-use/maintenance/early-maintenance-review">
|
||
<span>Early Maintenance Review</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/measure-use/maintenance/harmonization-during-maintenance">
|
||
<span>Harmonization during Measure Maintenance</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>Interested Party Engagement</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Interested-Party-Engagement" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Interested-Party-Engagement" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/stakeholder-engagement/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/stakeholder-engagement/lifecycle">
|
||
<span>Interested Party Engagement in the Measure Lifecycle</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/stakeholder-engagement/roles">
|
||
<span>Roles in Engagement</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/measure-lifecycle/stakeholder-engagement/types">
|
||
<span>Types of Interested Party Engagement</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
</div>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__primary-item is_expanded">
|
||
|
||
<button id="usa-accordion__button" class="usa-accordion__button usa-nav__link is_expanded " aria-expanded="false" aria-controls="extended-mega-nav-section-3">
|
||
<span>Tools & Resources</span>
|
||
</button>
|
||
|
||
|
||
|
||
<div id="extended-mega-nav-section-3" class="usa-nav__submenu usa-megamenu" hidden="">
|
||
|
||
|
||
<div class="grid-row grid-gap-3 gridused">
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>MMS Tools & Resources</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-MMS-Tools-&-Resources" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-MMS-Tools-&-Resources" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/tools-and-resources/mms-supplemental-materials">
|
||
<span>Supplemental Materials</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/tools-and-resources/mms-templates">
|
||
<span>Templates for Measure Development</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/educational-resources">
|
||
<span>Educational Resources</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/mms-tools">
|
||
<span>MMS Tools</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>Additional Tools & Resources</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Additional-Tools-&-Resources" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Additional-Tools-&-Resources" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/cms-tools">
|
||
<span>CMS Tools</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/external-resources">
|
||
<span>External Resources</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="https://mmshub.cms.gov/glossary">
|
||
<span>Glossary</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>Pre-Rulemaking Resources</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Pre-Rulemaking-Resources" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Pre-Rulemaking-Resources" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/Pre-Rulemaking-Resources">
|
||
<span>Pre-Rulemaking Resources</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
</div>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__primary-item is_expanded">
|
||
|
||
<button id="usa-accordion__button" class="usa-accordion__button usa-nav__link is_expanded " aria-expanded="false" aria-controls="extended-mega-nav-section-4">
|
||
<span>Get Involved</span>
|
||
</button>
|
||
|
||
|
||
|
||
<div id="extended-mega-nav-section-4" class="usa-nav__submenu usa-megamenu" hidden="">
|
||
|
||
|
||
<div class="grid-row grid-gap-3 gridused">
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>Get Involved</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Get-Involved" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Get-Involved" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/get-involved/how-to">
|
||
<span>How to Get Involved</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-1 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Get-Involved">
|
||
<span>Technical Expert Panels</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Technical-Expert-Panels" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Technical-Expert-Panels" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/get-involved/technical-expert-panel/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/get-involved/technical-expert-panel/current">
|
||
<span>Current TEP Opportunities</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/get-involved/technical-expert-panel/updates">
|
||
<span>Updates to Established TEPs</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
