2538 lines
82 KiB
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2538 lines
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<span>Composite Measure</span>
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<a href="/about-quality/quality-at-CMS/goals">
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<a href="/about-quality/quality-at-CMS/principles">
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<span>Measure Development Principles</span>
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<span>Quality Across CMS</span>
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</a>
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</li>
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</ul>
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</div>
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</div>
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<span>Blueprint Measure Lifecycle</span>
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<span><strong>Blueprint Measure Lifecycle</strong></span>
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<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" >
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<span>Blueprint Measure Lifecycle Overview</span>
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<a href="/about-quality/blueprint-measure-lifecycle/theory">
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<span>Measure Development Theory</span>
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</a>
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<span><strong>Measure Conceptualization</strong></span>
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<ul id="basic-nav-section-Measure-Conceptualization" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Measure-Conceptualization" >
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<a href="/measure-lifecycle/measure-conceptualization/overview">
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<span>Overview</span>
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</a>
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</li>
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<span>Information Gathering</span>
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<span>Overview</span>
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</li>
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<a href="/measure-lifecycle/measure-conceptualization/information-gathering/conduct-environment-scan">
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<span>Conduct an Environmental Scan</span>
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</a>
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</li>
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<a href="/measure-lifecycle/measure-conceptualization/information-gathering/analyze-data-gap-analysis">
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<span>Analyze Data & Conduct Gap Analysis</span>
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</a>
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<a href="/measure-lifecycle/measure-conceptualization/information-gathering/respecified-measures">
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<span>Respecified Measures</span>
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</a>
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-conceptualization/information-gathering/justify-creation-new-measures">
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<span>Justify the Creation of New Measures</span>
|
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</a>
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</li>
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</ul>
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_expanded">
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<span>Business Case Development</span>
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</button>
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<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" >
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-conceptualization/business-case/overview">
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<span>Overview</span>
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</a>
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-conceptualization/business-case/outcomes">
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<span>Documenting Outcomes, Benefits, & Costs</span>
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</a>
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-conceptualization/business-case/best-practices">
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<span>Business Case Best Practices</span>
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</a>
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</li>
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</ul>
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</li>
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</ul>
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</div>
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<div class="desktop:grid-col-3">
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<div class="usa-nav__headermenu-item">
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<span><strong>Measure Specification</strong></span>
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</div>
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<ul id="basic-nav-section-Measure-Specification" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Measure-Specification" >
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<a href="/measure-lifecycle/measure-specification/overview">
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<span>Overview</span>
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</a>
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-specification/specifications-measure-category">
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<span>Specifications by Measure Category</span>
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</a>
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-specification/define-data-sources">
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<span>Define Data Sources</span>
|
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</a>
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_expanded">
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<span>Develop Specifications</span>
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</button>
|
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<ul id="basic-nav-section-Develop-Specifications" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Develop-Specifications" >
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-specification/develop-specification/overview">
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<span>Overview</span>
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</a>
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-specification/develop-specification/target-initial-population">
|
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<span>Define the Target/Initial Population</span>
|
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</a>
|
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-specification/develop-specification/denominator">
|
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<span>Define the Denominator</span>
|
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</a>
|
|
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</li>
|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-specification/develop-specification/numerator">
|
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<span>Define the Numerator and Exclusions</span>
|
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</a>
|
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|
