CMS-10394 QECP Measure Information Workbook

Revised 8/16/2017

Measure Information Workbook
Instructions for QEs Preparing Evidence for the Phase 3 Minimum Requirements Review
The purpose of this workbook is to provide QEs with a comprehensive and concise workbook for submitting all required measure-specific
evidence for QECP Standards 4 and 5. Use this workbook to describe the performance measures that your organization plans to include in its
QE provider performance reports. Please submit measures for review only if they pass all reliability and validity tests and were
calculated using Medicare data obtained through QECP certification.
This instructions page is divided into three sections:

General Instructions for Completing and Uploading the Workbook (starts on row 12)

GT30 List of All Measures Codebook (starts on row 30)

Standard Measure Worksheet Codebook (starts on row 59)

Alternative Measure Worksheet Codebook (starts on row 137)

General Instructions for Completing and Uploading the Workbook
1.

Save a copy of this workbook locally to your computer or network drive and work off of your local copy.

2.

If your organization plans to include more than 30 measures in its QE performance reports (inclusive of standard and alternative
measures), you must complete the following 2-step process. Otherwise, skip this step and proceed to Step 3 below.

Step 2.1: Several weeks prior to your submission of Phase 3 evidence, complete the worksheet in the "GT30 List of All
Measures" tab and submit it to your QECP Program Manager ([email protected]).

Step 2.2: The QECP team will select a sample of measures for which the QE will be responsible for submitting all evidence
outlined in the Standard and Alternative Measure Worksheets. For those measures not included in the sample, no evidence or
supporting documentation will be required to be reported in the standard and alternative measure worksheets, or uploaded to
the application portal; however the QE will be required to attest that these non-sampled measures meet the requirements for all
elements under QECP Standards 4 and 5.

3.

Enter data into the worksheets following the standard and alternative measure codebooks described below. Note that some columns
restrict your data entry to selections from a drop-down menu.

For the columns that require detailed narratives, you must indicate the file name, page number(s), and section(s) of the
supporting document that include the required information.

Blank values are not permitted. In the few instances where a column is not applicable to a particular measure, enter
"N/A" and describe why this column is not applicable to the measure.

4.

Save the workbook as "QECP_Measure_Information_Workbook_QEName.xlsx," and upload it to your organization's secure QECP
application portal under Element 4A and/or Element 4B.

This workbook should only be uploaded to your entity's QECP application portal once. Since the evidence contained in this
workbook applies to all elements (5A - 5J) under Standard 5, and possibly both elements (4A - 4B) under Standard 4, use the
"Select Document" drop-down menu to associate this workbook with each relevant element.

In the "Self Assessment" comment box for Element 4A and 4B, briefly describe the suite of provider performance measures
submitted for review, including the total number of Standard (4A) and/or Alternative (4B) measures.

5.

Upload all supporting documentation referenced in this workbook. Please note that the supporting documents uploaded to the
application portal must map back to the file names referenced in this workbook.

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Instructions

GT30 List of All Measures Codebook
There are thirteen (13) columns to complete in the tab titled "GT30 List of All Measures." Complete this worksheet, entering only
one measure in each row, based on the following instructions.
Please indicate whether the measure is considered standard or alternative under the QECP program.
Standard or
Alternative QECP
Measure
[select from menu]
NOTE: For a measure to be considered as Standard under the Qualified Entity Certification Program, the
measure MUST meet at least one of the following criteria: 1) NQF-endorsed, 2) currently being used in a
CMS program that includes quality measurement or 3) authored by an approved Consensus Based Entity
(CBE). The entity must follow the measure specifications as written , including all numerator and
denominator inclusions and exclusions, measured time periods and specified data sources. The QECP
reviews the organization's specifications against the source specification and determines whether the
measure meets the requirements.
Standard Measure If the measure is standard, use the drop-down menu to select the measure type: NQF-Endorsed, CMS
Type (if applicable) Program Measure, or QE CBE-Endorsed: NCQA. Please visit
[select from menu] https://www.qemedicaredata.org/SitePages/standard_measures.aspx to determine the standard measure
type.
If NQF-Endorsed,
NQF Number (4A)

Enter the NQF assigned number of the calculated measure. If the measure is not an NQF-endorsed
measure, please enter N/A in this field.

Measure Name

Enter the name of the standard measure. If the measure does not have an NQF-endorsed title you may
use the name of the measure steward and the title they have assigned.

Measure Steward
[select from menu]

Use the drop-down menu to select the measure steward: CMS, AHRQ, AQA, NCQA, TJC, AMA PCPI,
Specialty Medical Boards, or Other.