|
||
|
||
|
||
|
||
<button id="usa-accordion__button_second-1 usa-nav__submenu-list-2" class="usa-accordion__button_second usa-nav__link is_expanded closed" aria-expanded="false" aria-controls="basic-nav-section-Get-Involved">
|
||
<span>Public Comments</span>
|
||
</button>
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-Public-Comments" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Public-Comments" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/get-involved/public-comments/overview">
|
||
<span>Overview</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/get-involved/public-comments/current">
|
||
<span>Current Public Comment Opportunities</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/get-involved/public-comments/summaries">
|
||
<span>Summaries of Past Public Comments</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/get-involved/call-for-measures">
|
||
<span>Call for Measures</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/get-involved/other-involvement">
|
||
<span>Other Types of Involvement</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
</div>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__primary-item is_expanded">
|
||
|
||
<button id="usa-accordion__button" class="usa-accordion__button usa-nav__link is_expanded " aria-expanded="false" aria-controls="extended-mega-nav-section-5">
|
||
<span>News & Events</span>
|
||
</button>
|
||
|
||
|
||
|
||
<div id="extended-mega-nav-section-5" class="usa-nav__submenu usa-megamenu" hidden="">
|
||
|
||
|
||
<div class="grid-row grid-gap-3 gridused">
|
||
|
||
|
||
<div class="desktop:grid-col-3">
|
||
|
||
<div class="usa-nav__headermenu-item">
|
||
<span><strong>News & Events</strong></span>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
<ul id="basic-nav-section-News-&-Events" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-News-&-Events" >
|
||
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/news-events/all">
|
||
<span>News & Events</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/news-events/news-by-month">
|
||
<span>News By Month</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
||
|
||
|
||
|
||
<a href="/news-events/event-calendar">
|
||
<span>Event Calendar</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
</div>
|
||
</div>
|
||
|
||
|
||
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
</div>
|
||
</nav>
|
||
|
||
|
||
</header>
|
||
|
||
<section class="usa-hero usa-hero-interior">
|
||
<div class="usa-hero__callout">
|
||
<div id="block-mms-hcd-breadcrumbs" class="grid-container grid-col-12 block block-system block-system-breadcrumb-block">
|
||
|
||
|
||
<nav class="usa-breadcrumb" role="navigation" aria-labelledby="system-breadcrumb">
|
||
<h2 id="system-breadcrumb" class="usa-sr-only">Breadcrumb</h2>
|
||
<ol class="usa-breadcrumb__list">
|
||
<li class="usa-breadcrumb__list-item">
|
||
<a href="/" class="usa-breadcrumb__link"><span>Home</span></a>
|
||
</li>
|
||
<li class="usa-breadcrumb__list-item">
|
||
<a href="/measure-lifecycle/measure-conceptualization/overview" class="usa-breadcrumb__link"><span>Measure Conceptualization</span></a>
|
||
</li>
|
||
<li class="usa-breadcrumb__list-item">
|
||
<a href="/measure-lifecycle/measure-conceptualization/business-case/overview" class="usa-breadcrumb__link"><span>Business Case Development</span></a>
|
||
</li>
|
||
<li class="usa-breadcrumb__list-item">
|
||
<span>Business Case Best Practices</span>
|
||
</li>
|
||
</ol>
|
||
</nav>
|
||
|
||
</div>
|
||
<div class="views-element-container grid-container grid-col-12 block block-views block-views-blockparent-title-block-1" id="block-views-block-parent-title-block-1">
|
||
|
||
|
||
<div><div class="js-view-dom-id-4a2bdab6c5eddc48867759a83a081a7b8c7e01dcfaef4119c027c8a9a003880c">
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
<div class="views-row"><div class="views-field views-field-field-parent-title"><h1 class="field-content"><span class="glossify-exclude">Measure Conceptualization</span></h1></div></div>
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
</div>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</section>
|
||
|
||
<main class="main-content usa-layout-docs usa-section sidebar_first"
|
||
id="main-content">
|
||
<a href="#" id="main-content" class="hidden" tabindex="-1">main-content</a>
|
||
<div class="grid-container">
|
||
|
||
<div class="grid-row">
|
||
|
||
</div>
|
||
|
||
<div class="">
|
||
<div data-drupal-messages-fallback class="hidden"></div>
|
||
|
||
|
||
</div>
|
||
|
||
<div class="grid-row ">
|
||
|
||
</div>
|
||
|
||
<div class="grid-row grid-gap">
|
||
|
||
|
||
|
||
<div class="usa-layout-docs__main desktop:grid-col-fill">
