2555 lines
87 KiB
Text
2555 lines
87 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="" />
|
||
<link rel="canonical" href="http://mmshub.cms.gov/measure-lifecycle/measure-specification/develop-specification/denominator-exclusions" />
|
||
<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>Denominator Exclusions | 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/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="/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-451 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 is_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 usa-currentis_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-specification/overview" class="usa-breadcrumb__link"><span>Measure Specification</span></a>
|
||
</li>
|
||
<li class="usa-breadcrumb__list-item">
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/overview" class="usa-breadcrumb__link"><span>Develop Specifications</span></a>
|
||
</li>
|
||
<li class="usa-breadcrumb__list-item">
|
||
<span>Denominator Exclusions</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-b740bb90f805b0f29c20d8aee8bc1acdf8913e5b8a868fa686fd7863a3c13323">
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
<div class="views-row"><div class="views-field views-field-field-parent-title"><h1 class="field-content"><span class="glossify-exclude">Measure <abbr tabindex="0" title="<p><span class="glossify-exclude">Specifications</span> 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.</p> " class="glossify-tooltip-tip" lang="en">Specification</abbr></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-specification/overview">Overview</a>
|
||
</span>
|
||
</li>
|
||
|
||
<li class="usa-nav__primary-item">
|
||
<span class="usa-accordion__button usa-nav__link ">
|
||
<a href="/measure-lifecycle/measure-specification/specifications-measure-category">Specifications by Measure Category</a>
|
||
</span>
|
||
</li>
|
||
|
||
<li class="usa-nav__primary-item">
|
||
<span class="usa-accordion__button usa-nav__link ">
|
||
<a href="/measure-lifecycle/measure-specification/define-data-sources">Define Data Sources</a>
|
||
</span>
|
||
</li>
|
||
|
||
<li class="usa-nav__primary-item">
|
||
<span class="usa-accordion__button usa-nav__link usa-current">
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification">Develop Specifications</a>
|
||
</span>
|
||
</li>
|
||
|
||
<li class="usa-nav__primary-item">
|
||
<span class="usa-accordion__button usa-nav__link ">
|
||
<a href="/measure-lifecycle/measure-specification/specify-code">Specify the Code</a>
|
||
</span>
|
||
</li>
|
||
|
||
<li class="usa-nav__primary-item">
|
||
<span class="usa-accordion__button usa-nav__link ">
|
||
<a href="/measure-lifecycle/measure-specification/data-protocol">Construct Data Protocol</a>
|
||
</span>
|
||
</li>
|
||
|
||
<li class="usa-nav__primary-item">
|
||
<span class="usa-accordion__button usa-nav__link ">
|
||
<a href="/measure-lifecycle/measure-specification/document-measure">Document the Measures</a>
|
||
</span>
|
||
</li>
|
||
|
||
<li class="usa-nav__primary-item">
|
||
<span class="usa-accordion__button usa-nav__link ">
|
||
<a href="/measure-lifecycle/measure-specification/measure-harmonization">Measure Harmonization</a>
|
||
</span>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</nav>
|
||
|
||
<h1 class="margin-0">
|
||
<span property="schema:name">Denominator Exclusions</span>
|
||
</h1>
|
||
|
||
|
||
<div id="block-mms-hcd-content" class="grid-col-12 block block-system block-system-main-block">
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
<div data-history-node-id="451" 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><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> exclusions refer to <abbr tabindex="0" title="<p>A criterion is an accepted standard, principle, or rule used to make a decision or to inform an evaluator’s judgment.</p> " class="glossify-tooltip-tip" lang="en">criteria</abbr> that result in removal of patients or cases from the denominator before calculating 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>. A denominator exclusion means the numerator event is not applicable to those covered by the denominator exclusion; an example of a denominator exclusion is to “exclude women who have had bilateral mastectomy from the denominator for a measure of screening mammography.”</p><p>The goal of denominator exclusion criteria is to have a <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> or <abbr tabindex="0" title="<p>A <span class="glossify-exclude">sample</span> is a subset of a population. The subset should be chosen in such a way that it accurately represents the whole population with respect to some characteristic of interest. A sampling frame lists all eligible cases in the population of interest (i.e., denominator) and how they are selected.</p> " class="glossify-tooltip-tip" lang="en">sample</abbr>, all of whom share a similar profile in terms of their likelihood of meeting the numerator criteria. </p><p><strong>Format:</strong> denominator-eligible patients who [have some additional characteristic, condition, procedure]</p><p>The measure developer must not specify systematically missing data as a denominator exclusion. The <abbr tabindex="0" title="<p>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.</p> " class="glossify-tooltip-tip" lang="en">CMS consensus-based entity</abbr> (CBE) Partnership for Quality Measurement (PQM) <a href="https://www.p4qm.org/EM">Endorsement & Maintenance (E&M) Guidebook</a> notes "As part of the <abbr tabindex="0" title="<p><span class="glossify-exclude">Validity</span> includes measure <span class="glossify-exclude">validity</span> (when the measure accurately represents the evaluated concept and achieves the intended purpose, meaning to measure quality) and data element <span class="glossify-exclude">validity</span>, which is the extent to which the information represented by the data element or code used in the measure reflects the actual concept or event intended.</p> " class="glossify-tooltip-tip" lang="en">validity</abbr> testing methodology, developers/stewards should empirically assess, as appropriate, the impact of missing data and/or measure exclusions."