If Other, Name of
Measure Steward

If you selected "Other" as the Measure Steward, type the Measure Steward's name here.

Measure
Description

Enter the name of the file, relevant page number(s), and section(s) of the document containing a
description of the measure.

Type of Provider
Measured
[select from menu]

Use the drop-down box to select the type of provider or supplier measured: Physician, Other Health Care
Practitioners, Hospitals, Critical Access Hospitals, Skilled Nursing Facilities, Comprehensive Outpatient
Rehabilitation Facilities, Home Health Agencies, Hospice Programs, or Other.

Measure Type
[select from menu]

Use the drop-down menu to select the measure type: Individual, Component of a Composite, or
Composite.

Measure Category
[select from menu]

Use the drop-down menu to select the measure category: Quality, or Efficiency or Resource Use.

Clinical Logic

Enter the clinical logic for the measure (e.g., denominator eligibility, numerator eligibility, exclusion
criteria), or the name of the file, relevant page number(s), and section(s) of the document containing the
measure's clinical logic.

Construction Logic Enter the construction logic for the measure (e.g., trigger start dates, temporal parameters), or the name
of the file, relevant page number(s), and section(s) of the document containing the measure's construction
logic.
Measure Previously Please indicate whether or not this measure has been previously reported in any capacity (i.e., private or
Reported (privately public).
or publicly) (Y/N)
[select from menu]

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Instructions

Standard Measure Worksheet Codebook
There are thirty-seven (37) columns to complete in the tab titled "Standard Measure Worksheet." Complete this worksheet, entering
only one measure in each row, based on the following instructions.
NOTE: For a measure to be considered as Standard under the Qualified Entity Certification Program, the
measure MUST meet at least one of the following criteria: 1) NQF-endorsed, 2) currently being used in a
CMS program that includes quality measurement or 3) authored by an approved Consensus Based Entity
(CBE). The entity must follow the measure specifications as written , including all numerator and
denominator inclusions and exclusions, measured time periods and specified data sources. The QECP
reviews the organization's specifications against the source specification and determines whether the
measure meets the requirements.
Standard Measure
Type [select from
menu] (4A)

Use the drop-down menu to select the standard measure type: NQF-Endorsed, CMS Program Measure,
or QE CBE-Endorsed: NCQA. Please visit
https://www.qemedicaredata.org/SitePages/standard_measures.aspx to determine the standard measure
type.

If NQF-Endorsed,
NQF Number (4A)

Enter the NQF-assigned number of the calculated measure. If the measure is not an NQF-endorsed
measure, please enter N/A in this field.

Measure Name
(4A)

Enter the name of the standard measure. If the measure does not have an NQF-endorsed title you may
use the name of the measure steward and the title they have assigned.

Measure Display
Name
(7A)

Enter the name of the measure as it will be displayed to the public.

Measure Steward
(4A)

Use the drop-down menu to select the measure steward: CMS, AHRQ, AQA, NCQA, TJC, AMA PCPI,
Specialty Medical Boards, or Other.

If Other, Name of
Measure Steward
(4A)

If you selected "Other" as the Measure Steward, type the Measure Steward's name here.

Measure
Description
(4A)

Enter the name of the file, relevant page number(s), and section(s) of the document containing a
description of the measure.

Type of Provider
Measured
(4A)

Use the drop-down box to select the type of provider or supplier measured: Physician, Other Health Care
Practitioners, Hospitals, Critical Access Hospitals, Skilled Nursing Facilities, Comprehensive Outpatient
Rehabilitation Facilities, Home Health Agencies, Hospice Programs, or Other.

Measure Type
[select from menu]
(4A)

Use the drop-down menu to select the measure type: Individual, Component of a Composite, or
Composite.

Measure Category
[select from menu]
(5C and 5D)

Use the drop-down menu to select the measure category: Quality, or Efficiency or Resource Use.

Level of Analysis
(7A)

Enter all levels of analysis for the measure (e.g., individual clinician, clinic, group/practice, team, facility,
health plan, or integrated delivery system).

Enter the number of providers to be publicly reported at the specified level of analysis (e.g., 300 clinics).
Number of
Providers Measured
(7A)

Measure Selection
Rationale
(4A)

Enter the name of the file, relevant page number(s), and section(s) of the document containing the
measure selection rationale for the measure.

