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AMA Public Comment Period Extended - Registries on FHIR Update Released

Tuesday, May 29, 2018   (0 Comments)
Posted by: Steve Gavette
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May 29, 2018

PCPI Announcements

In this issue...


Patient-entered Wellness Data and Health Lifestyles - Join the Discussion


Measure Harmonization Methodology Project - Feedback requested by June 6th


Registries on FHIR® 2018 Update Released


CMS 2017 MIPS and IAs TEP Report Posted


PCPI Member Spotlight: AAPMR - AHA - AMDA


Industry News: CMS Pre-Rule Making is coming to a close in June

AMA Prediabetes Measures—Public Comment Period Extended!

The American Medical Association (AMA) convened a cross-specialty, multidisciplinary technical expert panel (TEP) to identify and define new quality measures for prediabetes. The draft measures proposed by this TEP represent the first measures in the U.S. intended to assist in the prevention of type 2 diabetes. The proposed measures address screening for prediabetes, providing intervention for those with prediabetes, and follow-up testing for those with prediabetes. PCPI’s Measurement Science Team serves as consultants to the AMA in support of these efforts.


Currently, eighty-four million Americans have prediabetes and 9 out 10 of these individuals are unaware that they have this condition. CDC-recognized lifestyle change programs are included in the health benefit plans of many private health insurers and the Medicare Diabetes Prevention Program will extend the program to Medicare beneficiaries in April 2018.


The public comment period will has been extended through Friday, June 8. We are specifically interested in gaining input from primary care providers, as these providers will be most impacted by these measures.


All comments are welcome and will be compiled to be shared with the TEP for consideration. View or download the set of draft measures and submit your comments by clicking here .


PCPI on the Go

Patient-entered Wellness Data and Health Lifestyles

Marjorie Rallins, PCPI Vice President & Chief Scientific Officer, is serving as an expert panelist on the patient-entered wellness data and healthy lifestyles panel hosted by the Integrated Health Model Initiative (IHMI) of the AMA. PCPI is a launch partner with the AMA IHMI, a collaborative effort that supports a continuous learning environment to enable interoperable technology solutions and care models that evolve with real-world use and feedback. You are invited to join this important discussion where we are seeking to answer questions such as:

  • Is the enormous amount of data generated in healthcare today the most meaningful?
  • Could the use of patient-entered wellness data improve patient-provider interactions and increase preventive care?


The National conversation on how to improve Data Liquidity in Health Care

Seth Blumenthal, MBA, Director, Data & Innovation was invited to attend and provide information on the Registries on FHIR project to attendees at the May 4, 2018 American College of Cardiology’s Heart House meeting on database harmonization in Washington, D.C. Clinical and informatics stakeholders from throughout cardiology, as well as technology vendors and others allied to the field were convened in a working session. The goal of the session was to develop a short list of projects to improve semantic interoperability within the ACC’s National Cardiology Data Registry, EHRs and other data sources. In addition to Mr. Blumenthal, Dr. James Tcheng, FACC, FSCAI, Professor of Medicine, Community and Family Medicine and Informatics at Duke, presented on the need for developing a set of common clinical data elements and implementing them in registries.


The approach of harmonizing common data elements is expected to improve registry data quality and reduce the cost of operating registries. PCPI and the National Quality Registry Network (NQRN) is collaborating with Dr. Tcheng and The Duke Clinical Research Institute (DCRI) in a project funded by the Pew Charitable Trusts to examine the current state of registry data models. We are looking at what data are currently captured in registries, which data elements are common across multiple registries. We’re interested in understanding how different registries vary in their capture of data elements – clinical concepts – that are common across multiple specialties and thus registries. More to come in this space.




National Quality Improvement Strategy to Reduce Diagnostic Error

Stephen L. Davidow, MBA-HCM, CPHQ, APR, Director of Quality Improvement has been invited to participate in a national quality improvement strategic planning effort focused on diagnostic error on June 4-5 in Chicago. The meeting will include more than 20 national and international experts representing a diverse set of stakeholders through a collaboration between American Society of Healthcare Risk Management (ASHRM ) and the Society to Improve Diagnosis in Medicine (SIDM ) to advance the work of the “Coalition to Improve Diagnosis”. The purpose of the initiative is to address the need for effective and utilized interventions to improve the diagnostic process and reduce diagnostic error.



