. . .gov For information on how CMS develops quality measures, please click on the "Measure Management System" link below for more information. Share sensitive information only on official, secure websites. Exclude patients whose hospice care overlaps the measurement period. Each MIPS performance category has its own defined performance period. %PDF-1.6
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The success of this Strategy relies on coordination, innovative thinking, and collaboration across all entities. 0
2023 Clinical Quality Measure Flow Narrative for Quality ID #459: Back Pain After Lumbar Surgery . To further the goals of the CMS National Quality Strategy, CMS leaders from across the Agency have come together to move towards a building-block approach to streamline quality measure across CMS quality programs for the adult and pediatric populations. Dear State Medicaid Director: The Centers for Medicare & Medicaid Services (CMS) and states have worked for decades to . In addition, one measure (i.e., NQF 2379) for the ambulatory care setting and two electronic clinical quality measures (i.e., NQF 2362 and NQF 2363) for the inpatient care setting have been submitted to NQF and have received recommendations for endorsement. endstream
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The maintenance of these measures requires the specifications to be updated annually; the specifications are provided in the Downloads section below. Address: 1213 WESTFIELD AVENUE. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, MDS 3.0 for Nursing Homes and Swing Bed Providers, The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program, MDS_QM_Users_Manual_V15_Effective_01-01-2022 (ZIP), Quality-Measure-Identification-Number-by-CMS-Reporting-Module-Table-V1.8.pdf (PDF), Percent of Short-Stay Residents Who Were Re-Hospitalized after a Nursing Home Admission, Percent of Short-Stay Residents Who Have Had an Outpatient Emergency Department Visit, Percent of Residents Who Newly Received an Antipsychotic Medication, Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury, Percent of Residents Who Made Improvements in Function, Percent of Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine, Percent of Residents Who Received the Seasonal Influenza Vaccine*, Percent of Residents Who Were Offered and Declined the Seasonal Influenza Vaccine*, Percent of Residents Who Did Not Receive, Due to Medical Contraindication, the Seasonal Influenza Vaccine*, Percent of Residents Who Were Assessed and Appropriately Given the Pneumococcal Vaccine, Percent of Residents Who Received the Pneumococcal Vaccine*, Percent of Residents Who Were Offered and Declined the Pneumococcal Vaccine*, Percent of Residents Who Did Not Receive, Due to Medical Contraindication, the Pneumococcal Vaccine*, Number of Hospitalizations per 1,000 Long-Stay Resident Days, Number of Outpatient Emergency Department Visits per 1,000 Long-Stay Resident Days, Percent of Residents Who Received an Antipsychotic Medication, Percent of Residents Experiencing One or More Falls with Major Injury, Percent of High-Risk Residents with Pressure Ulcers, Percent of Residents with a Urinary Tract Infection, Percent of Residents who Have or Had a Catheter Inserted and Left in Their Bladder, Percent of Residents Whose Ability to Move Independently Worsened, Percent of Residents Whose Need for Help with Activities of Daily Living Has Increased, Percent of Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine, Percent of Residents Assessed and Appropriately Given the Pneumococcal Vaccine, Percent of Residents Who Were Physically Restrained, Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder, Percent of Residents Who Lose Too Much Weight, Percent of Residents Who Have Symptoms of Depression, Percent of Residents Who Used Antianxiety or Hypnotic Medication. The quality performance category measures health care processes, outcomes, and patient experiences of care. You can also access 2021 measures. means youve safely connected to the .gov website. On April 26th, from 1:00-2:00pm, ET, CMS will host the first of a two-part series that covers an introduction to quality measures, overview of the measure development process, how the public can get involved, and the new Meaningful Measures initiative. 0000007903 00000 n
*Only individuals, groups and APM Entities with the small practice designation can report Medicare Part B claims measures. Medicare Part B #FLAACOs #FLAACOs2022 #HDAI 0000099833 00000 n