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Instructions

Enter the name of the file, relevant page number(s), and section(s) of the document containing the
Relationship of
Measure to Existing relationship of the measure to other measurement efforts.
Measurement
Efforts
(4A)

Relevance of
Measure to
Population in
Covered
Geographic Area
(4A)

Enter the name of the file, relevant page number(s), and section(s) of the document containing the
relevance of the measure to the population in the covered geographic area.

Measure
Specification
(5A)

Enter either the name of the file, relevant page number(s), and section(s) of the document containing the
measure steward's measure specification, or provide a hyperlink or URL to the measure steward's
measure specification. A hyperlink/URL is preferred, but a document is also sufficient.

Measure
Specification for
Implementation
(5A)

If different from the measure steward’s specification, enter either the name of the file, relevant page
number(s), and section(s) of the document containing the measure specification for implementation, or
provide a hyperlink or URL to the measure specification for implementation. A hyperlink/URL is preferred,
but a document is also sufficient.

Clinical Logic
(5A)

Enter the clinical logic for the measure (e.g., denominator eligibility, numerator eligibility, exclusion
criteria), or the name of the file, relevant page number(s), and section(s) of the document containing the
measure's clinical logic.

Construction Logic Enter the construction logic for the measure (e.g., trigger start dates, temporal parameters), or the name
of the file, relevant page number(s), and section(s) of the document containing the measure's construction
(5A)
logic.
System
Reports/Logs
(5A)

Enter the name of the file, relevant page number(s), and section(s) of the document containing system
input/output reports/logs for the measure that displays data sources, exclusion statements, denominator
values, and numerator values.

Attribution
Methodology
(5B)

Enter the name of the file, relevant page number(s), and section(s) of the document containing a
description of the methodology used for the measure to assign patients and/or episodes to the provider
included in the performance reports.

Minimum
Requirements for
Reporting Quality
Measures
(5C)

Enter the minimum requirements for reporting each quality measure that incorporates Medicare data (e.g.,
sample/denominator size, confidence interval, or reliability score).

Enter the results of statistical validity testing for each quality measure to be included in QE performance
Results of
Statistical Validity reports, including the actual sample/denominator size, confidence interval, or reliability score.
Testing for Quality
Measures
(5C)
Minimum
Requirements for
Reporting
Efficiency or
Resource Use
Measures
(5D)

Enter the minimum requirements for reporting each efficiency or resource use measure that incorporates
Medicare data (e.g., sample/denominator size, confidence interval, or reliability score).

Results of
Statistical Validity
Testing for
Efficiency or
Resource Use
Measures
(5D)

Enter the results of statistical validity testing for each efficiency or resource use measure, including the
actual sample/denominator size and at least one of the following: reliability score or confidence interval.

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Instructions

Composite
Methodology
(5E)

Enter the name of the file, relevant page number(s), and section(s) of the document containing the
methodology used for the composite measure.

Minimum
Requirements for
Reporting
Composite
Measures
(5E)

Enter the minimum requirements for reporting each composite measure that incorporates Medicare data
(e.g., sample/denominator size, confidence interval, or reliability score).

Risk Adjustment
Rationale
(5F)

Enter the name of the file, relevant page number(s), and section(s) of the document containing a detailed
rationale for using or not using risk adjustment for the measure. If risk adjustment was not used, the QE
must include a detailed justification.

Risk Adjustment
Methodology
(5F)

Enter the name of the file, relevant page number(s), and section(s) of the document containing the
methodology used for risk adjustment for the measure (including case-mix or severity adjustment).

Outlier Method
Rationale
(5G)

Enter the name of the file, relevant page number(s), and section(s) of the document containing a detailed
rationale for using or not using an outlier method for the measure. If an outlier method was not used, the
QE must include a detailed justification.

Outlier
Methodology
(5G)

Enter the name of the file, relevant page number(s), and section(s) of the document containing the outlier
methodology used for the measure.

Peer Group
Algorithm
(5H)

Enter the name of the file, relevant page number(s), and section(s) of the document describing the
algorithm used to identify peer groups for the measure.

Peer Group
Geographic
Parameters
(5H)

Enter the name of the file, relevant page number(s), and section(s) of the document describing the
geographic parameters that were used to compare providers to their peers for the measure.

Benchmark
Identification
(5I)

Enter the name of the file, relevant page number(s), and section(s) of the document describing how the
benchmark was identified or estimated (e.g., external data source, current data set) for the measure.

Type of Benchmark Describe the type of benchmark(s) (e.g., 90th percentile, national average, regional average) for the
measure.
(5I)

Geographic
Parameters for
Benchmark
(5I)

Describe the geographic parameters that were used to identify benchmarks for the measure.

