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HAP Welcomes Recommendations to Streamline Quality Measures

March 16, 2017

Today, the National Quality Forum’s (NQF) Measure Applications Partnership (MAP) issued a report recommending improvements to quality measures used in federal programs.  MAP’s focus on quality measurement centers on ensuring better health care for patients and reduced burdens for providers.

MAP is a public-private partnership that makes recommendations to the federal U.S. Department of Health and Human Services (HHS) about the use of quality and efficiency measures in federal public reporting and value-based payment programs. More than 150 health care leaders representing 90 organizations, who regularly use measures and measurement information, participate in MAP discussions.

HAP welcomed the news, as the recommendations are consistent with the association’s position related to streamlining measures. HAP believes that there must be a coordinated effort in structuring aligned measures across various payors’ programs, focusing on outcome measures that are not overly burdensome for providers.

Recommended in the report are the removal of 51 (of 240) measures that are in place in one or more federal programs. The impacted programs are:

  • ESRD Quality Incentive Program: Four measures suggested for removal; 18 current measures
  • PPS-Exempt Cancer Hospital Quality Reporting Program: Four measures suggested for removal; 17 current measures
  • Ambulatory Surgery Center Quality Reporting Program: Two measures suggested for removal; 15 current measures,
  • Inpatient Psychiatric Facility Quality Reporting Program: Seven measures suggested for removal; 20 current measures
  • Outpatient Quality Reporting Program: Thirteen measures suggested for removal; 29 current measures
  • Inpatient Quality Reporting Program: Six measures suggested for removal; 62 current measures
  • Home Health Quality Reporting Program: Fifteen measures suggested for removal; 79 current measures

MAP supports removing measures that are no longer driving improvements in patient care or that do not meet the rigorous scientific criteria for NQF endorsement.

Private and public payors are initiating value-based purchasing programs, and they all apply a unique set of measurement characteristics. The proliferation of such measures and resulting administrative burden threatens to undermine the overall goal of providing efficient, high-quality care to the people of Pennsylvania.

For additional information, contact Kate Slatt, HAP’s senior director, health care finance policy.

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