Quality measures are tools that help us measure or quantify healthcare processes, outcomes, patient perceptions, and organizational structure and/or systems that are associated with the ability to provide high-quality health care and/or that relate to one or more quality goals for health care. These measures will not be eligible for CMS quality reporting until they are proposed and finalized through notice-and-comment rulemaking for each applicable program. MDS 3.0 QM Users Manual Version 15.0 Now Available. https:// CMS has updated eCQMs for potential inclusion in these programs: Where to Find the Updated eCQM Specifications and Materials. This version of the eCQM uses QDM version 5.5. lock For the most recent information, click here. %%EOF
For questions or to provide feedback, please contact the CMS Measures Inventory Support Team at MMSSupport@Battelle.org. CMS is looking for your feedback and participation in the quality measurement community, so please join us during the webinar to learn what we are doing and how you can be a part of the process! CMS is committed to improving quality, safety, accessibility, and affordability of healthcare for all. Check Address: 1313 1ST STREET. standardized Hospital The Specifications Manual for National Hospital Inpatient Quality Measures . This is not the most recent data for Clark Nursing and Rehab Cntr. Click for Map. Quality includes ensuring optimal care and best outcomes for individuals of all ages and backgrounds as well as across service delivery systems and settings. Each measure is awarded points based on where your performance falls in comparison to the benchmark. SlVl&%D; (lwv Ct)#(1b1aS c:
In February, CMS updated its list of suppressed and truncated MIPS Quality measures for the 2022 performance year. (This measure is available for groups and virtual groups only). This is not the most recent data for St. Anthony's Care Center. kAp/Z[a"!Hb{$mcVEb9,%}-.VkQ!2hUeeFf-q=FPS;bU,83b?DMlGm|=Z Diabetes: Hemoglobin A1c All 2022 CMS MIPS registry and EHR quality measures can be reported with MDinteractive. An official website of the United States government Submission Criteria One: 1. As the largest payer of health care services in the United States, CMS continuously seeks ways to improve the quality of health care. This will allow for a shift towards a more simplified scoring standard focused on measure achievement. CMS is committed to improving quality, safety, accessibility, and affordability of healthcare for all. CMS quality measures help quantify health care processes, outcomes, patient perceptions, organizational structure and system goals. Quality measures are tools that help us measure or quantify healthcare processes, outcomes, patient perceptions, and organizational structure and/or systems that are associated with the ability to provide high-quality health care and/or that relate to one or more quality goals for health care. On November 2, 2021 the Centers for Medicare and Medicaid Services (CMS) released the 2022 Ambulatory Surgical Center Quality Reporting Program (ASCQR) Final Rule. 66y% Note that an ONC Project Tracking System (Jira) account is required to ask a question or comment. Learn more and register for the CAHPS for MIPS survey. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 2022 Performance Period. Electronic clinical quality measures (eCQMs) have a unique ID and version number. The guidance is available on theeCQI Resource Center under the 2022 Performance Period in theTelehealth Guidance for eCQMs for Eligible Professional/Eligible Clinician 2022 Quality Reporting document and with the Eligible Professionals and Eligible Clinicians table of eCQMs on the Eligible Professionals and Eligible Clinician page for the 2022 Performance Period. Secure .gov websites use HTTPSA (For example, electronic clinical quality measures or Medicare Part B claims measures.). You must collect measure data for the 12-monthperformance period(January 1 - December 31, 2022) on one of the following sets of pre-determined quality measures: Quality ID: 001 F To find out more about eCQMs, visit the eCQI ResourceCenter. hbbd```b``"WHS &A$dV~*XD,L2I 0D
