MACRA Education and Outreach MACRA Education and Outreach

MACRA Education and Outreach MACRA Education and Outreach Series Series Meaningful Measures Presenter: Kimberly Rawlings,

CMS Vision and Goals: MACRA Webinar Series Vision and Goals: MACRA Webinar Series An ongoing process to engage clinical specialty societies and patient advocacy groups in quality measure development.

Elicit feedback that will help CMS design toolkits and enduring materials designed specifically for specialty societies and patient advocacy groups interested in measure development. Education Outreach Frequent Communication Enduring Materials Dedicated Websites Measure Development Roadmaps

Targeted Newsletters and Communication Showcase Opportunities MACRA Education and Outreach Series MACRA Education and Outreach Series Agenda

Agenda Agenda Webinar # 11: 1. Introduction to the Meaningful Approach and Objectives 2. Review of the Meaningful Measures Framework 3. Meaningful Measures Next Steps 4. Meaningful Measure Resources 5. Discussion and Feedback 6. Questions and Answers Meaningful

Measures Meaningful Measures AA New Approach to Meaningful Outcomes New Approach to Meaningful Outcomes Meaningful

Measures Objectives Meaningful Measures Objectives Meaningful Measures focus everyones efforts on the same quality areas and lend specificity, which can help identify measures that: Meaningful Measures Framework Meaningful Measures Framework

Meaningful Measures Measures Strengthen Person & Family Engagement as Partners in their Strengthen Care (1 of 2)Person & Family Engagement as Partners in their Care (1 of 2) Strengthen Person & Family Engagement as Partners in their

Strengthen Care (2 of 2)Person & Family Engagement as Partners in their Care (2 of 2) Promote Effective Communication & Coordination of Care (1 Promote Effective Communication & Coordination of Care (1 of 2) of 2)

Promote Effective Communication & Coordination of Care (2 Promote Effective Communication & Coordination of Care (2 of 2) of 2) Promote Effective Prevention & Treatment of Chronic Disease (1 Promote Effective

Prevention & Treatment of Chronic Disease (1 of 2) of 2) Promote Effective Prevention & Treatment of Chronic Disease (2

Promote Effective Prevention & Treatment of Chronic Disease (2 of 2) of 2) Promote Effective Prevention & Treatment of Chronic Promote Effective Prevention &

Treatment of Chronic Disease Example Disease Example Getting to Measures that Matter

Getting to Measures that Matter How do Meaningful Measure Areas relate to existing CMS programs? How will this initiative reduce burden for clinicians and providers? What does this initiative mean for clinicians, including specialists? How are current programs/documents going to incorporate this information? Meaningful Measures Next

Steps Meaningful Measures Next Steps Three dimensions of implementation Ongoing stakeholder input to further improve the Meaningful Measures framework Give us your feedback! [email protected] Meaningful

Measures Meaningful Measures Website Website Go to: https://www.cms.gov/Medicare/Quality-I nitiatives-Patient-Assessment-Instrument s/QualityInitiativesGenInfo/CMS-QualityStrategy.html Where to

Find Meaningful Measures Where to Find Meaningful Measures CMS Measures Inventory Tool: https://www.cms.cmit.gov Questions for the Audience

Questions for the Audience Question 1: Question 1: Which of the Which of the Areas are

Areas are most critical most critical to you, and to you, and why? why?

Question 2 : Prioritizing Patient Question 2 : Prioritizing Patient Input Input Collaborating with patients and families is so important when developing, reporting and improving quality measures; however,

developers and policy makers are often challenged to find the best way to make sure that the patient voice is included in every aspect of measure development and implementation. What are some special considerations CMS should be aware of when building these key partnerships with patients and families around quality measurement? Question 3:

Stakeholder Question 3: Stakeholder engagement? engagement? Recognizing that measure, alignment, reporting burden, etc. is part of a complete system, how can the Meaningful Measures framework be used to articulate a different daily life for you? Additional

Questions? Additional Questions? References References 1. Centers for Disease Control and Prevention. Healthcare-associated Infections, Available: https://www.cdc.gov/hai/surveillance/ 2.

Centers for Disease Control and Prevention. Home and Recreational Safety, Available: https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html 3. Reuben, D.B. & Tinetti, M.E. (2012). Goal-Oriented Patient CareAn Alternative Health Outcomes Paradigm, Available: http://www.nejm.org/doi/citedby/10.1056/NEJMp1113631#t=citedby 4. Centers for Disease Control and Prevention. Advance Care Planning: Ensuring Your Wishes are Known and Honored If you are Unable to Speak for Yourself, Available: https://www.cdc.gov/aging/ pdf/advanced-care-planning-critical-issue-brief.pdf

5. Centers for Disease Control and Prevention. Hospitalization for Total Knee Replacement Among Inpatients Aged 45 and Over: United States, 20002010, Available: https://www.cdc.gov/nchs/products/databriefs/db210.htm 6. Centers for Disease Control and Prevention. Cancer Screenings in the United States, Available: https://www.cdc.gov/cancer/dcpc/research/articles/screening_us.htm 7.