Measurement Science

Measure Harmonization Methodology Project - Feedback requested by June 6th

The draft paper for PCPI’s Measure Harmonization Methodology Project is now available for review and public comment. Measure stewards and developers are invited to review our draft paper and provide feedback by June 6th.


PCPI’s Measure Advisory Committee prioritized a project to develop a Measure Harmonization Methodology, intended to educate and assist measure stewards and developers in implementing a standard approach to measure harmonization projects. This methodology was developed and written by the PCPI based on prior harmonization-related publications written by organizations such as the National Quality Forum, responses to a Measure Harmonization survey completed by PCPI membership, and the PCPI’s own measure harmonization experiences.



Tales from the Measurement Front - Session 2

Please join our webinar to hear from the American College of Radiology (ACR) on their experiences and lessons learned in performance measurement and how their work in performance measurement is evolving.


Dr. Jason Itri, vice chair of ACR’s Quality Measures Technical Expert Panel and associate professor at Wake Forest Baptist Medical Center, and Judy Burleson, Senior Director of Quality Management Programs at ACR will share details of the successes and challenges in their measurement journey.


When: June 28th from 12-1pm CST (1-2pm EST)

Register Today!

*NOTE* This session is FREE for all to attend live, however, the recording will be available for members only.




Registries on FHIR® 2018 Update Released

This project launched in 2017 is a collaboration between PCPI, the Duke Clinical Research Institute (DCRI), Health Level Seven® International (HL7®) and the Medical Device Epidemiology Network (MDEpiNet) and aims to demonstrate the value of adoption of common clinical data elements in registries to improve interoperability.


Since it’s launch, Registries on FHIR has made progress by:

  • Publishing through HL7 the Common Clinical Registry Framework Domain Analysis Model, which lays out the structure, actors and information flows that constitute a general registry.
  • Launching the NQRN Interoperability Workgroup with participants that include registry stewards, vendors and other stakeholders.
  • Developing draft CDE spec, beginning with ONC 2015 CCDS and in collaboration with MDEpiNet.

See all of the work to date, next steps and resources for the Registries on FHIR project here .



Are you ready to Influence the future of Clinical Data Registries?

PCPI currently has volunteer opportunities available on 4 of our NQRN work groups:


  • Learning Work Group -- Asses the needs of the registry community, creating and curating practical content to address those needs.
  • Qualified Clinical Data Registries (QCDR) Work Group -- Promotes advocacy for QCDRs and creates resources to aid in the process of becoming and maintaining QCDR stewardship.
  • Interoperability Work Group -- Supports the Registries on FHIR project which focuses on the adoption of common clinical data elements in registries to improve interoperability.
  • Research Work Group -- This is a New Work Group designed to connect registry stewards with the wider community of healthcare information users with distinct research needs.

For more information or if you would like to join one of these groups, please contact either Chrystal Price, Program Manager, NQRN or Seth Blumenthal, Director of Data and Innovation for more details. We look forward to having you in the Work Groups!



Quality Improvement

CMS 2017 MIPS and IAs TEP Report Posted

CMS has posted the report from the Technical Expert Panel (TEP), which examined the Merit-based Incentive Payment System’s (MIPS) Improvement Activities (IAs) for the first year of the Quality Payment Program (QPP) in 2017.


PCPI’s Director, Quality Improvement Stephen L. Davidow, MBA-HCM, CPHQ, APR, was one of 12 national experts who reviewed the 93 improvement activities organized in eight sub-categories. The TEP provided feedback around the effectiveness and accuracy of the IAs included in the transition year of the Quality Payment Program under the MIPS IAs performance category. The TEP performed a review of selected IAs, especially those about which the Quality Payment Program Service Center received comments and questions. The purpose is to engage users in the design of these IAs and solicit feedback on the IAs with those using them in the real world. The goal was to ensure that the IAs were valid, weighted correctly, and that their qualifications/criteria make sense. View the full report here .



Closing the Referral Loop Study Results Published

The Journal of Ambulatory Care Management published ahead-of-print, Closing the Referral Loop: Improving Ambulatory Referral Management, Electronic Health Record Connectivity, and Care Coordination Processes, on May 15, 2018. The authors include PCPI’s Director, Quality Improvement Stephen L. Davidow, MBA-HCM, CPHQ, APR; and Jignesh Sheth, MD, MPH; Senior Vice President, Clinical Operations; Constance S. Sixta, PhD, MBA, RN, Quality Consultant; and Linda Thomas-Hemak, MD, Chief Executive Officer, at The Wright Center for Graduate Medical Education, in Scranton, PA.