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414 KB. Data on quality measures are collected or reported in a variety of ways, such as claims, assessment instruments, chart abstraction, registries. (December 2022 errata) . Share sensitive information only on official, secure websites. NQF 0543: Adherence to Statin Therapy for Individuals with Coronary Artery Disease, NQF 0545: Adherence to Statins for Individuals with Diabetes Mellitus, NQF 0555: INR Monitoring for Individuals on Warfarin, NQF 0556: INR for Individuals Taking Warfarin and Interacting Anti-infective Medications, NQF 1879: Adherence to Antipsychotic Medications for Individuals with Schizophrenia, NQF 1880: Adherence to Mood Stabilizers for Individuals with Bipolar I Disorder, NQF 2362: Glycemic Control Hyperglycemia, NQF 2363: Glycemic Control Severe Hypoglycemia, NQF 2379: Adherence to Antiplatelet Therapy after Stent Implantation, NQF 2467: Adherence to ACEIs/ARBs for Individuals with Diabetes Mellitus, NQF 2468: Adherence to Oral Diabetes Agents for Individuals with Diabetes Mellitus. or You can decide how often to receive updates. Direct submissionviaApplication Programming Interface (API). MIPSpro has completed updates to address changes to those measures. 0000004027 00000 n
Official websites use .govA ) CMS Five Star Rating(2 out of 5): 7501 BAGBY AVE. WACO, TX 76712 254-666-8003. UPDATED: Clinician and CMS updated the Guide to Reading eCQMs and eCQM Logic and Implementation Guidance based on end user feedback and continues to update these guides to assist stakeholders in understanding and implementing eCQMs. A unified approach brings us all one step closer to the health care system we envision for every individual. CMS Measures - Fiscal Year 2022 Measure ID Measure Name. .,s)aHE*J4MhAKP;M]0$. Updated eCQM Specifications and eCQM Materials for 2022 Reporting Now Available, Eligible Hospital / Critical Access Hospital eCQMs, FHIR - Fast Healthcare Interoperability Resources, QRDA - Quality Reporting Document Architecture, Eligible Professionals and Eligible Clinicians. Hybrid Measures page on the eCQI Resource Center, Telehealth Guidance for eCQMs for Eligible Professional/Eligible Clinician 2022 Quality Reporting, Eligible Professionals and Eligible Clinicians table of eCQMs on the Eligible Professionals and Eligible Clinician page for the 2022 Performance Period, Aligning Quality Measures Across CMS - The Universal Foundation, Materials and Recording for Performance Period 2023 Eligible Clinician Electronic Clinical Quality Measure (eCQM) Education and Outreach Webinar, Submission of CY 2022 eCQM Data Due February 28, 2023, Call for eCQM Public Comment: Diagnostic Delay in Venous Thromboembolism (DOVE) Electronic Clinical Quality Measure (eCQM), Now Available: eCQM Annual Update Pre-Publication Document, Now Available: Visit the eCQM Issue Tracker to Review eCQM Draft Measure Packages for 2024 Reporting/Performance Periods, Hospital Inpatient Quality Reporting (IQR) Program, Medicare Promoting Interoperability Programs for Eligible Hospitals and CAHs, Quality Payment Program (QPP): The Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs). Electronic Clinical Quality Measures (eCQMs) Annual Update Pre-Publication Document for the 2024 . Youve met data completeness requirements (submitted data for at least 70 % of the denominator eligible patients/instances). ( Maintain previously developed medication measures and develop new medication measures with the potential for National Quality Forum (NQF) endorsement; Adapt/specify existing NQF-endorsed medication measures and develop new measures for implementation in CMS reporting programs, such as: The Hospital Inpatient Quality Reporting (IQR) Program. or Measure specifications are available by clicking on Downloads or Related Links Inside CMS below. 0000108827 00000 n
Looking for U.S. government information and services? These programs encourage improvement of quality through payment incentives, payment reductions, and reporting information on health care quality on government websites. The 2022 Overall Star Rating selects 47 of the more than 100 measures CMS publicly reports on Care Compare and divides them into 5 measure groups: Mortality, Safety of Care, Readmission, Patient Experience, and Timely & Effective Care. Measures included by groups. DESCRIPTION: Percentage of patients, regardless of age, who gave birth during a 12-month period who were seen for postpartum care before or at 12 weeks of giving birth and received the following at a postpartum visit: breast-feeding evaluation and If the set contains fewer than 6 measures, you should submit each measure in the set. (HbA1c) Poor Control, eCQM, MIPS CQM, h261T0P061R01R An official website of the United States government CMS uses quality measures in its various quality initiatives that include quality improvement, pay for reporting, and public reporting. https://battelle.webex.com/battelle/onstage/g.php?MTID=e4a8f0545c74397557a964b06eeebe4c3, https://battelle.webex.com/battelle/onstage/g.php?MTID=ead9de1debc221d4999dcc80a508b1992, When: