The Centers for Medicare and Medicaid Services (CMS) has announced a delay in the implementation of the Alternate Quality Measure sets, which included a number of registry reported quality measures, as part of BPCI Advanced until Model Year 4. It was anticipated these measures would be part of Model Year 3, beginning on Jan. 1, 2020. As a result of the delay, the seven Administrative Quality Measures from Model Years 1 and 2 will continue to be used. These include:

• NQF #0268 - Perioperative Care: Selection of Prophylactic Antibiotic: First or Second Generation Cephalosporin
• NQF #0326 - Advanced Care Plan
• NQF #1550 - Hospital-Level Risk-Standardized Complication Rate (RSCR) Following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA)
• NQF #1789 - All-cause Hospital Readmission Measure
• NQF #2558 - Hospital 30-Day, All-Cause, Risk-Standardized Mortality Rate (RSMR) Following Coronary Artery Bypass Graft Surgery
• NQF #2881 - Excess Days in Acute Care after Hospitalization for Acute Myocardial Infarction
• CMS PSI 90 - CMS Patient Safety Indicators

CMS is expected to release updated fact sheets for each of these measures in the near future. Meanwhile, CMS has said it remains committed toexpanding options for quality measure reporting and selection of clinically meaningful measures for future model years. The ACC will continue to work with CMS over the course of the year in preparation for Model Year 4.

Keywords: ACC Advocacy, Patient Readmission, Centers for Medicare and Medicaid Services, U.S., Patient Safety, Medicare, Medicaid, Registries, Coronary Artery Bypass, Myocardial Infarction, Perioperative Care

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