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AAMC Submits Comments on MAP Pre-rulemaking Report

February 7, 2014—The AAMC submitted a Jan. 27 comment letter to the Measure Applications Partnership (MAP) regarding its pre-rulemaking draft report. The MAP is a public-private multi-stakeholder partnership charged with providing guidance to the Department of Health and Human Services (HHS) on the selection of quality measures for federal payment and reporting programs. The AAMC comments focus on the hospital and clinician sections of the draft report.

Regarding the hospital-related measures discussed in the report, the AAMC emphasizes concern that all outcome and efficiency measures used in pay for performance programs should include socio-economic status in the risk-adjustment methodology. The AAMC also reiterates comments that quality measures must be tested and endorsed by the National Quality Forum (NQF) for the proper setting prior to MAP review.

Regarding specific programs in the report, the association is most concerned with the future inclusion of a Hospital-Wide All-Cause Readmission measure in the Hospital Readmissions Reduction Program (HRRP). The MAP “conditionally supported” the measure for the HRRP, on the conditions that this measure not overlap with existing readmissions measures already in the program and that hospitals be assessed based on “peer groups” of similar facilities. These conditions have not yet been met.

Regarding the clinician-related measures, the AAMC letter supports the “conditional support” endorsement for many of the MAP-reviewed resource measures, but also emphasizes that these measures need additional testing before being utilized in a pay-for-performance program. The MAP released their final 2014 report on Feb. 1, 2014.


Scott Wetzel, M.P.P.
Lead, Quality Reporting
Telephone: 202-828-0495


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