Wednesday, June 13, 2018; 12:00-1:00pm ET and Thursday, June 14, 2018; 4:00-5:00pm ET. Heres how you know. Users of the site can compare providers in several categories of care settings. QDM v5.6 - Quality Data Model Version 5.6 CMS QRDA IGs - CMS Quality Reporting Document Architecture Implementation Guides (CMS QRDA I IG for Hospital Quality Reporting released in Spring 2023 for the 2024 . Youll typically need to submit collected data for at least 6 measures (including 1outcome measureor high-priority measure in the absence of an applicable outcome measure), or a completespecialty measure set. Please visit the Hybrid Measures page on the eCQI Resource Center to learn more. CMS manages quality programs that address many different areas of health care. July 2022, I earned the Google Data Analytics Certificate. Main Outcomes and Measures The number of DAOH 180 days before and 365 days after LVAD implantation and daily patient location (home, index hospital . 7500 Security Boulevard, Baltimore MD 21244, Alternative Payment Model (APM) Entity participation, The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey, Number of Clinicians in Group, Virtual Group, or APM Entity, Electronic Clinical Quality Measures(eCQMs), Qualified Clinical Data Registry(QCDR) Measures. .gov Practices (groups) reporting through the APM Performance Pathway must register for the CAHPS for MIPS survey. On October 30, 2017, CMS Administrator Seema Verma announced a new approach to quality measurement, called Meaningful Measures. The Meaningful Measures Initiative will involve identifying the highest priorities to improve patient care through quality measurement and quality improvement efforts. Get Monthly Updates for this Facility. Join us on Thursday, December 9th at 10am as Patti Powers, Director of Services Quality Measure Set . lock The Centers for Medicare & Medicaid Services (CMS) has posted the electronic clinical quality measure (eCQM) specifications for the 2022 reporting period for Eligible Hospitals and Critical Access Hospitals (CAHs), and the 2022 performance period for Eligible Professionals and Eligible Clinicians. CEHRT edition requirements can change each year in QPP. CMS will look to federal partners, external stakeholders, contract organizations (such as the Quality Improvement Organizations), private payers, and others to implement the goals outlined in the CMS National Quality Strategy. CMS created theCare Compare websiteto allow consumers to compare health care providers based on quality and other information and to make more informed choices when choosing a health care provider. CMS Five Star Rating(3 out of 5): 100 CASTLETON AVENUE STATEN ISLAND, NY 10301 718-273-1300. Click on the "Electronic Specification" link to the left for more information. There are 6 collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs) MIPS Clinical Quality Measures (CQMs) CMS has a policy of suppressing or truncating measures when certain conditions are met. The Inventory lists each measure by program, reporting measure specifications including, but not limited to, numerator, denominator, exclusion criteria, Meaningful Measures domain, measure type, and National Quality Forum (NQF) endorsement status. CMS is looking for your feedback and participation in the quality measurement community, so please join us during the webinar to learn what we are doing and how you can be a part of the process! Lawrence Memorial Hospital Snf Violations, Complaints and Fines These are complaints and fines that are reported by CMS. endstream
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The guidance provided applies to eCQMs used in each of these programs: Where to Find the Guidance on Allowance of Telehealth Encounters Facility-based scoring isn't available for the 2022 performance year. h2P0Pw/+Q04w,*.Q074$"qB*RKKr2R
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The goal of QualityNet is to help improve the quality of health care for Medicare beneficiaries by providing for the safe, efficient exchange of information regarding their care. If your group, virtual group, or APM Entity participating in traditional MIPS registers for theCMS Web Interface, you must report on all 10 required quality measures for the full year (January 1 - December 31, 2022). Performance Year Select your performance year. . This is not the most recent data for Verrazano Nursing and Post-Acute Center. 898 0 obj
