Issue link: https://beckershealthcare.uberflip.com/i/922733
43 FINANCE CMO / CARE DELIVERY 32 Quality Measures CMS Is Considering for 2018 Pre-Rulemaking By Morgan Haefner C MS released its Measures under Con- sideration list for 2018 pre-rulemak- ing in December. e agency sent its list to the National Quality Forum for annual review. e list contains 32 standardized performance measures HHS is considering for use in federal programs. Forty percent of the measures on the list are outcomes measures, including patient-report- ed outcomes measures. e list also comprises eight episode-based cost measures. Here are the 32 quality measures CMS is pro- posing, organized by program. Note: Comprehensive descriptions of each measure can be found in CMS' full list. Merit-based Incentive Payment System 1. Continuity of pharmacotherapy for opioid use disorder 2. Average change in functional status follow- ing lumbar spine fusion surgery 3. Average change in functional status follow- ing total knee replacement surgery 4. Average change in functional status follow- ing lumbar discectomy laminotomy surgery 5. Appropriate use of DXA scans in women under 65 years who do not meet the risk fac- tor profile for osteoporotic fracture 6. Average change in leg pain following lum- bar spine fusion surgery 7. Optimal vascular care 8. Routine cataract removal with intraocular lens (IOL) implantation 9. International Prostate Symptom Score (IPSS) or American Urological Association Symptom Index (AUA-SI) change 6 to 12 months aer diagnosis of benign prostatic hyperplasia 10. Knee arthroplasty 11. ST-Elevation Myocardial Infarction (STEMI) with percutaneous coronary inter- vention (PCI) 12. Revascularization for lower extremity chronic critical limb ischemia 13. Zoster (shingles) vaccination 14. Patient-reported and clinical outcomes following ilio-femoral venous stenting 15. Elective outpatient percutaneous coronary intervention (PCI) 16. Intracranial hemorrhage or cerebral in- farction 17. Simple pneumonia with hospitalization 18. HIV screening Both MIPS and Medicare Shared Savings Program 19. Optimal diabetes care 20. Diabetes A1c Control (< 8.0) 21. Ischemic vascular disease use of aspirin or antiplatelet medication 22. Screening/surveillance colonoscopy Hospital Inpatient Quality Reporting Program; Medicaid and Medicare EHR Incentive Program for Eligible Hospi- tals; and Critical Access Hospitals 23. Hybrid hospitalwide all-cause risk stan- dardized mortality measure 24. Hospital harm performance measure: Opioid-related adverse respiratory events 25. Ambulatory surgical center quality report- ing program Hospital Outpatient Quality Reporting Program 26. Lumbar spine imaging for low back pain End-Stage Renal Disease Quality Incentive Program 27. Medication reconciliation for patients re- ceiving care at dialysis facilities 28. Percentage of prevalent patients waitlisted (PPPW) 29. Standardized first kidney transplant wait- list ratio for incident dialysis patients (SWR) Ambulatory Surgical Center Quality Reporting Program 30. Hospital visits following general surgery ambulatory surgical center procedures Prospective Payment System-Exempt Cancer Hospital Quality Reporting Program 31. 30-day unplanned readmissions for cancer patients Skilled Nursing Facility Quality Reporting Program 32. CoreQ: Short stay discharge measure n Buffalo's Mercy Hospital Faces Lawsuits After 2 Patients Die From Sepsis 2 Days Apart By Leo Vartorella T he families of two patients who underwent similar routine, min- imally invasive surgeries two days apart at Buffalo, N.Y.-based Mercy Hospital in 2016 are suing the hospital after both patients died from sepsis idays after their procedures, according to The Buffalo News. James Keane and Ellen Feeney were operated on by different surgeons 45 hours apart. Both suffered perforated bowels that led to sepsis and death, which their families argued could have been treated if hospital workers had identified the infection quick- er. Both families are represented by Donald Chiari of the Brown Chiari Law Firm, which lists Mercy Hospi- tal and Buffalo, N.Y.-based Catholic Health as defendants. Mr. Keane underwent surgery for a her- nia, while Ms. Feeney was being treat- ed for an ovarian cyst. Mr. Chiari alleges the hospital demonstrated gross negli- gence when it failed to identify and treat the sepsis in the patients. "According to the medical records in our possession, the hospital on at least five occasions failed to properly assess obvious signs of infection and violated its own sepsis protocols by not notifying a physician," Mr. Chiari said of Mr. Keane's operation, ac- cording to The Buffalo News. n