Results from the 2015 National Impact Assessment of Quality Measures Report (2015 Impact Report) demonstrate progress in improving healthcare’s Triple Aim, and impacts populations beyond Medicare, according to the CMS.
The report is a comprehensive assessment of quality measures used by CMS. It summarizes key findings from CMS quality measurement efforts and recommended next steps to improve on these efforts.
Findings from the report include research on 25 CMS quality programs and hundreds of quality measures from 2006 to 2013 and builds on the prior 2012 Impact Assessment Report. Many of these measures are also included in incentive programs that link payment to quality performance.
Key findings of the report include the following:
- 95 percent of 119 publicly reported performance rates across seven quality reporting programs showed improvement during the study period from 2006 to 2012. In addition, approximately 35 percent of the 119 measures were high performing, meaning that performance rates exceeding 90 percent were achieved in each of the most recent three years for which data were available.
- Measure rates for Hispanics, Blacks and Asians showed the most improvement, and American Indian/Native Alaskans and Native Hawaiian/Pacific Islanders the least improvement.
- From 2006 to 2012, 7,000 to 10,000 lives were saved through improved performance on inpatient hospital heart failure process measures, and 4,000 to 7,000 infections were averted through improved performance on inpatient hospital surgical process measures.
- Over 40 percent of the measures used in CMS quality reporting programs include individuals whose healthcare is supported by Medicaid, and over 30 percent include individuals whose healthare is supported by other payor sources.
- CMS quality measures reach a large majority of the top 20 high-impact Medicare conditions experienced by beneficiaries, with more measures directed at the six measure domains related to the NQS priorities, and better balance among those domains.
Quality measurement is a key lever that CMS uses to drive the transformation of the healthcare system in partnership with hospitals, clinicians, and patients. CMS will use the results from the 2015 Impact Report to refine its quality measurement strategies, better understand the measures that have worked well, and guide the development and application of measures going forward.
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