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lock Send feedback to QualityStrategy@cms.hhs.gov. 2022 COLLECTION TYPE: MIPS CLINICAL QUALITY MEASURES (CQMS) MEASURE TYPE: Process - High Priority . APM Entities (non-SSP ACOs) that choose to report the CAHPS for MIPS Survey will need to register during the open registration period. (CMS) hospital inpatient quality measures. Data date: April 01, 2022. Admission Rates for Patients Other eCQM resources, including the Guide for Reading eCQMs, eCQM Logic and Implementation Guidance, tables of eCQMs, and technical release notes, are also available at the same locations. An official website of the United States government ) y RYZlgWm Download. Initial Population. November 2022 Page 14 of 18 . hXmO8+Z_iR There are 6collection typesfor MIPS quality measures: General reporting requirements (for those not reporting through the CMS Web Interface): Well automatically calculate and score individuals, groups, andvirtual groupson 3 administrative claims measures when the individual, group, or virtual group meets the case minimum and clinician requirement for the measures. Data date: April 01, 2022. 0000006240 00000 n
website belongs to an official government organization in the United States. It is important to note that any changes to measures (data, use, status, etc), are validated through Federal Rules and/or CMS Program/Measure Leads. The logistic regression coefficients used to risk adjustthe Percent of Residents Who Made Improvements in Function (Short-Stay [SS]), Percent of Residents Whose Ability to Move Independently Worsened (Long-Stay [LS]), and Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder (LS) measureshave been updated using Q4 2019 data. The 2022 reporting/performance period eCQM value sets are available through the National Library of MedicinesValue Set Authority Center(VSAC). ) If youre submitting eCQMs, both EHR systems must meet the 2015 EditionCEHRTcriteria, the 2015 Edition Cures Update criteria, or a combination of both. A digital version of a patients paper chart, sometimes referred to as an electronic medical record (EMR). Description. CMS is providing this list of planned measures for the purposes of promoting transparency, measure coordination and harmonization, alignment of quality improvement efforts, and public participation. Click on Related Links Inside CMS below for more information. If you transition from oneEHRsystem to another during the performance year, you should aggregate the data from the previous EHR and the new EHR into one report for the full 12 months prior to submitting the data. CMS implements quality initiatives to assure quality health care for Medicare Beneficiaries through accountability and public disclosure. These goals include: effective, safe, efficient, patient-centered, equitable, and timely care. Patients 18-75 years of age with diabetes with a visit during the measurement period. The Centers for Medicare & Medicaid Services (CMS) will set and raise the bar for a resilient, high-value health care system that promotes quality outcomes, safety, equity, and accessibility for all individuals, especially for people in historically underserved and under-resourced communities. 07.11.2022 The Centers for Medicare and Medicaid Services ("CMS") issued its 2022 Strategic Framework ("CMS Strategic Framework") on June 8, 2022[1]. Multiple Performance Rates . The current nursing home quality measures are: Short Stay Quality Measures Percent of Short-Stay Residents Who Were Re-Hospitalized after a Nursing Home Admission Percent of Short-Stay Residents Who Have Had an Outpatient Emergency Department Visit Percent of Residents Who Newly Received an Antipsychotic Medication endstream
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<. Measures will not be eligible for 2022 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program. ( Official websites use .govA 2022 Page 4 of 7 4. Children's Electronic Health Record Format This bonus is not added to clinicians or groups who are scored under facility-based scoring. Phone: 402-694-2128. Sets of Quality measures with comparable specifications and data completeness criteria that can be submitted for the MIPS Quality category. - Opens in new browser tab. The CMS Quality Measures Inventory contains pipeline/Measures under Development (MUD), which are measures that are in the process of being developed for eventual consideration for a CMS program. AURORA, NE 68818 . $%p24, The development and implementation of the Preliminary Adult and Pediatric Universal Foundation Measures will promote the best, safest, and most equitable care for individuals as we all come together on these critical quality areas. website belongs to an official government organization in the United States. The purpose of the project is to develop measures that can be used to support quality healthcare delivery to Medicare beneficiaries. RM?.I?M=<=7fZnc[i@/E#Z]{p-#5ThUV -N0;D(PT%W;'G\-Pcy\cbhC5WFIyHhHu
