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<span>Documenting Outcomes, Benefits, &amp; Costs</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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<span>Define Stratification Scheme</span>
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<span>Encoding Clinical Information</span>
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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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<span>Define Any Time Intervals</span>
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<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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<span>When to Consider Measure Harmonization</span>
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<div class="views-row"><div class="views-field views-field-field-parent-title"><h1 class="field-content"><span class="glossify-exclude">Blueprint Measure Lifecycle</span></h1></div></div>
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<span property="schema:name">Measure Use, Continuing Evaluation &amp; Maintenance</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>This section explains the processes of measure production and monitoring; continuing evaluation; and three types of <abbr tabindex="0" title="&lt;p&gt;&lt;span class=&quot;glossify-exclude&quot;&gt;Measure maintenance&lt;/span&gt; is the periodic and consistent reviewing, evaluating, and updating of performance measures to ensure continued reliability, validity, feasibility, importance, usability, and currency with science. It also involves comparison to similar measures for potential harmonization.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">measure maintenance</abbr> reviews: annual updates, comprehensive reevaluation, and early maintenance review. These reviews are necessary to assure the ongoing accuracy and value of the <abbr tabindex="0" title="&lt;p&gt;The Patient Protection and Affordable Care Act defined a &lt;span class=&quot;glossify-exclude&quot;&gt;quality measure&lt;/span&gt; as “a standard for measuring the performance and improvement of population health or of health plans, providers of services, and other clinicians in the delivery of health care services.” (&lt;a href=&quot;https://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf&quot;&gt;Pub. L. 111-148, 931&lt;/a&gt;)&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">quality measure</abbr>. Interested party input is a critical component of the review process.</p>
<p><span><span><span><span>Measure developers should conduct a high-level review at least annually and a vigorous and more comprehensive review every 3 years. Measure maintenance reviews determine whether the measures strengths and limitations related to the evaluation <abbr tabindex="0" title="&lt;p&gt;A criterion is an accepted standard, principle, or rule used to make a decision or to inform an evaluators judgment.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">criteria</abbr> have changed since the last formal evaluation and they also give insight on whether the measure should continue to be in use. The measure developer must provide strong evidence that a measure currently in use continues to add value to quality reporting and incentive programs and that its construction continues to be sound throughout its lifecycle.</span></span></span></span></p>
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<div class="field field--name-field-body-cont- field--type-text-long field--label-hidden field__item"><h3>Measure Lifecycle</h3></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div id="block-measurelifecycle" class="block--type-measure-lifecycle block block-block-content block-block-content1f8e0d8b-d6b9-48f9-9e36-6136250436bf">
<div class="block-content block-content--type-measure-lifecycle block-content--view-mode-full ds-1col clearfix">
<div class="lifecycle_arrow_top_left field field--name-field-top-left-arrow field--type-entity-reference field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2022-02/line-2_1.svg" alt="Top Left" typeof="foaf:Image" />
</div>
<div class="lifecycle_measure_spec field field--name-field-measure-specification-ref field--type-entity-reference field--label-hidden field__item"><div data-history-node-id="76" class="node node--type-measure-lifecycle node--view-mode-teaser ds-1col clearfix">
<div class="lifecycle_icon field field--name-field-image field--type-entity-reference field--label-hidden field__item"><div>
<div class="field field--name-field-media-svg field--type-svg-image-field field--label-hidden field__item"> <svg xmlns="http://www.w3.org/2000/svg" width="400" height="400" viewBox="0 0 36 35">
<g fill="#005AA0" fill-rule="nonzero">
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</div>
<div class="lifecycle_title field field--name-field-lifecycle-link field--type-link field--label-hidden field__items">
