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<a href="/measure-lifecycle/measure-specification/define-data-sources">
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<span>Overview</span>
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<a href="/measure-lifecycle/measure-specification/develop-specification/target-initial-population">
<span>Define the Target/Initial Population</span>
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<a href="/measure-lifecycle/measure-specification/develop-specification/denominator">
<span>Define the Denominator</span>
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<span>Define the Numerator and Exclusions</span>
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<a href="/measure-lifecycle/measure-specification/develop-specification/stratification">
<span>Define Stratification Scheme</span>
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<a href="/measure-lifecycle/measure-specification/specify-code/code-systems-vocabularies-terminologies">
<span>Code Systems, Vocabularies, and Terminologies</span>
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<span>Encoding Clinical Information</span>
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<a href="/measure-lifecycle/measure-specification/specify-code/data-standards">
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<a href="/measure-lifecycle/measure-specification/data-protocol/key-terms">
<span>Define Key Terms, Data Elements, Codes, and Code Systems</span>
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<a href="/measure-lifecycle/measure-specification/data-protocol/level-measurement-analysis">
<span>Describe Level of Measurement &amp; Sampling</span>
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<a href="/measure-lifecycle/measure-specification/data-protocol/risk-adjustment">
<span>Determine Risk Adjustment</span>
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<a href="/measure-lifecycle/measure-specification/data-protocol/time-interval">
<span>Define Any Time Intervals</span>
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<span>Describe Scoring &amp; Calculation Algorithm</span>
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<a href="/measure-lifecycle/measure-specification/document-measure">
<span>Document the Measures</span>
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<span>Measure Harmonization</span>
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<span>Overview</span>
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<a href="/measure-lifecycle/measure-specification/measure-harmonization/alignment">
<span>Measure Harmonization and Alignment</span>
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<a href="/measure-lifecycle/measure-specification/measure-harmonization/when-to-consider">
<span>When to Consider Measure Harmonization</span>
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<div property="schema:text" class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>When a program selects a measure for use, the measure developer prepares plans for implementation, including the initial rollout, data management and production, <abbr tabindex="0" title="&lt;p&gt;An audit is a systematic inspection of records or accounts to verify their accuracy.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">audit</abbr> and <abbr tabindex="0" title="&lt;p&gt;Validation is testing to determine whether the measure accurately represents the evaluated concept and achieves the purpose for which the measure developer intended (i.e., to measure quality). Measure developers use validation in reference to statistical risk models where they compare model performance metrics between two different samples of data called the development and validation samples.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">validation</abbr>, <abbr tabindex="0" title="&lt;p&gt;&lt;span class=&quot;glossify-exclude&quot;&gt;Measured entities&lt;/span&gt; are the front-line clinicians and their organizations, including health information technology, collecting quality measurement data. &lt;span class=&quot;glossify-exclude&quot;&gt;Measured entities&lt;/span&gt; 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, &lt;span class=&quot;glossify-exclude&quot;&gt;measured entities&lt;/span&gt; should be involved in all aspects of the Measure Lifecycle.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">measured entity</abbr> education, <abbr tabindex="0" title="&lt;p&gt;A &lt;span class=&quot;glossify-exclude&quot;&gt;dry run&lt;/span&gt; is full-scale measure testing involving all measured entities representing the full spectrum of the measured population. The purpose is to finalize all methodologies related to case identification/selection, data collection, and measurement calculation, and to quantify unintended consequences.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">dry runs</abbr>, and appeals processes. Measure rollout occurs after measure approval for use in a program. The rollout process may include collection of data for a dry run from all measured entities across the country and share calculated rates with the measured entities. CMS does not use dry run data for payment, but may use dry run data as a baseline for future payment years.</p>
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<div class="field field--name-field-body-cont- field--type-text-long field--label-hidden field__item"><h3>Measure Rollout Factors</h3><p>As with the overall implementation process, the process of rolling out a measure varies significantly from one <abbr tabindex="0" title="&lt;p&gt;A measure set is a group of measures related in some way such as measures addressing a specific condition, procedure, or specialty.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">measure set</abbr> to another depending on a number of factors, which may include</p><ul><li>The scope of measure implementation</li><li>The <abbr tabindex="0" title="&lt;p&gt;&lt;span class=&quot;glossify-exclude&quot;&gt;Measured entities&lt;/span&gt; are the front-line clinicians and their organizations, including health information technology, collecting quality measurement data. &lt;span class=&quot;glossify-exclude&quot;&gt;Measured entities&lt;/span&gt; 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, &lt;span class=&quot;glossify-exclude&quot;&gt;measured entities&lt;/span&gt; should be involved in all aspects of the Measure Lifecycle.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">measured entity</abbr>&nbsp;</li><li>Data collection processes</li><li>The ultimate use of the measure (for example, quality improvement, public reporting, pay-for-reporting, value-based purchasing)</li><li>The program into which the measure is adopted. Measure reporting and submission are&nbsp;program-specific. See the <a href="/about-quality/quality-at-CMS/quality/programs" data-entity-type="node" data-entity-uuid="f2434e51-fca6-48ca-987a-4981c205f1e4" data-entity-substitution="canonical" title="CMS Quality Reporting and Value-Based Programs &amp; Initiatives">program-specific page</a> for reporting and submission information.</li></ul></div>