|
||
<nav role="navigation" aria-labelledby="block-mainnavigation-2-menu" id="block-mainnavigation-2">
|
||
|
||
<h2 class="usa-sr-only" id="block-mainnavigation-2-menu">Main navigation</h2>
|
||
|
||
|
||
<div class="usa-nav__inner">
|
||
<ul class="usa-nav__primary usa-accordion" role="navigation">
|
||
|
||
<li class="usa-nav__primary-item">
|
||
<span class="usa-accordion__button usa-nav__link ">
|
||
<a href="/measure-lifecycle/measure-conceptualization/overview">Overview</a>
|
||
</span>
|
||
</li>
|
||
|
||
<li class="usa-nav__primary-item">
|
||
<span class="usa-accordion__button usa-nav__link ">
|
||
<a href="/measure-lifecycle/measure-conceptualization/information-gathering">Information Gathering</a>
|
||
</span>
|
||
</li>
|
||
|
||
<li class="usa-nav__primary-item">
|
||
<span class="usa-accordion__button usa-nav__link usa-current">
|
||
<a href="/measure-lifecycle/measure-conceptualization/business-case">Business Case Development</a>
|
||
</span>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</nav>
|
||
|
||
<h1 class="margin-0">
|
||
<span property="schema:name">Business Case Best Practices</span>
|
||
</h1>
|
||
|
||
|
||
<div id="block-mms-hcd-content" class="grid-col-12 block block-system block-system-main-block">
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
<div data-history-node-id="50" class="node node--type-page node--view-mode-full group-one-column ds-2col-fluid clearfix" typeof="schema:WebPage">
|
||
|
||
|
||
<div class="group-left desktop:grid-col-8 tablet:grid-col-12">
|
||
|
||
|
||
|
||
<div property="schema:text" class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><strong>Six Elements of a Well-Constructed <abbr tabindex="0" title="<p>A <span class="glossify-exclude">business case</span> is a justification for a proposed project or undertaking on the basis of its expected commercial benefit. It exists if the entity realizes a financial return on its investment in a reasonable time frame. The entity may realize as profit, reduction in losses, or avoided costs. A <span class="glossify-exclude">business case</span> may also exist if the investor believes a positive indirect effect on organizational function and sustainability will accrue within a reasonable time frame (<a href="https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.22.2.17">Leatherman et al., 2003</a>). The <span class="glossify-exclude">business case</span> for a process measure relies on the financial return on the investment necessary to implement the intervention advocated by the measure. The <span class="glossify-exclude">business case</span> for other types of measures relies on the financial return resulting from improving the quality of care indicated by the measure.</p> " class="glossify-tooltip-tip" lang="en">Business Case</abbr></strong></p><table><thead><tr><th>Elements of Business Cases </th><th>Description</th></tr></thead><tbody><tr><td><strong>Net Benefit</strong></td><td><span class="cf01">A summary of all of the potential advantages and disadvantages associated with the implementation of this measure. Essentially serves as an executive summary for the rest of the business case.</span></td></tr><tr><td><strong>Statement of Need</strong></td><td><span class="cf01">Justification for why this measure is necessary--a description of the measurement or performance gap this measure will address.</span></td></tr><tr><td><strong>Measure Impact</strong></td><td><span class="cf01">Detailed description of how the implementation of this measure will affect the health care system--including impacts to care delivery, patient experience (e.g., wait times, additional paperwork), potential unintended consequences, and potential to game the system.</span></td></tr><tr><td><strong>Influencing Factors</strong></td><td><span class="cf01">What external factors are likely to impact the measure's performance?</span></td></tr><tr><td><strong>Resources Required</strong></td><td><span class="cf01">Description of what it would take to implement the measure in the care setting (e.g., workflow changes, new technology, new data fields in the <abbr tabindex="0" title="<p>The <span class="glossify-exclude">electronic health record</span> is also known as the electronic patient record, electronic medical record, or computerized patient record. As defined by the International Social Security Association, an <span class="glossify-exclude">EHR</span> is a “longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, diagnoses and treatment, medications, allergies, immunizations as well as radiology images and laboratory results.” International Social Security Association. (n.d.). <em>Information and communication technology - Guideline 91. electronic health record system</em>. Retrieved November 1, 2023, from&nbsp;<a href="https://ww1.issa.int/guidelines/ict/180156">https://ww1.issa.int/guidelines/ict/180156</a></p> " class="glossify-tooltip-tip" lang="en">electronic health record</abbr>, staff training, and interoperability).