<div class="field__item"><a href="/measure-lifecycle/measure-specification/overview">Measure Specification</a></div>
</div>
<div class="lifecycle_body field field--name-body field--type-text-with-summary field--label-hidden field__item"><ul>
<li>Determine the measure ingredients and calculation formula</li>
<li>Collect input and testing findings on initial measure specifications to aid in refinement</li>
</ul></div>
</div>
</div>
<div class="lifecycle_arrow_top_right field field--name-field-top-right-arrow field--type-entity-reference field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2022-02/line-2%20%281%29_1.svg" alt="Top Right" typeof="foaf:Image" />
</div>
<div class="lifecycle_vertical_arrow_top field field--name-field-vertical-arrow field--type-entity-reference field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2022-02/VerticalArrow%402x.png" width="20" height="50" alt="vertical arrows" typeof="foaf:Image" />
</div>
<div class="lifecycle_eval field field--name-field-use-cont-eval-maint-ref field--type-entity-reference field--label-hidden field__item"><div data-history-node-id="77" class="node node--type-measure-lifecycle node--view-mode-teaser ds-1col clearfix">
<div class="lifecycle_icon field field--name-field-image field--type-entity-reference field--label-hidden field__item"><div>
<div class="field field--name-field-media-svg field--type-svg-image-field field--label-hidden field__item"> <svg xmlns="http://www.w3.org/2000/svg" width="400" height="400" viewBox="0 0 35 35">
<path d="M4.027.004a.583.583 0 0 0-.358.994l3.915 3.91v1.27L6.176 7.586H4.91L.995 3.672a.583.583 0 0 0-.994.413v4.668c0 .153.063.3.172.409l2.915 2.918c.11.11.259.17.414.169h4.422l5.009 5.008 4.326-4.324-5.007-5.007V3.5a.583.583 0 0 0-.172-.409L9.164.171A.583.583 0 0 0 8.75.004H4.027zm28.575 0a.6.6 0 0 0-.198.06l-5.83 2.914a.585.585 0 0 0-.324.522v2.093L13.076 18.765l3.157 3.16L29.407 8.753H31.5c.22 0 .422-.126.52-.324l2.92-5.834a.584.584 0 0 0-.112-.672L33.08.171a.584.584 0 0 0-.478-.167zM22.069 17.742l-4.326 4.326 5.006 5.005V31.5c0 .156.063.305.173.414l2.915 2.915c.11.11.258.172.413.172h4.668a.583.583 0 0 0 .409-1l-3.91-3.909v-1.265l1.408-1.413h1.267l3.913 3.914a.583.583 0 0 0 .995-.413V26.25a.583.583 0 0 0-.172-.414l-2.916-2.92a.583.583 0 0 0-.413-.167h-4.422l-5.008-5.008zm-10.993.922a.584.584 0 0 0-.405.172l-1.338 1.338 5.491 5.49 1.338-1.338a.583.583 0 0 0 0-.823l-4.664-4.667a.584.584 0 0 0-.422-.172zm-2.567 2.334L1.24 28.266c-1.581 1.582-1.674 4.108-.147 5.636 1.528 1.528 4.056 1.435 5.638-.147l7.266-7.266L8.508 21z" fill="#005AA0" fill-rule="nonzero"></path>
</svg>
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</div>
<div class="lifecycle_title field field--name-field-lifecycle-link field--type-link field--label-hidden field__items">
<div class="field__item"><a href="/measure-lifecycle/measure-use/overview">Measure Use, Continuing Evaluation &amp; Maintenance</a></div>
</div>
<div class="lifecycle_body field field--name-body field--type-text-with-summary field--label-hidden field__item"><ul>
<li>Includes annual update and comprehensive reevaluation every 3 years</li>
<li>Early maintenance review may be necessary</li>
</ul></div>
</div>
</div>
<div class="lifecycle_horizontal_arrow_left field field--name-field-horizontal-arrow field--type-entity-reference field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2022-02/path-8-copy-2.svg" alt="horizontal arrows" typeof="foaf:Image" />
</div>
<div class="lifecycle_concept field field--name-field-measure-concept-ref field--type-entity-reference field--label-hidden field__item"><div data-history-node-id="78" class="node node--type-measure-lifecycle node--view-mode-teaser ds-1col clearfix">
<div class="lifecycle_icon field field--name-field-image field--type-entity-reference field--label-hidden field__item"><div>
<div class="field field--name-field-media-svg field--type-svg-image-field field--label-hidden field__item"> <svg xmlns="http://www.w3.org/2000/svg" width="400" height="400" viewBox="0 0 22 35">
<g fill="#005AA0" fill-rule="nonzero">
<ellipse cx="11.423" cy="11.813" rx="2.962" ry="3.063"></ellipse>
<path d="M5.077 29.75C5.555 32.726 8.029 35 11 35s5.445-2.274 5.923-5.25H5.077zM10 23.625v-7.388a4.917 4.917 0 0 1-1.755-.745L6.757 17.01l-1.414-1.444 1.487-1.52a5.136 5.136 0 0 1-.73-1.792H4v-2.042h2.1c.13-.651.383-1.257.73-1.793L5.343 6.901l1.414-1.444 1.488 1.519A4.914 4.914 0 0 1 10 6.23V4.085h2V6.23c.637.133 1.23.39 1.755.746l1.488-1.52 1.414 1.445L15.17 8.42c.347.536.6 1.142.73 1.792H18v2.043h-2.1a5.136 5.136 0 0 1-.73 1.793l1.487 1.518-1.414 1.445-1.488-1.52a4.914 4.914 0 0 1-1.755.746v7.388h5V20.65a11.2 11.2 0 0 0 3.482-3.72A11.406 11.406 0 0 0 22 11.235C22 5.039 17.065 0 11 0S0 5.04 0 11.234c0 2.007.525 3.977 1.518 5.697A11.2 11.2 0 0 0 5 20.65v2.974h5zM5.077 25.375h11.846V28H5.077z"></path>
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</svg>
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</div>
