Quality & Regulatory Affairs  |   November 2016
Quality Measure Development Cycle: 2016 Measure Comment Period Ends, 2017 Call for Concepts Begins
Author Affiliations
  • James M. Moore, M.D.
    Committee on Performance and Outcomes Measurement
Article Information
Quality Improvement / Quality & Regulatory Affairs
Quality & Regulatory Affairs   |   November 2016
Quality Measure Development Cycle: 2016 Measure Comment Period Ends, 2017 Call for Concepts Begins
ASA Monitor 11 2016, Vol.80, 56-58.
ASA Monitor 11 2016, Vol.80, 56-58.
Physician anesthesiologists, along with the health care community as a whole, have become increasingly familiar with the federal landscape of quality measurement and performance scoring. Under the Medicare Access and CHIP Reauthorization Act (MACRA), quality measures in the Merit-Based Incentive Payment System (MIPS) will contribute to overall performance assessment and impact payment adjustments. As of this writing, our understanding of the implementation of MIPS is based on the proposed rule for MACRA. Release of the final rule is expected to occur in the fall of 2016.
As we await the transition from the current Physician Quality Reporting System (PQRS) to MIPS, under which payment adjustment will begin in 2019 based on 2017 reporting, anesthesiologists continue to adapt to new reporting requirements. CMS has virtually eliminated claims-based reporting in PQRS for measures reportable by anesthesia services (PQRS 76 on Prevention of Central Venous Catheter-Related Bloodstream Infections is still reportable by claims). Thus many anesthesiologists who previously reported via claims have been adopting registry reporting mechanisms. Registry reporting of anesthesia quality measures will continue in MIPS, via either a Qualified Registry (QR) or a Qualified Clinical Data Registry (QCDR). The following measures, similar to those currently in PQRS, comprise the CMS-Proposed MIPS Specialty Measure Set for Anesthesiology:
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