Abstract: More than 105 million referrals of Medicare beneficiaries to specialists occur annually. Different settings and electronic health records have made care coordination complex. PCPI and The Wright Center for Graduate Medical Education sponsored the Closing the Referral Loop pilot project. Twelve dyads of primary care and specialist physicians sought to improve ambulatory referrals by mapping the referral process, and using care compacts, metrics, and electronic health records. Referrals closed on time increased from 40% to 70%. Clinical questions answered increased from 50% to 75%. Adoption of the change package and lessons from this project may significantly improve ambulatory referral management [The Journal of Ambulatory Care Management: May 15, 2018 - Volume Publish Ahead of Print - Issue - p doi: 10.1097/JAC.0000000000000247]. Access the full article here .


Learn more about the Closing the Referral Loop project and access resources such as the Closing the Referral Loop Tool Kit and a poster of the results from the project on PCPI’s CRL webpage .



NEW Webinar: Quality Improvement Showcase

Learn cross-cutting lessons to apply to your own improvement efforts from three highly successful national quality improvement programs.



  • Jason Itri, MD, Associate Professor, Wake Forest Baptist Health, American College of Radiology: The value of peer review in radiology practice
  • Selam Wubu, MPH, Senior Associate, Center for Quality, American College of Physicians: Adult immunization rates
  • Amy Beckrich, CAE, Project Director, Renal Physicians Association: Improving care coordination for chronic kidney disease
  • Moderator: Stephen L. Davidow, MBA-HCM, CPHQ, APR, Director, Quality Improvement, PCPI


When: Wednesday, July 18, 2018 - 12 pm CT/1 pm ET

Register Here.

*NOTE* This session is FREE for all to attend live, however, the recording will be available for members only.



PCPI Member Spotlight

Registration is open for the AAPMR Annual Assembly

Join the largest gathering of physiatrists at the American Academy of Physical Medicine and Rehabilitation (AAPMR) for their Annual Assembly, Success Through Innovation.


When: October 25-28, 2018

Where: Orlando, FL

Learn more and register to attend.



Join the AHA for a Heart Walk in Your Area

What is a Heart Walk? The Heart Walk is the American Heart Association's premier event for raising funds to save lives from this country's No. 1 and No. 5 killers - heart disease and stroke. Sign up with a friend or join a team in your area, find out more here .



AMDA’s 2018 Core Curriculum and Core Synthesis weekends - dates published

The Society for Post-Acute and Long-Term Care Medicine has published the dates for their Online Core Curriculum and face-to-face Core Synthesis programs. The Core Curriculum is divided into two parts, an online portion (Online Core Curriculum) and a live face-to-face synthesis weekend (Core Synthesis).


*NOTE* The online portion of the Core Curriculum is a prerequisite for attending the synthesis weekend. Learn more and register to attend.


See more upcoming PCPI and Member events on PCPI’s event calendar



Industry news

CMS Pre-Rule Making is coming to a close in June

The CMS Pre-Rulemaking process that accepts submissions of candidate quality measures for the 2018 Measures under Consideration (MUC) List will be ending in June. Here is what you need to know:

  • If you are submitting a quality measure for Merit-based Incentive Payment System (MIPS), the last day to submit candidate measures is June 1, 2018.
  • If you are a new candidate measures for most CMS programs will be accepted until June 15, 2018.


To find out more, visit the CMS Pre-Rulemaking website or emaill




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As a benefit of membership with PCPI, we will help share your news via our various media channels. Please contact Membership Manager, Bevin Rousopoulos at for more information.



Did You Know?

If you are a member of an organization that is a member of PCPI

Then membership for you is FREE!


Regardless of position or tenure, individuals join PCPI® to:

  • Engage in our online member community
  • Network and collaborate at our conferences
  • Explore our Measures Directory
  • Receive discounts off our events
  • Expand their knowledge through our webinars

Activate your member benefits by filling out the membership form and identify which organization you belong, we will confirm on your behalf and send you a notification once your PCPI membership is activated.



Get involved with PCPI Today

Want to learn more about PCPI and how you can get involved in our current initiatives to Develop scientifically valid performance measures, Implement quality improvement initiatives, and Access multiple registries to drive optimal outcomes? Contact PCPI Membership Manager, Bevin Rousopoulos at