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</li>
|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
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<a href="/measure-lifecycle/measure-specification/develop-specification/stratification">
|
|
<span>Define Stratification Scheme</span>
|
|
</a>
|
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|
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</li>
|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
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|
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<a href="/measure-lifecycle/measure-specification/develop-specification/respecifying-registry-measures">
|
|
<span>Respecifying Registry Measures to Electronic Clinical Quality Measures (eCQMs)</span>
|
|
</a>
|
|
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</li>
|
|
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</ul>
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_expanded">
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<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">
|
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<span>Specify the Code</span>
|
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</button>
|
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<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" >
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-specification/specify-code/overview">
|
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<span>Overview</span>
|
|
</a>
|
|
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|
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</li>
|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
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<a href="/measure-lifecycle/measure-specification/specify-code/code-systems-vocabularies-terminologies">
|
|
<span>Code Systems, Vocabularies, and Terminologies</span>
|
|
</a>
|
|
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|
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</li>
|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
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|
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<a href="/measure-lifecycle/measure-specification/specify-code/encode-clinical-information">
|
|
<span>Encoding Clinical Information</span>
|
|
</a>
|
|
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|
|
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</li>
|
|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
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<a href="/measure-lifecycle/measure-specification/specify-code/data-standards">
|
|
<span>Data Standards</span>
|
|
</a>
|
|
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|
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</li>
|
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|
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</ul>
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_expanded">
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|
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<span>Construct Data Protocol</span>
|
|
</button>
|
|
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|
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<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" >
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
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<a href="/measure-lifecycle/measure-specification/data-protocol/overview">
|
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<span>Overview</span>
|
|
</a>
|
|
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|
|
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</li>
|
|
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|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
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|
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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>
|
|
</a>
|
|
|
|
|
|
</li>
|
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|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
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|
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<a href="/measure-lifecycle/measure-specification/data-protocol/level-measurement-analysis">
|
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<span>Describe Level of Measurement & Sampling</span>
|
|
</a>
|
|
|
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|
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</li>
|
|
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|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
|
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|
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<a href="/measure-lifecycle/measure-specification/data-protocol/risk-adjustment">
|
|
<span>Determine Risk Adjustment</span>
|
|
</a>
|
|
|
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|
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</li>
|
|
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|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
|
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|
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<a href="/measure-lifecycle/measure-specification/data-protocol/time-interval">
|
|
<span>Define Any Time Intervals</span>
|
|
</a>
|
|
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|
|
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</li>
|
|
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|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
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|
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<a href="/measure-lifecycle/measure-specification/data-protocol/scoring">
|
|
<span>Describe Scoring & Calculation Algorithm</span>
|
|
</a>
|
|
|
|
|
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</li>
|
|
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|
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</ul>
|
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</li>
|
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|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
|
|
|
|
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|
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<a href="/measure-lifecycle/measure-specification/document-measure">
|
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<span>Document the Measures</span>
|
|
</a>
|
|
|
|
|
|
</li>
|
|
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|
|
<li class="usa-nav__submenu-item menu_level_2 is_expanded">
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<span>Measure Harmonization</span>
|
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</button>
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<ul id="basic-nav-section-Measure-Harmonization" class="usa-nav__submenu-list-2 is_collapsed " aria-controls="extended-mmega-nav-section-Measure-Harmonization" >
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<a href="/measure-lifecycle/measure-specification/measure-harmonization/overview">
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<span>Overview</span>
|
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</a>
|
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-specification/measure-harmonization/alignment">
|
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<span>Measure Harmonization and Alignment</span>
|
|
</a>
|
|
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</li>
|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-specification/measure-harmonization/when-to-consider">
|
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<span>When to Consider Measure Harmonization</span>
|
|
</a>
|
|
|
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</li>
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</ul>