The direct reference codes specified within the eCQM HQMF files are also available in a separate file for download on the VSAC Downloadable Resources page. Conditions, View Option 2: Quality Measures Set (SSP ACOs only). %%EOF
Click on Related Links below for more information. These measures are populated using measure developer submissions to the MIDS Resource Library and measures submitted for consideration in the pre-rulemaking process, but have not been accepted into a program at this time. Access individual 2022 quality measures for MIPS by clicking the links in the table below. These measures will not be eligible for CMS quality reporting until they are proposed and finalized through notice-and-comment rulemaking for each applicable program. Risk-standardized Complication Rate (RSCR) following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS). 0000134663 00000 n
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Inventory Updates CMS publishes an updated Measures Inventory every February, July and November. CAHPSfor MIPS is a required measure for the APM Performance Pathway. Patients who were screened for future fall risk at least once within the measurement period. The 7th annual Medicare Star Ratings & Quality Assurance Summit is coming up next week. 0000134916 00000 n
Six bonus points will still be added to the quality performance category score for clinicians in small practices who submit at least 1 measure, either individually or as a group or virtual group. Phone: 732-396-7100. (CMS) Quality Improvement Program Measures for Acute Care Hospitals - Fiscal Year (FY) 2022 Payment Update. support increased availability and provision of high-quality Home and Community-Based Services (HCBS) for Medicaid beneficiaries. Version 5.12 - Discharges 07/01/2022 through 12/31/2022. endstream
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lock A measure benchmark is a point of reference used for comparing your Quality or Cost performance to that of other clinicians on a given Quality or Cost measure. On October 3, 2016, the Agency for Healthcare Research and Quality (AHRQ) and CMS announced awards totaling $13.4 million in funding over four years to six new PQMP grantees focused on implementing new pediatric quality measures developed by the PQMP Centers of Excellence (COE). If a measure can be reliably scored against abenchmark, it means: Six bonus points are added to the Quality performance category score for clinicians who submit at least 1 APP quality measure. 0000001541 00000 n
The Centers for Medicare & Medicaid Services (CMS) will set and raise the bar for a resilient, high-value health care system that promotes quality outcomes, safety, equity, and accessibility for all individuals, especially for people in historically underserved and under-resourced communities. Assessing the quality and efficiency impact of the use of endorsed measures and making that assessment available to the public at least every three . Visit CMS.gov, HHS.gov, USA.gov, CMS Quality Reporting and Value-Based Programs & Initiatives, Measure Use, Continuing Evaluation & Maintenance, Ambulatory Surgical Center Quality Reporting (ASCQR), End-Stage Renal Disease Quality Incentive Program (ESRD QIP), Health Insurance Marketplace Quality Initiatives, Home Health Value-Based Purchasing (HHVBP), Hospital Acquired Condition Reduction Program (HACRP), Hospital Inpatient Quality Reporting(IQR), Hospital Outpatient Quality Reporting(OQR), Hospital Readmissions Reduction Program (HRRP), Hospital Value-Based Purchasing (VBP) Program, Inpatient Psychiatric Facility Quality Reporting (IPFQR), Inpatient Rehabilitation Facility (IRF) Quality Reporting, Long-Term Care Hospital Quality Reporting(LTCHQR), Medicare Advantage Quality Improvement Program, Medicare Promoting Interoperability: Eligible Hospitals and Critical Access Hospitals, Program of All-Inclusive Care for the Elderly (PACE), Prospective Payment System-Exempt Cancer Hospital Quality Reporting (PCHQR), Skilled Nursing Facility Quality Reporting(SNFQR), Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program, CMS MUC Entry/Review Information Tool (MERIT). We are excited to offer an opportunity to learn about quality measures. Address the disparities that underlie our health system, both within and across settings, to ensure equitable access and care for all.