Provider Ratings
Methodology
(5J)

Enter the name of the file, relevant page number(s), and section(s) of the document containing the
provider ratings methodology used for the measure.

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Instructions

Alternative Measure Worksheet Codebook
There are thirty-five (35) columns to complete in the tab titled "Alternative Measure Worksheet." Complete this worksheet, entering
only one measure in each row, based on the following instructions.
Measure Name
(4B)

Enter the name of the alternative measure.

Measure Display
Name
(7A)

Enter the name of the measure as it will be displayed to the public.

Measure Steward
(4B)

Use the drop-down menu to select the measure steward: CMS, AHRQ, AQA, NCQA, TJC, AMA PCPI,
Specialty Medical Boards, or Other.

If Other, Name of
Measure Steward
(4B)

If you selected "Other" as the Measure Steward, type the Measure Steward's name here.

Measure
Description
(4B)

Enter the name of the file, relevant page number(s), and section(s) of the document containing a
description of the measure.

Type of Provider
Measured
(4B)

Use the drop-down box to select the type of provider or supplier measured: Physician, Other Health Care
Practitioners, Hospitals, Critical Access Hospitals, Skilled Nursing Facilities, Comprehensive Outpatient
Rehabilitation Facilities, Home Health Agencies, Hospice Programs, or Other.

Measure Type
[select from menu]
(4A)

Use the drop-down menu to select the measure type: Individual, Component of a Composite, Composite

Measure Category
[select from menu]
(5C and 5D)

Use the drop-down menu to select the measure category: Quality, or Efficiency or Resource Use.

Level of Analysis
(7A)

Enter all levels of analysis for the measure (e.g., individual clinician, clinic, group/practice, team, facility,
health plan, or integrated delivery system).

Enter the number of providers to be publicly reported at the specified level of analysis (e.g., 300 clinics).
Number of
Providers Measured
(7A)

Evidence of
Superiority to
Standard Measure
(4B)

Enter the name of the file, relevant page number(s), and section(s) of the document providing evidence
that the measure is more valid, reliable, responsive to consumer preferences, cost effective, or relevant to
dimensions of quality and resource use not addressed by a standard measure.

Enter the name of the file, relevant page number(s), and section(s) of the document describing the
Relationship of
Measure to Existing relationship of the measure to existing measurement efforts.
Measurement
Efforts
(4B)

Relevance of
Measure to
Population in
Covered
Geographic Area
(4B)

Enter the name of the file, relevant page number(s), and section(s) of the document containing the
relevance of the measure to the population in the covered geographic area.

Measure
Specification
(5A)

Enter either the name of the file, relevant page number(s), and section(s) of the document containing the
measure steward's measure specification, or provide a hyperlink or URL to the measure steward's
measure specification. A hyperlink/URL is preferred, but a document is also sufficient.

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Instructions

Measure
Specification for
Implementation
(5A)

If different from the measure steward’s specification, enter either the name of the file, relevant page
number(s), and section(s) of the document containing the measure specification for implementation, or
provide a hyperlink or URL to the measure specification for implementation. A hyperlink/URL is preferred,
but a document is also sufficient.

Clinical Logic
(5A)

Enter the clinical logic for the measure (e.g., denominator eligibility, numerator eligibility, exclusion
criteria), or the name of the file, relevant page number(s), and section(s) of the document containing the
measure's clinical logic.

Construction Logic Enter the construction logic for the measure (e.g., trigger start dates, temporal parameters), or the name
of the file, relevant page number(s), and section(s) of the document containing the measure's construction
(5A)
logic.
System
Reports/Logs
(5A)

Enter the name of the file, relevant page number(s), and section(s) of the document containing system
input/output reports/logs for the measure that displays data sources, exclusion statements, denominator
values, and numerator values.

Attribution
Methodology
(5B)

Enter the name of the file, relevant page number(s), and section(s) of the document containing a
description of the methodology used for the measure to assign patients and/or episodes to the provider
included in the performance reports.

Minimum
Requirements for
Reporting Quality
Measures
(5C)

Enter the minimum requirements for reporting each quality measure that incorporates Medicare data (e.g.,
sample/denominator size, confidence interval, or reliability score).

Results of
Statistical Validity
Testing for Quality
Measures
(5C)

Enter the results of statistical validity testing for each quality measure to be included in QE performance
reports, including the actual sample/denominator size, confidence interval, or reliability score.

