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29 QUALITY IMPROVEMENT & MEASUREMENT 32 Quality Measures CMS Is Considering for 2018 Pre-Rulemaking By Morgan Haefner C MS released its Measures under Consideration list for 2018 pre-rulemaking. 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 this year's list are outcomes measures, including patient-re- ported outcomes measures. e list also com- prises eight episode-based cost measures. Here are the 32 quality measures CMS is proposing, 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 fol- lowing lumbar spine fusion surgery 3. Average change in functional status fol- lowing total knee replacement surgery 4. Average change in functional status following lumbar discectomy laminotomy surgery 5. Appropriate use of DXA scans in women under 65 years who do not meet the risk factor profile for osteoporotic fracture 6. Average change in leg pain following lumbar spine fusion surgery 7. Optimal vascular care 8. Routine cataract removal with intraocular lens implantation 9. International Prostate Symptom Score or American Urological Association Symptom Index change six to 12 months aer diagno- sis of benign prostatic hyperplasia 10. Knee arthroplasty 11. ST-Elevation Myocardial Infarction with percutaneous coronary intervention 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 coro- nary intervention 16. Intracranial hemorrhage or cerebral infarction 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 Re- porting Program; Medicaid and Medicare EHR Incentive Program for Eligible Hospitals; 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 reporting program Hospital Outpatient Quality Report- ing Program 26. Lumbar spine imaging for low back pain End-Stage Renal Disease Quality Incentive Program 27. Medication reconciliation for patients receiving care at dialysis facilities 28. Percentage of prevalent patients wait- listed 29. Standardized first kidney transplant waitlist ratio for incident dialysis patients 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 Re- porting Program 32. CoreQ: Short stay discharge measure n CMS Adds 4 Measures for Flu Vaccine, MRSA and C. Diff to Provider Compare Sites By Morgan Haefner C MS added four ratings to its long-term care hospital and inpatient rehabilitation facility compare websites, which allow patients to com- pare quality data on provider performance. The LTCH and IRF websites currently display quality measures concerning ulcers, catheter-associated urinary tract infection and unplanned readmis- sion measures for 30 days post-discharge. The LTCH website also features a measure for central line-associated bloodstream infection. Here are the four measures CMS added to the LTCH and IRF websites Dec. 12. 1. Percent of residents or patients who were assessed and appropriately given the seasonal influenza vaccination 2. Influenza vaccination among healthcare personnel 3. National healthcare safety network facilitywide inpatient hospital-onset Methicillin-resistant Staphylococcus aureus bacteremia outcome measure 4. National healthcare safety network facilitywide inpatient hospital-onset Clostridium difficile outcome measure. n