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pdfMIW Requirements
Measure Information Workbook (MIW) Requirements
The MIW provides Qualified Entities (QEs) a comprehensive, concise workbook for submitting all
required measure-specific evidence for Qualified Entity Certification Program (QECP) Elements 3.1 and
3.2. Use this workbook to describe the performance measures for review only if they pass all reliability
and validity tests and were calculated using Medicare data obtained through QECP certification.
For each measure, indicate the following:
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Whether the measure is considered Standard or Alternative under QECP
Note: For a measure to be considered Standard under QECP, the measure must meet at least
one of the following criteria:
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NQF-endorsed
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Currently in use by a CMS program that includes quality measurement
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Authored by an approved Consensus-Based Entity (CBE)
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If NQF-Endorsed, NQF Number
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Measure name
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Measure steward
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Measure description
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Type of provider measured
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Measure type
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Measure category
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Measure classification
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Measure previously reported (privately or publicly) (yes/no)
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For any prevalence rates include justification for how the prevalence rate is
associated to a Standard or Alternative Measure
For each Standard Measure, indicate the following:
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Measure selection rationale
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Relationship of measure to existing measurement efforts
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Relevance of measure to population in covered geographic area
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Measure specification
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Measure category (select from menu)
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Statistical validity
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Attribution methodology
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Risk adjustment used
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Risk adjustment rationale
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Risk adjustment attestation
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Outlier method used
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MIW Requirements
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Outlier method rationale
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Outlier method attestation
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Comparison groups algorithm
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Comparison group geographic parameters
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Type of benchmark
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Benchmark identification
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Provider ratings methodology
For each Alternative Measure, indicate the following:
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Evidence of superiority to Standard Measure
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Relationship of measure to existing measurement efforts
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Relevance of measure to population in covered geographic area
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Measure specification
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Measure specification for implementation
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Clinical logic
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Construction logic
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System reports/logs
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Minimum requirements for reporting quality measures
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Results of statistical validity testing for quality measures
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Minimum requirements for reporting efficiency or resource use measures
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Results of statistical validity testing for efficiency or resource use measures
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Description of the standardized payment or pricing approach, if appropriate
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Construction of the composite
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Minimum requirements for reporting composite measures
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Attribution methodology
•
Risk adjustment used
•
Risk adjustment rationale
•
Risk adjustment methodology
•
Outlier method used
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Outlier method rationale
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Outlier methodology
•
Comparison group algorithm
•
Comparison group geographic parameters
•
Benchmark identification
•
Type of benchmark
•
Provider ratings methodology
September 06, 2023
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| File Type | application/pdf |
| File Title | Measure Information Workbook Requirements |
| Subject | MIW, Measure Information Worksheet, Requirements |
| Author | CMS |
| File Modified | 2024-01-18 |
| File Created | 2024-01-17 |