Minimum
Requirements for
Reporting
Efficiency or
Resource Use
Measures
(5D)

Enter the minimum requirements for reporting each efficiency or resource use measure that incorporates
Medicare data (e.g., sample/denominator size, confidence interval, or reliability score).

Results of
Statistical Validity
Testing for
Efficiency or
Resource Use
Measures
(5D)

Enter the results of statistical validity testing for each efficiency or resource use measure, including the
actual sample/denominator size and at least one of the following: reliability score, or confidence interval.

Composite
Methodology
(5E)

Enter the name of the file, relevant page number(s), and section(s) of the document containing the
methodology used for the composite measure.

Enter the minimum requirements for reporting each composite measure that incorporates Medicare data
Minimum
(e.g., sample/denominator size, confidence interval, or reliability score).
Requirements for
Reporting
Composite Measure
(5E)

Risk Adjustment
Rationale
(5F)

Enter the name of the file, relevant page number(s), and section(s) of the document containing a detailed
rationale for using or not using risk adjustment for the measure. If risk adjustment was not used, the QE
must include a detailed justification.

Risk Adjustment
Methodology
(5F)

Enter the name of the file, relevant page number(s), and section(s) of the document containing the
methodology used for risk adjustment for each measure (including case-mix or severity adjustment).

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Instructions

Outlier Method
Rationale
(5G)

Enter the name of the file, relevant page number(s), and section(s) of the document containing a detailed
rationale for using or not using an outlier method for the measure. If an outlier method was not used, the
QE must include a detailed justification.

Outlier
Methodology
(5G)

Enter the name of the file, relevant page number(s), and section(s) of the document containing the outlier
methodology used for the measure.

Peer Group
Algorithm
(5H)

Enter the name of the file, relevant page number(s), and section(s) of the document describing the
algorithm used to identify peer groups for the measure.

Peer Group
Geographic
Parameters
(5H)

Enter the name of the file, relevant page number(s), and section(s) of the document describing the
geographic parameters that were used to compare providers to their peers for the measure.

Benchmark
Identification
(5I)

Enter the name of the file, relevant page number(s), and section(s) of the document describing how the
benchmark was identified or estimated (e.g., external data source, current data set) for each measure.

Type of Benchmark Describe the type of benchmark(s) (e.g., 90th percentile, national average, regional average) for the
measure.
(5I)

Geographic
Parameters for
Benchmark
(5I)

Describe the geographic parameters that were used to identify benchmarks for the measure.

Provider Ratings
Methodology
(5J)

Enter the name of the file, relevant page number(s), and section(s) of the document containing the
provider ratings methodology used for the measure.

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Instructions

Revised 8/4/2015

List o ALL Measures that Include QE Medicare Data

Note: QEs are only required to complete this worksheet i they intend to include more than 30 measures in their QE per ormance reports (inclusive o standard
and alternative measures). Re er to Step 2 in the "Instructions" tab.

Row #

Standard or
Alternative QECP
Measure
[select rom menu]

Standard Measure
Type (i applicable)
[select rom menu]

I NQF-Endorsed,
NQF Number

Measure Name

Measure Steward
[select rom menu]

I Other, Name o
Measure
Steward

Measure Description

Type o Provider Measured
[select rom menu]

Measure Type
[select rom menu]

Measure Category
[select rom menu]

Clinical Logic

Construction Logic

Measure Previously
Reported (privately or
publicly) (Y/N)
[select rom menu]

1
2
3
4
5
6
8
9
10
11
12
13
14
15
16
1
18
19
20
21
22
23
24
25
26
2
28
29
30
31
32
33
34
35
36
3
38
39
40
41
42
43
44
45
46
4
48
49
50

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GT30 List of All Measures

QECP S andard Measure Evidence For Elemen 4A and S andard 5

Row #

S andard Measure Type
[selec from menu]
(4A)

If NQF-endorsed,
NQF Number (4A)

Measure Name
(4A)

Measure Display Name
[measure name as
presen ed o he
public]
(7A)

Measure
S eward
[selec from
menu]
(4A)

If O her, Name
of Measure
S eward
(4A)

Measure Descrip ion
(4A)

1
2
3
4
5
6
8
9
10
11
12
13
14
15
16
1
18
19
20
21
22
23
24
25
26
2
28
29
30

Standard Measures Worksheet
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Revised 8/4/2015

Type of
Provider
Measured
[selec from
menu]
(4A)

Measure Type
[selec from menu]
(4A)

Measure Ca egory
[selec from menu]
(5C and 5D)

Level of
Analysis
(7A)

Number of
Measure Selec ion Ra ionale
Providers
(4A)
Measured (7A)

Rela ionship of Measure o
Exis ing Measuremen
Effor s
(4A)

Standard Measures Worksheet
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A Hyperlink/URL is preferred; however, a documen
reference is also sufficien .

