Ad-hoc Review: Expansion of Settings
You are following this project.
You are already following this project.
You are no longer following this project.
Error occurred in project follow/unfollow action. Please try again.
An ad hoc review may be conducted on an endorsed standard at any time with adequate justification. The requestor is required to provide evidence supporting that the measure focus has changed; that implementation of the measure may result in unintended consequences; or that there has been a material change to the measure.
Project Status: Completed
Ad Hoc Review: Expansion of Settings for Measures 0680 and 0682
Reason for Request:
CMS has updated measures 0680 [Percent of Residents or Patients Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine(Short-Stay)] and 0682 [Percent of Residents Assessed and Appropriately Given the Pneumococcal Vaccine (Short-Stay)] for use in inpatient rehabilitation facilities and long-term acute care hospitals. The expansion of the measure to different settings triggers an ad hoc review of these measures as specified in the Criteria for Justification of Ad Hoc Review published in the Consensus Standards Maintenance and Endorsement Cycle Process.
About this Review
Justification for Ad Hoc Review
Criterion 3: Material changes have been made to a currently endorsed measure (e.g., expansion of a measure to a different population or setting). This is primarily a review of the measures’ technical properties as they are adapted for use in new settings and whether the new settings impact the measures' adherence to the NQF Scientific Acceptability criterion.
Requestor of Ad Hoc Review
Centers for Medicare & Medicaid Services (CMS)
Associated NQF Project
National Voluntary Consensus Standards for Nursing Homes
Process
Requests for ad hoc reviews will be considered by NQF on a case-by-case basis and must be justified by specific criteria.
Learn more about the NQF ad hoc review process.
Contact Information
For more information, please contact Ashley Morsell, MPH at 202-783-1300 or via e-mail at measuresmaintenance@qualityforum.org.
NQF will conduct an ad hoc review for the endorsed measures: Percent of Residents or Patients Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine [short stay] (Endorsed measure 0680) and Percent of Residents or Patients Assessed and Appropriately Given the Pneumococcal Vaccine [short stay] (Endorsed measure 0682). CMS has indicated the desire to expand the care settings of these measures to include the inpatient rehabilitation facilities and long-term acute care hospitals, in addition to the nursing homes, and NQF will evaluate these measures in the context of these new settings.
This review does not revisit the importance of the underlying measure concepts (i.e., the need to ensure that patients are vaccinated against pneumococcal pneumonia and influenza). Instead, the review is focused solely on ensuring that the data available from inpatient rehabilitation facilities and long term acute care hospitals meets NQF’s criteria for scientific acceptability, usability, and feasibility. Thus, NQF has solicited reviewers based on their technical expertise in immunization, inpatient rehabilitation, and long term acute care hospitalization.
The 10 day review period for submitted nominees was open through February 3 at 6:00 pm ET. Members and the public had the opportunity to provide feedback on the proposed roster.
Proposed Steering Committee Roster (PDF)
Expert Panel Bios (PDF)
The convened group of experts will review the proposed changes to the measures and make recommendations about endorsement status based on the newly presented evidence and/or testing.
A group of experts will meet on February 16, 2012 via conference call to review the proposed changes to measures 0680 and 0682.
No appeals were filed during this time.
