In 2015, the ACC participated in the Core Quality Measure Collaborative (CQMC), led by America’s Health Insurance Plans and the Centers for Medicare and Medicaid Services (CMS), to establish a set of measures intended for use across a broad spectrum of stakeholders including commercial health plans, consumers, and physicians. The measures are intended to increase alignment and ease the reporting burden of measures to public and private payers. Traditionally, performance measures have focused heavily on processes of care and not enough on outcomes or structural measures.
With that, the three aims of the Collaborative are to:
- Create high-value, high impact, evidence-based measures to promote improved outcomes; and inform decision-making in creating measures
- Remove low-impact metrics to ultimately reduce reporting burdens
- Harmonize, refine, and align measures across payers
Seven core quality measure sets were created with the intent to make "quality measurement more useful and meaningful for consumers, employers, clinicians and public and private payers." While creating the measures, the workgroup aimed to adhere to the following principles:
- Measure sets should achieve the three part aim of the National Quality Strategy
- National Quality Forum-endorsed measures are preferred; or at least use measures that have been tested for reliability and validity
- Minimize data collection and reporting burden
- Include both overuse and underuse measures
- Include measures that focus on patient outcomes, are currently used, and drive quality improvement
- Use cross-cutting measures across conditions
- Include measures meaningful to patients and consumers
- Focus on clinical quality, cost, and patient experience
The Chronic Cardiovascular Condition Measures assess congestive heart failure, hypertension, ischemic/coronary heart disease, atrial fibrillation, prevention, acute myocardial infarction and more. The full list of measures [PDF] is available.
The PINNACLE Registry is currently equipped to assess the clinician-level measures in the cardiovascular core set, and many are reportable via the Physician Quality Reporting System. CMS will monitor the measure sets and use the comment process to gather additional input on the measures, while commercial health plans will implement the measures as contracts are renewed.