CMS Quality Measures - Where are measures of diagnostic performance?

Mark Graber graber.mark at GMAIL.COM
Wed Nov 23 15:50:25 UTC 2016


ATTACHMENT:
Name: CMS Quality Measures 2016.xlsx Type: application/vnd.openxmlformats-officedocument.spreadsheetml.sheet Size: 127306 bytes Desc: not available URL: <../attachments/20161123/5e2c624c/attachment.xlsx> CMS has announced its proposed list of 97 quality measures, based on the goals set in the National Quality Strategy: (Attached, and at the CMS website): https://blog.cms.gov/2016/11/22/cms-finalizes-its-measures-under-consideration-list-for-pre-rulemaking/ Of the 97 measures, only 7 directly target appropriate diagnosis: Measures to encourage screening for frailty, malnutrition, alcohol, tobacco, and opioid use. Another 9 support improved diagnostic performance by encouraging appropriate transfer of information at transitions of care. All of the other measures target treatment and management issues. The imbalance of measures relating to management vs diagnosis is striking in the CMS inventory, as it is in every other performance measurement system, for example The Joint Commission’s. If diagnosis is half of medical practice, shouldn’t there be a better balance? Mark Mark L Graber MD FACP President, Society to Improve Diagnosis in Medicine Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine ATTACHMENT:
Name: PastedGraphic-1.pdf Type: application/pdf Size: 2291559 bytes Desc: not available URL: <../attachments/20161123/5e2c624c/attachment.pdf>


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