</p><p>To avoid complexity, the measure developer should limit denominator exclusions to just those that are absolutely necessary. Ensure the measure <abbr tabindex="0" title="<p><span class="glossify-exclude">Logic</span> is the criteria used to define a quality measure and its key components.</p> " class="glossify-tooltip-tip" lang="en">logic</abbr> expressions (e.g., <abbr tabindex="0" title="<p><a href="https://ecqi.healthit.gov/cql">CQL</a> is a Health Level Seven International® mixed normative/Standard for Trial Use. It is part of the effort to harmonize standards between electronic clinical quality measures and clinical decision support. <span class="glossify-exclude">CQL</span> provides the ability to express logic that is human-readable yet structured enough for processing a query electronically.</p> " class="glossify-tooltip-tip" lang="en">Clinical Quality Language</abbr>) clearly identify denominator exclusions. The measure developer should support an allowable denominator exclusion with</p><ul><li>Evidence the denominator exclusion condition occurs with such frequency that it will distort the measure results without the denominator exclusion, and</li><li>Evidence the denominator exclusion significantly improves <abbr tabindex="0" title="<p><span class="glossify-exclude">Measure validity</span> is when the measure accurately represents the evaluated concept and achieves the intended purpose (i.e., to measure quality). For example, the measure</p> <ul> <li>clearly identifies the evaluated concept (i.e., face validity)</li> <li>includes all necessary data elements, codes, and tables to detect a positive occurrence when one exists (i.e., construct validity)</li> <li>includes all necessary data sources to detect a positive occurrence when one exists (i.e., construct validity)</li> </ul> " class="glossify-tooltip-tip" lang="en">measure validity</abbr>, and/or</li><li> Evidence of both empiric and <abbr tabindex="0" title="<p><span class="glossify-exclude">Face validity</span> is the extent to which a test appears to cover the concept it purports to measure “at face value.” It is a subjective assessment by experts of whether the measure reflects the quality of care (e.g., whether the proportion of patients with blood pressure &lt; 140/90 is a marker of quality.)</p> " class="glossify-tooltip-tip" lang="en">face validity</abbr>.</li></ul><p>Also consider</p><ul><li>Conditions present on admission should not count as an outcome of interest.</li><li>An outcome of interest can be very difficult to prevent in a population of interest, and therefore not an indication of substandard care.</li><li>Some inclusion criteria identify populations who are at very low risk for the outcome of interest, but then the measure developer incorrectly made a denominator exclusion to prevent dilution of the quality improvement denominator.</li><li>Some inclusion criteria are for the purpose of enhancing face validity with clinicians.</li><li>Some inclusion criteria are an inherent part of the quality improvement definition.</li><li>The inclusion criteria may conflict with the patient’s goals of care (e.g., advanced illness, terminally ill). </li></ul></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-f8d178c3be89c28a641f0eae8fe0cc34fe0c1e8f8cf9c1762db6a384038bc6e1">
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
<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="2024-12-03T12:24:14-05:00">Dec 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-specification/develop-specification/overview">
|
||
<span>
|
||
Overview
|
||
</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
<li class="usa-sidenav__item">
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/target-initial-population">
|
||
<span>
|
||
Define the Target/Initial Population
|
||
</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
<li class="usa-sidenav__item expanded dropdown active active-trail">
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/denominator" class="usa-current">
|
||
<span>
|
||
Define the Denominator
|
||
</span>
|
||
</a>
|
||
|
||
<span class="downward-caret">
|
||
<img src="http://mmshub.cms.gov/themes/mms_hcd/assets/img/angle-arrow-down-primary.svg" alt="Menu items below">
|
||
</span>
|
||
|
||
</li>
|
||
|
||
<ul class="usa-sidenav__sublist">
|
||
<li class="usa-sidenav__item active active-trail first">
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/denominator-exclusions" class="usa-current">
|
||
<span>
|
||
Denominator Exclusions
|
||
</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
<li class="usa-sidenav__item last">
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/denominator-exceptions">
|
||
<span>
|
||
Denominator Exceptions
|
||
</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
</ul>
|
||
|
||
<li class="usa-sidenav__item">
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/numerator">
|
||
<span>
|
||
Define the Numerator and Exclusions
|
||
</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
<li class="usa-sidenav__item">
|
||
<a href="/measure-lifecycle/measure-specification/develop-specification/stratification">
|
||
<span>
|
||
Define Stratification Scheme
|
||
</span>
|
||
</a>
|
||
|
||
|
||
</li>
|
||
<li class="usa-sidenav__item last">
|
||
<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>
|
||
|
||
|
||
|
||
</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\/451","currentPathIsAdmin":false,"isFront":false,"currentLanguage":"en"},"pluralDelimiter":"\u0003","suppressDeprecationErrors":true,"ajaxPageState":{"libraries":"eJxNjuEOwiAMhF-ojsQXIowWJaOUUBD16UXjlv1prl_uevUbYWxSrfNeKkbJ5lBLqJIbZYQJyGDtxaUlSGVANaj26iXZkHpEoGdLMW-76b_CLYlqDC-zC1uk9ALMau8ep13KWzIdIMxGN0iFT6w6piF1O8i8trp08cJlhnNT0Jc2YrM6Jeg65nNfeYo-Ig01v7mwYE_0AWHfYm4","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}},"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="/modules/contrib/glossify/js/glossify_popup.js?v=1.x"></script>
|
||
<script src="/core/misc/form.js?v=10.2.7"></script>
|
||
|
||
</body>
|
||
</html>
|