</span></td></tr><tr><td><strong>Costs of Clinical Care</strong></td><td><span class="cf01">Taking into consideration the other five elements, how will this measure impact the <abbr tabindex="0" title="<p>The <span class="glossify-exclude">cost of care</span> is the total health care spending, including total resource use and unit price, by payer or consumer, for a health care service or group of health care services associated with a specified patient population, time period, and unit of clinical accountability.</p> " class="glossify-tooltip-tip" lang="en">costs of care</abbr>? Will it increase efficiencies and reduce waste, thereby reducing the overall cost of care? Or will it promote the use of more expensive equipment or testing, thereby increasing the cost of care while improving care quality?</span></td></tr></tbody></table><p><span>The figure describes the flow of building evidence for a business case and determining the <strong>net benefit </strong>of the measure. Click the image to enlarge.</span></p><div class="align-center">
|
||
|
||
|
||
|
||
<div class="field field--name-field-media-image field--type-image field--label-visually_hidden">
|
||
<div class="title usa-sr-only">Image</div>
|
||
<div class="field__item">
|
||
<a href="http://mmshub.cms.gov/sites/default/files/styles/max_1300x1300/public/2023-06/BP-BC-Flow-Diagram-REVISED.jpg?itok=Eg8ZvGQJ" aria-controls="colorbox" aria-label="{"alt":"Building evidence flow diagram"}" role="button" title="Building evidence flow diagram" data-colorbox-gallery class="colorbox" data-cbox-img-attrs="{"alt":"Building evidence flow diagram"}"><img src="/sites/default/files/styles/large/public/2023-06/BP-BC-Flow-Diagram-REVISED.jpg?itok=fT1KtL6g" width="600" height="464" alt="Building evidence flow diagram" loading="lazy" typeof="foaf:Image">
|
||
|
||
</a>
|
||
</div>
|
||
</div>
|
||
|
||
</div>
|
||
<p><span>It is imperative for measure developers to pinpoint a precise <strong>statement of need</strong> to justify the requirement of the measure. The measure developer may identify the need by analyzing the performance or measurement gaps discovered during the <abbr tabindex="0" title="<p>An environmental scan is the process of systematically reviewing and interpreting data to identify issues and opportunities that will influence prioritization of current or future plans.</p> " class="glossify-tooltip-tip" lang="en">environmental scan</abbr>.</span></p><p><span>Measure developers should also document <strong>influencing factors</strong> (e.g., policies and practices) that may impact the measure’s performance. Measure developers may identify influencing factors in the environmental scan. <strong>Resources required for measure implementation</strong> (e.g., financial, technological, workforce-related) should also be inventoried drawing from the environmental scan, <abbr tabindex="0" title="<p><span class="glossify-exclude">Feasibility criteria</span> is the extent to which the specifications, including measure logic, require data that are readily available or easily captured without undue burden and implemented for performance measurement.</p> " class="glossify-tooltip-tip" lang="en">feasibility</abbr> testing, and Technical Expert Panel input as they directly affect the measure’s <strong>net benefit.</strong></span></p><p><span>Measure developers should assess <strong>measure impact</strong> (e.g., health and health care outcomes, health care costs) quantitatively using validated instruments and metrics, and clearly link those expected benefits assigned to a model for testing. The measure developer should also assess the measure’s effect on the <strong>cost of clinical care,</strong> which may mediate the link between impacts on health and health care outcomes and impacts on health care costs. Using the example of increased physician follow-up visits, improved care coordination may not only reduce expenses associated with unnecessary readmissions, but could also reduce <abbr tabindex="0" title="<p><span class="glossify-exclude">Mortality</span> is the number of deaths in a given time or place, the proportion of deaths to population. “Death rate” is also called “<span class="glossify-exclude">mortality</span> rate.”