Relevance of Measure o
Popula ion in Covered
Geographic Area
(4A)

Measure Specifica ion
(5A)

Measure Specifica ion
for Implemen a ion
(5A)

Clinical Logic
(5A)

Cons ruc ion Logic
(5A)

Sys em
Repor s/Logs
(5A)

A ribu ion
Me hodology
(5B)

Standard Measures Worksheet
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Minimum Requiremen s
for Repor ing Quali y
Measures
(5C)

Resul s of S a is ical
Validi y Tes ing for
Quali y Measures
(5C)

Minimum Requiremen s Resul s of S a is ical
Validi y Tes ing for
for Repor ing Efficiency
Efficiency or Resource
or Resource Use
Use Measures
Measures
(5D)
(5D)

Composi e
Me hodology
(5E)

Minimum
Requiremen s for
Repor ing Composi e
Measures
(5E)

Risk Adjus men
Ra ionale
(5F)

Risk Adjus men
Me hodology
(5F)

Standard Measures Worksheet
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Ou lier Me hod
Ra ionale
(5G)

Ou lier
Me hodology
(5G)

Peer Group
Algori hm
(5H)

Peer Group
Geographic
Parame ers
(5H)

Benchmark
Iden ifica ion
(5I)

Type of
Benchmark
(5I)

Geographic
Parame ers for
Benchmark
(5I)

Provider
Ra ings
Me hodology
(5J)

Standard Measures Worksheet
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Revised 8/4/2015

QECP A ternative Measure Evidence For E ement 4B and Standard 5

Row #

Measure Name
(4B)

Measure Disp ay Name
[measure name as
presented to the
pub ic]
(7A)

Measure
Steward
[se ect from
menu]
(4B)

If Other, Name
of Measure
Steward
(4B)

Measure Description
(4B)

Type of
Provider
Measured
[se ect from
menu]
(4B)

Measure Type
[se ect from menu]
(4A)

Measure Category
[se ect from menu]
(5C and 5D)

1
2
3
4
5
6
8
9
10
11
12
13
14
15
16
1
18
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21
22
23
24
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28
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30

QECP_Measure_Information_Workbook_8_16_201 .xlsx

Page 1 of 5

Alternative Measures Worksheet

A Hyper ink/URL is preferred; however, a document
reference is a so sufficient.

Leve of
Ana ysis
(7A)

Number of
Providers
Measured (7A)

Evidence of Superiority to
Standard Measure
(4B)

QECP_Measure_Information_Workbook_8_16_201 .xlsx

Re ationship of Measure to
Existing Measurement
Efforts
(4B)

Re evance of Measure to
Popu ation in Covered
Geographic Area
(4B)

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Measure Specification
(5A)

Measure Specification for
Imp ementation
(5A)

Alternative Measures Worksheet

C inica Logic
(5A)

Construction Logic
(5A)

System
Reports/Logs
(5A)

QECP_Measure_Information_Workbook_8_16_201 .xlsx

Attribution
Methodo ogy
(5B)

Minimum Requirements Resu ts of Statistica
for Reporting Qua ity
Va idity Testing for
Measures
Qua ity Measures
(5C)
(5C)

Page 3 of 5

Minimum Requirements Resu ts of Statistica
for Reporting Efficiency
Va idity Testing for
or Resource Use
Efficiency or Resource
Measures
Use Measures
(5D)
(5D)

Alternative Measures Worksheet

Composite
Methodo ogy
(5E)

Minimum
Requirements for
Reporting Composite
Measures
(5E)

Risk Adjustment Risk Adjustment
Rationa e
Methodo ogy
(5F)
(5F)

QECP_Measure_Information_Workbook_8_16_201 .xlsx

Out ier Method
Rationa e
(5G)

Out ier
Methodo ogy
(5G)

Page 4 of 5

Peer Group
A gorithm
(5H)

Peer Group
Geographic
Parameters
(5H)

Benchmark
Identification
(5I)

Type of
Benchmark
(5I)

Alternative Measures Worksheet

Geographic
Parameters for
Benchmark
(5I)

QECP_Measure_Information_Workbook_8_16_201 .xlsx

Page 5 of 5

Alternative Measures Worksheet