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<div class="field field--name-field-body-cont- field--type-text-long field--label-hidden field__item"><h3>Dry Runs</h3><p>If a <abbr tabindex="0" title="&lt;p&gt;A &lt;span class=&quot;glossify-exclude&quot;&gt;dry run&lt;/span&gt; is full-scale measure testing involving all measured entities representing the full spectrum of the measured population. The purpose is to finalize all methodologies related to case identification/selection, data collection, and measurement calculation, and to quantify unintended consequences.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">dry run</abbr> occurs, the measure developer ensures the rollout plan includes support for the <abbr tabindex="0" title="&lt;p&gt;&lt;span class=&quot;glossify-exclude&quot;&gt;Measured entities&lt;/span&gt; are the front-line clinicians and their organizations, including health information technology, collecting quality measurement data. &lt;span class=&quot;glossify-exclude&quot;&gt;Measured entities&lt;/span&gt; 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, &lt;span class=&quot;glossify-exclude&quot;&gt;measured entities&lt;/span&gt; should be involved in all aspects of the Measure Lifecycle.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">measured entities</abbr> to</p><ul><li>Improve the usability of the measure report to the measured entities in advance of implementation</li><li>Identify and respond to questions and concerns about the measure</li><li>Address issues with the report production process for process improvements prior to implementation</li></ul><p>The measure developer documents the results from the dry run and assesses the measures success in meeting the programs intentions for the dry run, such as</p><ul><li>Adequacy (<abbr tabindex="0" title="&lt;p&gt;&lt;span class=&quot;glossify-exclude&quot;&gt;Specificity&lt;/span&gt;, as a statistical term, refers to the proportion of correctly identified negatives (e.g., percentage of healthy people correctly identified as not having the condition). Perfect &lt;span class=&quot;glossify-exclude&quot;&gt;specificity&lt;/span&gt; would mean the measure recognizes all actual negatives (e.g., all healthy people recognized as healthy). See also Sensitivity.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">specificity</abbr>, accuracy) of the measure <abbr tabindex="0" title="&lt;p&gt;&lt;span class=&quot;glossify-exclude&quot;&gt;Specifications&lt;/span&gt; are measure instructions addressing data elements, data sources, point of data collection, timing and frequency of data collection and reporting, specific instruments used (if appropriate), and implementation strategies.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">specifications</abbr></li><li>Accuracy of the data collection method(s)</li><li>Accuracy of the measure results calculation(s)</li><li>Identification of unintended consequences, <abbr tabindex="0" title="&lt;p&gt;&lt;span class=&quot;glossify-exclude&quot;&gt;Gaming&lt;/span&gt; is when measured entities exploit weaknesses in the measurement system to tweak the data making their performance look better than it actually is. Includes limiting access to certain populations, neglecting care, or overuse of medications or services to ensure that the measure results are favorable.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">gaming</abbr>, or misrepresentation (if any)</li><li>Accuracy and adequacy of the measured entity reports (whether they are useful to the measured entities involved and whether the measure developer is to respond to questions and concerns)</li></ul><h3>Communication &amp; Education</h3><p>When communicating and coordinating with all parties involved in the rollout, the measure developer must consider the timelines of other processes (for example, <a href="/measure-lifecycle/measure-implementation/pre-rulemaking/overview" data-entity-type="node" data-entity-uuid="41fad9a9-fdf6-40b1-b22e-d1e68854bba2" data-entity-substitution="canonical" title="Pre-Rulemaking">pre-rulemaking</a>, <abbr tabindex="0" title="&lt;p&gt;The Medicare Improvements for Patients and Providers Act of 2008 requires the U.S. Department of Health and Human Services to contract with a consensus-based entity (CBE) regarding performance measurement. The CMS CBE endorses quality measures through a transparent, consensus-based process incorporating feedback from diverse groups of interested parties to foster health care quality improvement.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">CMS consensus-based entity</abbr> projects, and quality alliances). The measure developer prepares and presents education for the end users on what is being measured and how to interpret the results. The measure developer also documents the results of any educational activities and assesses whether the activities were adequate to meet the needs of the end users of the measure.</p><p><strong>Example</strong><br>The measure developer should report on the number of educational events, including the attendance at each&nbsp;</p><ul><li>Conference call and recordings of the calls</li><li>Web-based presentation and recordings of the presentations</li><li>Workshop at conferences or scientific society meetings</li><li>Train-the-trainer event</li><li>Published abstracts and manuscripts</li></ul><p>For <abbr tabindex="0" title="&lt;p&gt;An electronic clinical quality measure (eCQM) is a measure specified in a standard electronic format that uses data electronically extracted from electronic health records and/or health information technology systems to measure the quality of health care provided. Electronic Clinical Quality Improvement Resource Center. (n.d.) &lt;em&gt;Glossary&lt;/em&gt;. Retrieved May 22, 2024, from&amp;nbsp;https://ecqi.healthit.gov/glossary&lt;/p&gt;" class="glossify-tooltip-tip" lang="en">electronic clinical quality measures</abbr> (eCQMs), measure developers should refer measure implementers to the <a href="https://ecqi.healthit.gov/mc-workspace-2/data-element-repository">CMS Data Element Repository (DERep)</a> for information about the <abbr tabindex="0" title="&lt;p&gt;A data element is a basic unit of information with a unique meaning and subcategories (data items) of distinct value. National Institute of Standards and Technology. (n.d.). &lt;em&gt;Data element&lt;/em&gt;. Computer Security Resource Center. Retrieved November 1, 2023, from&amp;nbsp;&lt;a href=&quot;https://csrc.nist.gov/glossary/term/data_element&quot;&gt;https://csrc.nist.gov/glossary/term/data_element&lt;/a&gt;&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">data elements</abbr> associated with eCQMs used in CMS quality programs as well as the definitions and clinical focus for each data element.</p></div>
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