</p> " class="glossify-tooltip-tip" lang="en">mortality</abbr> in selected <abbr tabindex="0" title="<p>The <span class="glossify-exclude">population</span> is the total group of people of interest for a quality measure, sometimes called the target/initial <span class="glossify-exclude">population</span>. The measure <span class="glossify-exclude">population</span> is a defined subset appropriate to the measure set not excluded from the individual measure.</p> " class="glossify-tooltip-tip" lang="en">populations</abbr> and improve patient experience (e.g., </span><a href="https://www.ahrq.gov/cahps/index.html"><span>Consumer Assessment of Healthcare Providers and Systems</span></a><span>).</span></p><p><span>Regardless of the model used, the business case should include an explicitly stated hypothesis for use in later testing and, at a minimum, predict how the measure will have an effect over time (the trajectory). This enables the measure developer to make comparisons during measure use, continuing evaluation, and maintenance. When possible, the measure developer should include historical and baseline data—that is, data collected from the measure (if completing for maintenance) or similar measures (identified during the environmental scan).</span></p><p><strong>Using the business case to evaluate measure performance</strong></p><p><span>After implementation of the measure, the measure developer should compare the business case and predictions about measure performance, which helped inform decision-making during measure development and selection for use, against actual performance. If hypothesized improvements in health, <abbr tabindex="0" title="<p><span class="glossify-exclude">Measured entities</span> are the front-line clinicians and their organizations, including health information technology, collecting quality measurement data. <span class="glossify-exclude">Measured entities</span> are the implementers of quality measures. The effect of quality measure data collection on clinician workflow can be negative. There may be effects on their payments, positive and negative, with respect to reporting and actual performance on quality measures. Because of these potential effects, <span class="glossify-exclude">measured entities</span> should be involved in all aspects of the Measure Lifecycle.</p> " class="glossify-tooltip-tip" lang="en">measured entity</abbr> care performance, and cost savings occur as predicted, then the measure is succeeding in terms of the business case. If hypothesized improvements are absent, are less/fewer than anticipated, or there are unintended consequences observed, then the measure developer should reexamine the data, reevaluate the justification for the measure, and analyze why improvements are not occurring. The measure developer then should adjust the business case for any changes in the health care environment and revisit the initial assumptions as needed. For annual updates of measures in use and for continuing evaluation, simply reporting measure performance relative to predictions may be sufficient. For the comprehensive reevaluation, the measure developer should conduct a full analysis, and then report recommendations for improvement in an updated business case.</span></p></div>
|
||
|
||
</div>
|
||
|
||
|
||
</div>
|
||
|
||
|
||
</div>
|
||
<div class="views-element-container block-last-updated block block-views block-views-blocknode-last-updated-block-1" id="block-views-block-node-last-updated-block-1">
|
||
|
||
|
||
<div><div class="node-last-updated js-view-dom-id-cff1925536014d83d984d73cf92f7dac6ecb5f350becd4fee3550098a117144d">
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
<div class="views-row"><span class="views-field views-field-changed"><strong class="views-label views-label-changed">Last Updated: </strong><span class="field-content"><time datetime="2024-05-17T12:37:21-04:00">May 2024</time>
|
||
</span></span></div>
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
</div>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
|
||
|
||
<aside
|
||
class="usa-layout-docs__sidenav desktop:grid-col-2 layout-sidebar-first">
|
||
|
||
|
||
|
||
<ul class="usa-sidenav">
|
||
<li class="usa-sidenav__item first">
|
||
<a href="/measure-lifecycle/measure-conceptualization/business-case/overview">
|
||
<span>
|
||
Overview
|
||
</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
<li class="usa-sidenav__item">
|
||
<a href="/measure-lifecycle/measure-conceptualization/business-case/outcomes">
|
||
<span>
|
||
Documenting Outcomes, Benefits, & Costs
|
||
</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
<li class="usa-sidenav__item active active-trail last">
|
||
<a href="/measure-lifecycle/measure-conceptualization/business-case/best-practices" class="usa-current">
