News | March 05, 2015

CMS Releases 2015 Impact Assessment of Quality Measures Report

Ninety-five percent of reported quality measures improved from 2006-2012

CMS, 2015 Impact Report, quality measures, business

March 5, 2015 — The Centers for Medicare and Medicaid Services (CMS) has released the 2015 National Impact Assessment of Quality Measures Report (2015 Impact Report). 

The 2015 Impact Report demonstrates that the nation has made clear progress in improving the healthcare delivery system to achieve the three aims of better care, smarter spending and healthier people, according to Patrick Conway, M.D., CMS deputy administrator for innovation and quality and chief medical officer. 

The report is a comprehensive assessment of quality measures used by CMS. It examines the effectiveness and impact of measurement while demonstrating how to achieve optimal results from quality measurement programs. The report summarizes key findings from CMS quality measurement efforts and recommended next steps to improve on these efforts.

Specifically, the report outlines the performance on quality measures over time and improvements achieved. 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. 

Highlights include:

Quality measurement results demonstrate significant improvement. 95 percent of 119 publicly reported performance rates across seven quality reporting programs showed improvement during the study period (2006–2012). In addition, approximately 35 percent of the 119 measures were classified as high performing, meaning that performance rates exceeding 90 percent were achieved in each of the most recent three years for which data were available.  

Race and ethnicity disparities present in 2006 were less evident in 2012. Measure rates for Hispanics, Blacks and Asians showed the most improvement, and American Indian/Native Alaskans and Native Hawaiian/Pacific Islanders the least improvement. Transparency and monitoring of measure rates by race and ethnicity for all publicly reported measures and ensuring that disparities across programs, setting and demographic groups are eliminated, remain top priorities consistent with the CMS Quality Strategy.

Provider performance on CMS measures related to heart and surgical care saved lives and averted infections. 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. (A number of the measures are also included in the previously released patient safety results, demonstrating from 2010 to 2013 a 17 percent reduction in patient harm, representing 1.3 million adverse events and infections avoided, approximately 50,000 lives saved and an estimated $12 billion in cost savings.)

CMS quality measures impact patients beyond the Medicare population. More than 40 percent of the measures used in CMS quality reporting programs include individuals whose healthcare is supported by Medicaid, and more than 30 percent include individuals whose healthcare is supported by other payer sources. This demonstrates the public-private collaboration that CMS facilitates and hopes to expand.

CMS quality measures support the aims of the National Quality Strategy (NQS) and CMS Quality Strategy. 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.  Much of the data resulted from process measures; however, there is an increase in measures related to patient outcomes, patient experience of care, and cost and efficiency. CMS is moving increasingly toward these outcome measures across programs.

Conway said 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. 

Other important messages from the report include: 

1.      Performance based on quality measures has improved, and the programs that include these measures support a healthier individual and a healthier nation; and

2.      New themes and actions to consider have emerged, which provide new insights for informed measure and program-specific decisions in the months ahead. 

 

For more information: www.cms.gov

Related Content

Merit Medical Completes Acquisition of Cianna Medical
News | Women's Health | November 14, 2018
Disposable device manufacturer Merit Medical Systems Inc. announced the closing of a definitive merger agreement to...
MDW Unveils First Radiology Blockchain Platform at RSNA 2018
News | Radiology Business | November 13, 2018
Medical Diagnostic Web (MDW) will debut the first radiology blockchain platform designed to connect all players in the...
An enhanced patient experience can reduce providers’ exposure to liability, increase care compliance and positively impact providers’ reputations in the care community.

An enhanced patient experience can reduce providers’ exposure to liability, increase care compliance and positively impact providers’ reputations in the care community.

Feature | Radiology Business | November 06, 2018 | By Casey Williams
Two unrelenting forces are on a crash-course in healthcare: The rising volume of patient out-of-pocket payments and i
National Radiologic Technology Week Celebrates Being "Powerful Together" in 2018

Image courtesy of the American Society of Radiologic Technologists

News | Radiology Business | November 02, 2018
Radiologic technologists perform hundreds of millions of diagnostic imaging and radiation therapy procedures every year...
Etta Pisano Named American College of Radiology Chief Research Officer
News | Radiology Business | October 25, 2018
October 25, 2018 — Breast imaging research pioneer Etta Pisano, M.D., FACR, has been named...
American College of Radiology Names 2019 Gold Medalists
News | Radiology Business | October 05, 2018
The American College of Radiology (ACR) Board of Chancellors (BOC) selected three innovators as 2019 Gold Medalists for...
Enterprise imaging has been a hot topic in radiology and healthcare information technology (IT) circles for the last several years as medical image acquisition has moved beyond the exclusive purview of radiology.
Feature | Enterprise Imaging | October 03, 2018 | By Jeff Zagoudis
Enterprise imaging has been a hot topic in radiology and healthcare information technology (IT) circles for the last...
Feature | Radiology Business | September 07, 2018 | By Marilyn M. Singleton, M.D., J.D.
“Disruptive innovation” is all the buzz. Repealing the Affordable Care Act (ACA) is so last year. Well, disrupt this:...