CMS has contracted with FMQAI to develop and maintain medication-related quality measures. A set of seven new medication measures has been developed using Medicare administrative claims data. These measures are based on the Institute of Medicine domains of safety and effectiveness and specifically focus on improving medication adherence, appropriateness of therapy, and patient outcomes. The medication measures were developed for state and/or plan-level measurement, but are currently under evaluation for use in other settings of care (ie. physician offices).
The proposed measures are:
Process Measures I: Adherence Measures
Adherence to Antipsychotics for Individuals with Schizophrenia
Adherence to Mood Stabilizers for Individuals with Bipolar I Disorder
Adherence to Antiplatelet Treatment after Stent Implantation
Process Measures II: Appropriate Therapy Measures
Polytherapy with Oral Antipsychotics
Avoiding Acetaminophen Toxicity
Short-Acting Opioid Formulation for Breakthrough Pain in Individuals with Cancer
Outcome Measure
Bleeding Outcomes Related to Oral Anticoagulants
These measures address many clinical issues, including psychiatry/behavioral health, cardiovascular/ischemic heart disease, cancer/pain management, and patient safety. CMS and FMQAI appreciate the time and effort healthcare professionals and organizations invest in providing comments.
The public comment period will be open until 11:59pm ET on Wed May 11, 2011. All feedback submitted within the public comment period will be reviewed and considered. To submit comments on the above-mentioned medication measures and to view the Measure Information Forms, please visit http://www.surveymonkey.com/s/med-measures-public-comment.
Should you have any technical difficulties with the submission of your comments, please contact Marie Hall at mhall@flqio.sdps.org.
Dallas L Alford IV, CPA is a licensed Certified Public Accountant in the state of North Carolina and owner of Atlantic Financial Consulting, a consulting firm that provides comprehensive medical billing services, practice management consulting, coding audits, Medicare compliance, Medicare RAC support and other general medical practice consulting services.
To learn more about Atlantic Financial Consulting you may visit their website at http://atlanticfinancial.us or contact Dallas L Alford IV, CPA directly at 1 888-428-2555, Ext. 200.
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