|
||
<span>
|
||
Business Case Best Practices
|
||
</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
</ul>
|
||
|
||
|
||
|
||
</aside>
|
||
|
||
|
||
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</main>
|
||
|
||
<footer class="usa-footer usa-footer--slim">
|
||
<div class="grid-container usa-footer__return-to-top">
|
||
<a href="#">Return to top</a>
|
||
</div>
|
||
|
||
<div class="usa-footer__secondary-section">
|
||
<div class="grid-container">
|
||
<div class="grid-row grid-gap">
|
||
<div
|
||
class="usa-footer__logo grid-row mobile-lg:grid-col-6 mobile-lg:grid-gap-2">
|
||
|
||
|
||
<div class="mobile-lg:grid-col-auto">
|
||
<img class="usa-footer__logo-img"
|
||
src="/themes/mms_hcd/assets/img/CMS-Logo-White_LG.svg"
|
||
alt="Agency logo">
|
||
</div>
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
</div>
|
||
|
||
<div class="grid-container">
|
||
<div class="grid-row grid-gap">
|
||
<div class="grid-col-fill">
|
||
<div>
|
||
<nav role="navigation" aria-labelledby="block-mms-hcd-footer-menu" id="block-mms-hcd-footer">
|
||
|
||
<h2 class="usa-sr-only" id="block-mms-hcd-footer-menu">Footer menu</h2>
|
||
|
||
|
||
|
||
<hr />
|
||
|
||
<ul class="usa-unstyled--list">
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="https://cmit.cms.gov/cmit/#/MeasureInventory">CMS Measures Inventory Tool (CMIT)</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="https://cmsmerit.cms.gov/merit/#/login">CMS MUC Entry/Review Information Tool (MERIT)</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="/contact-us">Contact Us</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="https://ecqi.healthit.gov">eCQI Resource Center</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="https://cmit.cms.gov/cmit/#/EnvironmentalScan">Environmental Scan Support Tool</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="/glossary">Glossary</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/CMS-Quality-Strategy">National Quality Strategy</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="/news-events/all">News & Events</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="https://qualitynet.cms.gov/">QualityNet</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="https://qpp.cms.gov/">Quality Payment Program</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="/sitemap">Sitemap</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="http://www.hhs.gov/accessibility.html">Accessibility</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="https://www.hhs.gov/vulnerability-disclosure-policy/index.html">HHS Vulnerability Disclosure</a>
|
||
</li>
|
||
<li class="grid-col-3 tablet:grid-col-auto usa-footer__primary-content">
|
||
<a class="usa-footer__primary-link" href="http://www.hhs.gov/privacy.html">Privacy Policy</a>
|
||
</li>
|
||
</ul>
|
||
|
||
</nav>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
<div class="usa-footer__primary-section">
|
||
|
||
<div class="usa-footer__primary-content">
|
||
<div class="grid-container">
|
||
<div class="grid-row grid-gap">
|
||
|
||
|
||
|
||
</div>
|
||
</div>
|
||
|
||
<div class="grid-container">
|
||
<div class="grid-row grid-gap">
|
||
<div class="grid-col-fill">
|
||
<div>
|
||
<div id="block-footerinfoblock" class="block--type-basic block block-block-content block-block-contentb9778ac6-f444-4bdd-b839-d97f62a0477c">
|
||
|
||
|
||
|
||
|
||
<div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Looking for U.S. government information and services? <strong>Visit <a href="https://CMS.gov">CMS.gov</a>, <a href="https://HHS.gov">HHS.gov</a>, <a href="https://USA.gov">USA.gov</a></strong></p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</footer>
|
||
</div>
|
||
|
||
|
||
<script type="application/json" data-drupal-selector="drupal-settings-json">{"path":{"baseUrl":"\/","pathPrefix":"","currentPath":"node\/50","currentPathIsAdmin":false,"isFront":false,"currentLanguage":"en"},"pluralDelimiter":"\u0003","suppressDeprecationErrors":true,"ajaxPageState":{"libraries":"eJxNjuFuwyAMhF-IBWna-yCCzYqCMbJhSfv086om6x_r_OnOvrQhlMESYkosULj5Sy1ZuA1s4BJXlpUPf4p_gkekXvHLiKAHmT3WJbOQA_Wg4dOcIddZwOExamnbaXqt7ruyasl3f4rQuc_uyJpFn0sdKEuKfVglR6ThlsBucH9wwwtkqxp3VKY3JpFwZ9kuYi_WWD8SU7dwG-r0rgPJr1HRTd2t8Z98i_4U3NU_50IMs-Ivrcd4eQ","theme":"mms_hcd","theme_token":null},"ajaxTrustedUrl":{"\/search":true},"data":{"extlink":{"extTarget":true,"extTargetNoOverride":false,"extNofollow":false,"extNoreferrer":true,"extFollowNoOverride":false,"extClass":"ext","extLabel":"(link is external)","extImgClass":false,"extSubdomains":true,"extExclude":"","extInclude":"","extCssExclude":"","extCssExplicit":"","extAlert":false,"extAlertText":"This