Materials for all MAP Workgroup meetings are available on the NQF Public SharePoint Page as well as the project web pages.
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1 Agenda Measure Applicatins Partnership Hspital Wrkgrup In-Persn Meeting December 8, :00 am 5:00 pm ET December 9, :00 am 3:00 pm ET Participant Instructins: Materials fr all MAP Wrkgrup meetings are available n the NQF Public SharePint Page as well as the prject web pages. Webinar Meeting ID Webinar Meeting ID Day Webinar Link Webinar Link Day 2 Cmments The public dial-in number is: (877) Meeting Objectives: Review and prvide input n measures under cnsideratin fr use in federal prgrams. Finalize input t the MAP Crdinating Cmmittee n measures fr use in federal prgrams. Identify gaps in measures fr federal hspital quality prgrams. Day 1: December 8, :30 am Breakfast 9:00 am Welcme, Intrductins, Disclsures f Interest, and Review f Meeting Objectives Cristie Upshaw Travis, MAP Hspital Wrkgrup C-Chair Rnald Walters, MAP Hspital Wrkgrup C-Chair Melissa Mariñelarena, Senir Directr, NQF Ann Hammersmith, General Cunsel, NQF 9:15 am CMS Opening Remarks Pierre Yng, Directr, Quality Measurement and Value-Based Incentives Grup, CMS 9:45 am NQF Strategic Plan Helen Burstin, Chief Scientific Officer, NQF 10:00 am Overview f Pre-Rulemaking Apprach Melissa Mariñelarena, Senir Directr, NQF Kate McQuestn, Prject Manager, NQF MAP will use a fur step apprach:
2 PAGE 2 Prvide prgram verview Review current measures Evaluate MUCs fr what they wuld add t the prgram measure set Prvide feedback n current prgram measure sets 10:15 am Overview f the End-Stage Renal Disease Quality Incentive Prgram (ESRD QIP) Prgram 10:25 am Opprtunity fr Public Cmment n Measures Under Cnsideratin fr End-Stage Renal Disease Quality Incentive Prgram (ESRD QIP) 10:35 am Pre-Rulemaking Input Measure Sets n End-Stage Renal Disease Quality Incentive Prgram (ESRD QIP) Cnsent Calendar 1 Allen Nissensn, Kidney Care Partners Elizabeth Evans, Individual Subject Matter Expert 1. Standardized Transfusin Rati fr Dialysis Facilities (MUC16-305) Pulled fr discussin by Allen Nissensn 2. Hemdialysis Vascular Access: Standardized Fistula Rate (MUC16-308) 3. Hemdialysis Vascular Access: Lng-term Catheter Rate (MUC16-309) 11:15 am Break 11:30 am Overview f the PPS-Exempt Cancer Hspital Quality Reprting (PCHQR) Prgram 11:40 am Opprtunity fr Public Cmment n Measures Under Cnsideratin fr PCHQR 11:50 am Pre-Rulemaking Input fr Prspective Payment System (PPS)-Exempt Cancer Hspital Quality Reprting (PCHQR) Cnsent Calendar 2 R. Sean Mrrisn, Individual Subject Matter Expert Sarah Nlan, Service Emplyees Internatinal Unin Heather Lewis, Geisinger Health System 1. Prprtin f patients wh died frm cancer receiving chemtherapy in the last 14 days f life (MUC16-271) 2. Prprtin f patients wh died frm cancer admitted t the ICU in the last 30 days f life (MUC16-273) 3. Prprtin f patients wh died frm cancer admitted t hspice fr less than 3 days (MUC16-274) 4. Prprtin f patients wh died frm cancer nt admitted t hspice (MUC16-275) 5. PRO utilizatin in in nn-metastatic prstate cancer patients (MUC16-393) 12:30 pm Lunch 1:00 pm Overview f the Ambulatry Surgery Center Quality Reprting (ASCQR) Prgram 1:10 pm Opprtunity fr Public Cmment n Measures Under Cnsideratin fr ASCQR
3 PAGE 3 1:20 pm Pre-Rulemaking Input Ambulatry Surgical Center Quality Reprting (ASCQR) Cnsent Calendar 3 Jeff Jacbs, The Sciety f Thracic Surgens Marisa Valdes, Baylr Sctt & White Health 1. Hspital Visits after Orthpedic Ambulatry Surgical Center Prcedures (MUC16-152) 2. Hspital Visits after Urlgy Ambulatry Surgical Center Prcedures (MUC16-153) 3. Ambulatry Breast Prcedure Surgical Site Infectin (SSI) Outcme Measure (MUC16-155) 1:50 pm Overview f the Inpatient Psychiatric Facilities Quality Reprting (IPFQR) Prgram 2:00 pm Opprtunity fr Public Cmment n Measures Under Cnsideratin fr IPFQR 2:10 pm Inpatient Psychiatric Facility Quality Reprting (IPFQR) Cnsent Calendar 4 Frank Ghinassi, Natinal Assciatin f Psychiatric Health Systems (NAPHS) Ann Marie Sullivan, Individual Subject Matter Expert Wdy Eisenberg, Pharmacy Quality Alliance 1. Medicatin Cntinuatin fllwing Inpatient Psychiatric Discharge (MUC16-48) 2. Medicatin Recnciliatin at Admissin (MUC16-49) 