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</li>
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</ul>
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</div>
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<div class="desktop:grid-col-3">
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<div class="usa-nav__headermenu-item">
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<span><strong>Measure Testing</strong></span>
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</div>
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<a href="/measure-lifecycle/measure-testing/overview">
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<span>Overview</span>
|
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</a>
|
|
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|
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_expanded">
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<span>Measure Testing Process</span>
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<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" >
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<a href="/measure-lifecycle/measure-testing/process/overview">
|
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<span>Overview</span>
|
|
</a>
|
|
|
|
|
|
</li>
|
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|
|
|
<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
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<a href="/measure-lifecycle/measure-testing/process/develop-workplan">
|
|
<span>Develop The Testing Work Plan</span>
|
|
</a>
|
|
|
|
|
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</li>
|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-testing/process/perform-sampl">
|
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<span>Perform Sampling</span>
|
|
</a>
|
|
|
|
|
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</li>
|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-testing/process/implement-and-analyze">
|
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<span>Implement, Analyze, Refine & Retest</span>
|
|
</a>
|
|
|
|
|
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</li>
|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-testing/process/summary">
|
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<span>Measure Testing Summary</span>
|
|
</a>
|
|
|
|
|
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</li>
|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
|
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|
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<a href="/measure-lifecycle/measure-testing/process/testing-respecified-measures">
|
|
<span>Testing Respecified Measures</span>
|
|
</a>
|
|
|
|
|
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</li>
|
|
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|
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</ul>
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_expanded">
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<span>Measure Evaluation Criteria</span>
|
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</button>
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<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" >
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-testing/evaluation-criteria/overview">
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<span>Overview</span>
|
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</a>
|
|
|
|
|
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</li>
|
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-testing/evaluation-criteria/importance">
|
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<span>Importance</span>
|
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</a>
|
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-testing/evaluation-criteria/scientific-acceptability">
|
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<span>Scientific Acceptability</span>
|
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</a>
|
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-testing/evaluation-criteria/feasibility">
|
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<span>Feasibility</span>
|
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</a>
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</li>
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<li class="usa-nav__submenu-item menu_level_2 is_collapsed ">
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<a href="/measure-lifecycle/measure-testing/evaluation-criteria/usability">
|
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<span>Usability & Use</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>The <abbr tabindex="0" title="<p>The <span class="glossify-exclude">target/initial population</span> refers to all events for evaluation by a specific performance measure involving patients who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Measured entities should draw all patients/episodes (e.g., as numerator, as denominator) from the <span class="glossify-exclude">target/initial population</span>.</p> " class="glossify-tooltip-tip" lang="en">target/initial population</abbr> refers to the cohort from which to select the <abbr tabindex="0" title="<p>The <span class="glossify-exclude">denominator</span> is a statement describing the population evaluated by the performance measure and is the lower part of a fraction used to calculate a rate, proportion, or ratio. It can be the same as the target/initial population or a subset of the target/initial population to further constrain the population for the purpose of the measure. CV measures may refer to this as measure population.</p> " class="glossify-tooltip-tip" lang="en">denominator</abbr> <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">population</abbr>. Some measures (e.g., <abbr tabindex="0" title="<p>A <span class="glossify-exclude">ratio</span> is a score derived by dividing a count of one type of data by a count of another type of data (e.g., number of patients with central lines who develop infection divided by the number of central line days). The key to the definition of a <span class="glossify-exclude">ratio</span> is that the numerator is not in the denominator.</p> " class="glossify-tooltip-tip" lang="en">ratio</abbr> measures) require multiple target/initial populations, one for the <abbr tabindex="0" title="<p>The <span class="glossify-exclude">numerator</span> is the upper portion of a fraction used to calculate a rate, proportion, or ratio. Also called the measure focus, it is the target process, condition, event, or outcome. <span class="glossify-exclude">Numerator</span> criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. A <span class="glossify-exclude">numerator</span> statement describes the action satisfying the conditions of the performance measure.</p> " class="glossify-tooltip-tip" lang="en">numerator</abbr> and one for the denominator.</p>
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<p>Details often include information based on specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.</p>
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<p>If the measure is part of a <abbr tabindex="0" title="<p>A measure set is a group of measures related in some way such as measures addressing a specific condition, procedure, or specialty.</p> " class="glossify-tooltip-tip" lang="en">measure set</abbr>, the broadest group of population for inclusion in the set of measures is the target/initial population. The measure developer must specify codes or other data necessary to identify this cohort, as well as any sequencing of steps needed to identify cases for inclusion.</p>
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<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="2022-12-28T10:21:13-05:00">Dec 2022</time>
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