link will take you to an external web site. We are not responsible for their content.","mailtoClass":"mailto","mailtoLabel":"(link sends email)","extUseFontAwesome":false,"extIconPlacement":"append","extFaLinkClasses":"fa fa-external-link","extFaMailtoClasses":"fa fa-envelope-o","whitelistedDomains":[]}},"ckeditorAccordion":{"accordionStyle":{"collapseAll":1,"keepRowsOpen":1,"animateAccordionOpenAndClose":1,"openTabsWithHash":1}},"colorbox":{"opacity":"0.85","current":"{current} of {total}","previous":"\u00ab Prev","next":"Next \u00bb","close":"Close","maxWidth":"98%","maxHeight":"98%","fixed":true,"mobiledetect":true,"mobiledevicewidth":"480px"},"user":{"uid":0,"permissionsHash":"7a36479c1afa2440c45a2d13eed05d057c9f4bd7e8c9c9921c5890ee941d0d7d"}}</script>
|
||
<script src="/core/assets/vendor/jquery/jquery.min.js?v=3.7.1"></script>
|
||
<script src="/core/assets/vendor/once/once.min.js?v=1.0.1"></script>
|
||
<script src="/core/misc/drupalSettingsLoader.js?v=10.2.7"></script>
|
||
<script src="/core/misc/drupal.js?v=10.2.7"></script>
|
||
<script src="/core/misc/drupal.init.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/version-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/data-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/disable-selection-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/form-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/jquery-patch-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/scroll-parent-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/unique-id-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/focusable-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/ie-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/keycode-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/plugin-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/safe-active-element-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/safe-blur-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/widget-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/labels-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/widgets/controlgroup-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/form-reset-mixin-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/widgets/mouse-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/widgets/checkboxradio-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/widgets/draggable-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/widgets/resizable-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/widgets/button-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/jquery.ui/ui/widgets/dialog-min.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/tabbable/index.umd.min.js?v=6.2.0"></script>
|
||
<script src="/core/assets/vendor/tua-body-scroll-lock/tua-bsl.umd.min.js?v=10.2.7"></script>
|
||
<script src="/core/misc/progress.js?v=10.2.7"></script>
|
||
<script src="/core/assets/vendor/loadjs/loadjs.min.js?v=4.2.0"></script>
|
||
<script src="/core/misc/debounce.js?v=10.2.7"></script>
|
||
<script src="/core/misc/announce.js?v=10.2.7"></script>
|
||
<script src="/core/misc/message.js?v=10.2.7"></script>
|
||
<script src="/core/misc/ajax.js?v=10.2.7"></script>
|
||
<script src="/core/misc/displace.js?v=10.2.7"></script>
|
||
<script src="/core/misc/jquery.tabbable.shim.js?v=10.2.7"></script>
|
||
<script src="/core/misc/position.js?v=10.2.7"></script>
|
||
<script src="/core/misc/dialog/dialog.js?v=10.2.7"></script>
|
||
<script src="/core/misc/dialog/dialog.position.js?v=10.2.7"></script>
|
||
<script src="/core/misc/dialog/dialog.jquery-ui.js?v=10.2.7"></script>
|
||
<script src="/core/modules/ckeditor5/js/ckeditor5.dialog.fix.js?v=10.2.7"></script>
|
||
<script src="/core/misc/dialog/dialog.ajax.js?v=10.2.7"></script>
|
||
<script src="/themes/mms_hcd/assets/js/uswds.min.js?v=10.2.7"></script>
|
||
<script src="/themes/mms_hcd/assets/js/jquery.matchHeight-min.js?v=10.2.7"></script>
|
||
<script src="/themes/mms_hcd/assets/js/file_extensions.js?v=10.2.7"></script>
|
||
<script src="/themes/mms_hcd/assets/js/global.js?v=10.2.7"></script>
|
||
<script src="https://kit.fontawesome.com/55e30f47c3.js"></script>
|
||
<script src="/modules/contrib/extlink/extlink.js?v=10.2.7"></script>
|
||
<script src="/modules/contrib/ckeditor_accordion/js/accordion.frontend.min.js?ss7w0y"></script>
|
||
<script src="/libraries/colorbox/jquery.colorbox-min.js?v=10.2.7"></script>
|
||
<script src="/modules/contrib/colorbox/js/colorbox.js?v=10.2.7"></script>
|
||
<script src="/modules/contrib/glossify/js/glossify_popup.js?v=1.x"></script>
|
||
<script src="/core/misc/form.js?v=10.2.7"></script>
|
||
|
||
</body>
|
||
</html>
|