3. Identificatin f Opiid Use Disrder (MUC16-428) 2:45 pm Break 3:00 pm Overview f the Hspital Outpatient Quality Reprting Prgram (HOQR) 3:10 pm Opprtunity fr Public Cmment n Measures Under Cnsideratin fr HOQR 3:20 pm Pre-Rulemaking Input Measure n Hspital Outpatient Quality Reprting (OQR) Cnsent Calendar 5 Lee Fleisher, Individual Subject Matter Expert Jack Jrdan, Individual Subject Matter Expert 1. Median Time frm ED Arrival t ED Departure fr Discharged ED Patients (MUC16-55) 2. Median Time t Pain Management fr Lng Bne Fracture (MUC16-56) 3. Safe Use f Opiids Cncurrent Prescribing (MUC16-167) Pulled fr discussin by Sean Mrrisn 3:40 pm Feedback n Current Measure Sets fr ESRD QIP, PCHQR, ASCQR, IPFQR, Readmissins, HACs, and OQR 4:40 pm Opprtunity fr Public Cmment 4:55 pm Summary f Day Kate McQuestn, Prject Manager, NQF
4 PAGE 4 5:00 pm Adjurn Day 2: December 9, :30 am Breakfast 9:00 am Welcme and Review f Day 1 Cristie Upshaw Travis, MAP Hspital Wrkgrup C-Chair Rnald Walters, MAP Hspital Wrkgrup C-Chair Melissa Mariñelarena, Senir Directr, NQF 9:15 am PROMIS Discussin Ashley Wilder Smith, PhD, MPH, Natinal Cancer Institute 10:15 am Overview f the Hspital Inpatient Quality Reprting (HIQR) Prgram and Medicare and Medicaid EHR Incentive Prgram fr Hspitals and Critical Access Hspitals (CAHs) (Meaningful Use) 10:25 am Opprtunity fr Public Cmment n Measures Under Cnsideratin fr HIQR and Medicare and Medicaid EHR Incentive Prgram fr Hspitals and Critical Access Hspitals (CAHs) (Meaningful Use) 10:35 am Pre-Rulemaking Input Measure Sets: Hspital Inpatient Quality Reprting (IQR) Cnsent Calendar 6 Marsha Manning, University f Michigan David Engler, America's Essential Hspitals Jennifer Eames Huff, Mthers Against Medical Errr 1. Alchl Use Screening (MUC16-179) 2. Alchl Use Brief Interventin Prvided r Offered and Alchl Use Brief Interventin (MUC16-178) 3. Alchl & Other Drug Use Disrder Treatment Prvided r Offered at Discharge and Alchl & Other Drug Use Disrder Treatment at Discharge (MUC16-180) 4. Patient Panel Smking Prevalence IQR (MUC16-68) 11:00 am Break 11:15 am IQR Cntinued Cnsent Calendar 7 Martin Hatlie, Prject Patient Care Mimi Huizinga, Premier, Inc. 1. Fllw-Up After Hspitalizatin fr Mental Illness (MUC16-165) 2. Measure f Quality f Infrmed Cnsent Dcuments fr Hspital-Perfrmed, Elective Prcedures (MUC16-262)
5 PAGE 5 12:30 pm Lunch Kimberly Glassman, Nursing Alliance fr Quality Care Nancy Fster, American Hspital Assciatin 3. Cmmunicatin abut Pain During the Hspital Stay (MUC16-263) [N vting: Discussin feedback n questins HP-1, HP-2, and HP-3] Pre-Rulemaking Input Measure Sets: Hspital Inpatient Quality Reprting (IQR) and Medicare and Medicaid EHR Incentive Prgram fr Hspitals and Critical Access Hspitals (CAHs) (Meaningful Use) Cnsent Calendar 8 Brck Slabach, Natinal Rural Health Assciatin Andrea Benin, Children's Hspital Assciatin Wei Ying, Blue Crss Blue Shield f Massachusetts Karen Shehade, Medtrnic-Minimally Invasive Therapy Grup 1. Nutritin Care Plan fr Patients Identified as Malnurished after a Cmpleted Nutritin Assessment (MUC16-372) 2. Cmpletin f a Malnutritin Screening within 24 Hurs f Admissin (MUC16-294) 3. Cmpletin f a Nutritin Assessment fr Patients Identified as At-Risk fr Malnutritin within 24 Hurs f a Malnutritin Screening (MUC16-296) 4. Apprpriate Dcumentatin f a Malnutritin Diagnsis (MUC16-344) 1:00 pm IQR and Medicare and Medicaid EHR Incentive Prgram fr Hspitals and CAHs (Meaningful Use) Cntinued Cnsent Calendar 9 Gregry Alexander, Individual Subject Matter Expert Lindsey Wisham, Individual Subject Matter Expert 1. Tbacc Use Screening (TOB-1) (MUC16-50) 2. Use f Antipsychtics in Older Adults in the Inpatient Hspital Setting (MUC16-41) 3. Influenza Immunizatin (IMM-2) (MUC16-53) Lee Fleisher, Individual Subject Matter Expert Jack Jrdan, Individual Subject Matter Expert 4. Safe Use f Opiids Cncurrent Prescribing (MUC16-167) Pulled fr discussin by Sean Mrrisn 2:00 pm Feedback n Current Measure Sets fr IQR and VBP 2:45 pm Opprtunity fr Public Cmment 2:55 pm Wrap Up and Next Steps Kate McQuestn, Prject Manager 3:00 pm Adjurn
Materials for all MAP Workgroup meetings are available on the NQF Public SharePoint Page as well as the project web pages.
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