Centers for Medicare & Medicaid Services (2016, July). Measure Specifications for Measures Adopted in the FY 2017 IRF QRP Final Rule, Available: https://www.cms.gov/Medicare/QualityInitiatives-Patient-Assessment-Instruments/IRF-Quality-Reporting/Downloads/Measure-Specifications-for-FY17-IRF-QRP-Final-Rule.pdf 8. Y. Gorina, L. A. Pratt, E. A. Kramarow, and N. Elgaddal, Hospitalization, Readmission, and Death Experience of Noninstitutionalized Medicare Fee-for-service Beneficiaries Aged 65 and Over, National Health Statistics Report, CDC, Available: https://www.cdc.gov/nchs/data/nhsr/nhsr084.pdf 9. R. B. Zuckerman, S. H. Sheingold, E. J. Orav, J. Ruhter, and A. M. Epstein, Readmissions, Observation, and the Hospital Readmissions Reduction Program, The New England Journal of Medicine,

April 21, 2016. Available: http://www.nejm.org/doi/full/10.1056/NEJMsa1513024?source=acsh.org&#t=article 10. Centers for Disease Control and Prevention. 50 National Center for Health Statistics 1960-2010 Celebrating 50 Years, Available: https://www.cdc.gov/nchs/data/about/nchs_50th_brochure.pdf 11. Centers for Disease Control and Prevention. Cancer Screening in the United States, Available: https://www.cdc.gov/cancer/dcpc/research/articles/screening_us.htm 12. Centers for Disease Control and Prevention. Multiple Chronic Conditions, Available: https://www.cdc.gov/chronicdisease/about/multiple-chronic.htm 13. National Alliance on Mental Illness. Mental Health by the Numbers, Available: https://www.nami.org/Learn-More/Mental-Health-By-the-Numbers 14. Centers for Disease Control and Prevention. Opioid Overdose, Available: https://www.cdc.gov/drugoverdose/data/index.html 15. Centers for Disease Control and Prevention. Addressing Prescription Drug Abuse in the United States, Current Actions and Future Opportunities, Available: https://www.cdc.gov/drugoverdose/pdf/hhs_prescription_drug_abuse_report_09.2013.pdf 16. Centers for Disease Control and Prevention. Deaths and Mortality, Available: https://www.cdc.gov/nchs/fastats/deaths.htm 17. Centers for Disease Control and Preventions. Adults with One or More Functional DisabilitiesUnited States, 2011-2014, Available: https://www.cdc.gov/mmwr/volumes/65/wr/mm6538a1.htm

18. Centers for Disease Control and Prevention. The Power of Prevention, Available: https://www.cdc.gov/chronicdisease/pdf/2009-power-of-prevention.pdf . 19. S. Brownlee, V. Saini, and C. Cassel, When Less Is More: Issues Of Overuse In Health Care, Health Affairs Blog. Available: http://healthaffairs.org/blog/2014/04/25/when-less-is-more-issues-ofoveruse-in-health-care/ 20. National Quality Forum. (2009). Patient-Focused Episodes of Care. Measurement Framework: Evaluating Efficiency Across Patient-Focused Episodes of Care. 21. Centers for Medicare and Medicaid Services. NHE Fact Sheet, Available: https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nhefact-sheet.html CMS Spotlight Opportunities CMS Spotlight Opportunities Reminder: If you are currently developing quality measures

that you would like to present to CMS contact the MMS Support Desk at [email protected] MACRA Education and Outreach MACRA Education and Outreach Newsletter Newsletter

MACRA Education and Outreach MACRA Education and Outreach Series Series Planned Upcoming Webinars: May 30, 2018; 12:00-1:00pm ET: Overview of the eCQM Annual Update and the eCQI Resource Center June 6, 2018; 2:00-3:00pm ET: Risk-Adjustment for

Quality Measures June 27, 2018; 2:00-3:00pm ET: Updates to CQL for eCQMs MACRA Contact Information MACRA Contact Information Battelle Measures Management System Contract Holder: Battelle

Contact: [email protected] CMS Golden Horton: [email protected] Kimberly Rawlings: [email protected] Additional Reference Slides Additional Reference Slides

Work with Communities to Promote Best Practices of Healthy Work with to Promote Best Practices of Healthy Living (1 ofCommunities 2) Living (1 of 2) Work with Communities to Promote Best Practices of Healthy Work with to Promote Best Practices of Healthy

Living (2 ofCommunities 2) Living (2 of 2) Make Care Safer by Reducing Harm Caused in the Delivery of Make(1Care Care of 2)Safer by Reducing Harm Caused in the Delivery of Care (1 of 2)

Make Care Safer by Reducing Harm Caused in the Delivery of Make(2Care Care of 2)Safer by Reducing Harm Caused in the Delivery of Care (2 of 2) Make Care Affordable (1 of 2) Make Care Affordable (1 of 2) Make Care Affordable (2 of 2) Make Care Affordable (2 of 2)

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