<div class="lifecycle_title field field--name-field-lifecycle-link field--type-link field--label-hidden field__items">
<div class="field__item"><a href="/measure-lifecycle/measure-conceptualization/overview">Measure Conceptualization</a></div>
</div>
<div class="lifecycle_body field field--name-body field--type-text-with-summary field--label-hidden field__item"><ul>
<li>Identify ideas or topics that are most important to interested parties and address a gap in measurement</li>
<li>Scan the environment</li>
</ul></div>
</div>
</div>
<div class="lifecycle_horizontal_arrow_right field field--name-field-horizontal-arrow2 field--type-entity-reference field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2022-02/path-8-copy-2.svg" alt="horizontal arrows" typeof="foaf:Image" />
</div>
<div class="lifecycle_measure_test field field--name-field-measure-testing-ref field--type-entity-reference field--label-hidden field__item"><div data-history-node-id="79" class="node node--type-measure-lifecycle node--view-mode-teaser ds-1col clearfix">
<div class="lifecycle_icon field field--name-field-image field--type-entity-reference field--label-hidden field__item"><div>
<div class="field field--name-field-media-svg field--type-svg-image-field field--label-hidden field__item"> <svg xmlns="http://www.w3.org/2000/svg" width="400" height="400" viewBox="0 0 27 36">
<g fill="#005AA0" fill-rule="nonzero">
<path d="M6.135 25.432h14.024v4.385H6.135z"></path>
<path d="M1.011 4.385C.452 4.385 0 4.84 0 5.403V34.06c0 .563.452 1.019 1.011 1.019h24.272c.559 0 1.011-.456 1.011-1.019V5.403c0-.563-.452-1.018-1.011-1.018h-6.068v1.018c0 1.686-1.361 3.056-3.034 3.056h-6.068C8.44 8.46 7.08 7.09 7.08 5.403V4.385H1.011zm4.046 7.198c.558 0 1.01.456 1.01 1.019 0 .562-.452 1.018-1.01 1.018a1.015 1.015 0 0 1-1.012-1.018c0-.563.453-1.019 1.012-1.019zm0 4.074c.558 0 1.01.456 1.01 1.019s-.452 1.019-1.01 1.019a1.015 1.015 0 0 1-1.012-1.019c0-.563.453-1.019 1.012-1.019zm0 4.075c.558 0 1.01.456 1.01 1.018 0 .563-.452 1.02-1.01 1.02a1.015 1.015 0 0 1-1.012-1.02c0-.562.453-1.018 1.012-1.018zm4.045-8.149h12.136c.559 0 1.01.456 1.01 1.019s-.451 1.018-1.01 1.018H9.102a1.014 1.014 0 0 1-1.012-1.018c0-.563.453-1.019 1.012-1.019zm0 4.074h12.136c.559 0 1.01.456 1.01 1.019s-.451 1.019-1.01 1.019H9.102a1.014 1.014 0 0 1-1.012-1.019c0-.563.453-1.019 1.012-1.019zm0 4.075h12.136c.559 0 1.01.455 1.01 1.018s-.451 1.02-1.01 1.02H9.102a1.014 1.014 0 0 1-1.012-1.02c0-.563.453-1.018 1.012-1.018zm12.136 4.074c.559 0 1.01.456 1.01 1.019v6.18c0 .562-.451 1.018-1.01 1.018H5.057a1.014 1.014 0 0 1-1.012-1.019v-6.18c0-.562.453-1.018 1.012-1.018h16.18z"></path>
<path d="M16.543 6.139c.545 0 .986-.458.986-1.023V3.069c0-.565-.441-1.023-.986-1.023h-.986C15.557.916 14.674 0 13.585 0s-1.972.916-1.972 2.046h-.986c-.544 0-.986.458-.986 1.023v2.047c0 .565.442 1.023.986 1.023h5.916z"></path>
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</div>
<div class="lifecycle_title field field--name-field-lifecycle-link field--type-link field--label-hidden field__items">
<div class="field__item"><a href="/measure-lifecycle/measure-testing/overview">Measure Testing</a></div>
</div>
<div class="lifecycle_body field field--name-body field--type-text-with-summary field--label-hidden field__item"><ul>
<li>Collect qualitative and quantitative data to establish whether the measure meets evaluation criteria</li>
<li>Iterate with Measure Specification</li>
</ul></div>
</div>
</div>
<div class="lifecycle_vertical_arrow_bottom field field--name-field-vertical-arrow2 field--type-entity-reference field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2022-02/VerticalArrow%402x.png" width="20" height="50" alt="vertical arrows" typeof="foaf:Image" />
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<div class="lifecycle_icon field field--name-field-image field--type-entity-reference field--label-hidden field__item"><div>
<div class="field field--name-field-media-svg field--type-svg-image-field field--label-hidden field__item"> <svg xmlns="http://www.w3.org/2000/svg" width="400" height="400" viewBox="0 0 35 37">
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<div class="lifecycle_title field field--name-field-lifecycle-link field--type-link field--label-hidden field__items">
<div class="field__item"><a href="/measure-lifecycle/measure-implementation/overview">Measure Implementation</a></div>
</div>
<div class="lifecycle_body field field--name-body field--type-text-with-summary field--label-hidden field__item"><ul>
<li>Pre- and rulemaking processes</li>
<li>Collect user input on initial measure specifications to aid in refinement</li>
</ul></div>
</div>
</div>
<div class="lifecycle_arrow_bottom_right field field--name-field-bottom-right-arrow field--type-entity-reference field--label-hidden field__item"> <img loading="lazy" src="/sites/default/files/2022-02/line-2%20%282%29_1.svg" alt="Bottom Right" typeof="foaf:Image" />
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