Materials for all MAP Workgroup meetings are available on the NQF Public SharePoint Page as well as the project web pages.

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1 Agenda Measure Applications Partnership Clinician Workgroup In-Person Meeting Agenda December 12-13, 2016 National Quality Forum Conference Center th Street NW, 9th Floor, Washington, DC Remote Participation Instructions: Streaming Audio Online Direct your web browser to: Under Enter a Meeting type in the meeting number: for Day 1 and for for Day 2. In the Display Name field, type in your first and last names and click Enter Meeting. Teleconference Dial (888) for workgroup members or (877) for public participants. Accessing Meeting Materials Go to and select the MAP Clinician Workgroup folder Materials for all MAP Workgroup meetings are available on the NQF Public SharePoint Page as well as the project web pages. Meeting Objectives: Review and provide input on measures under consideration for federal programs applicable to clinicians and other eligible professionals Finalize input to the MAP Coordinating Committee on measures for use in federal programs Identify gaps in measures for federal clinician quality programs Day 1-December 12, :30 am Breakfast 9:00 am Welcome, Disclosures of Interest, Review Meeting Objectives Bruce Bagley, Workgroup Chair Amy Moyer, Workgroup Chair John Bernot, Senior Director, NQF Ann Hammersmith, General Counsel, NQF 9:15 am Pre-Rulemaking Opening Remarks Pierre Yong, CMS

2 PAGE 2 9:45 am Overview of Pre-Rulemaking Approach Poonam Bal, Senior Project Manager, NQF Pre-Rulemaking Timeline Approach to decision-making Deliberations Process Instructions for Voting Process 10:00 am Overview of the Medicare Shared Savings Program (MSSP) Rabia Khan, CMS 10:45 am Break 11:00 am Opportunity for Public Comment on Smoking measure (for MSSP and MIPS) under consideration 11:10 am Pre-Rulemaking Input on the Medicare Shared Savings Program measure under consideration Kevin Bowman (Lead Discussant) Robert Krughoff (Lead Discussant) Adult Local Current Smoking Prevalence (MUC16-69) 11:25 am Overview of the Merit-Based Incentive Payment System (MIPS) Dan Green, CMS 12:25 pm Lunch 1:00 pm Pre-Rulemaking Input on the MIPS measure under consideration- Smoking Kevin Bowman (Lead Discussant) Robert Krughoff (Lead Discussant) Adult Local Current Smoking Prevalence (MUC16-69) 1:15 pm Opportunity for Public Comment on HIV measures under consideration 1:25 pm Pre-Rulemaking Input on the MIPS measures under consideration- HIV Scott Furney (Lead Discussant) Marci Nielsen (Lead Discussant) Prescription of HIV Antiretroviral Therapy (MUC16-72) HIV Medical Visit Frequency (MUC16-73) HIV Viral Suppression (MUC16-75) 2:10 pm Opportunity for Public Comment on Cardiology measures under consideration 2:20 pm Pre-Rulemaking Input on the MIPS measures under consideration- Cardiology Steve Farmer (Lead Discussant) Stephanie Glier (Lead Discussant)

3 PAGE 3 2:50 pm Break Fixed-dose Combination of Hydralazine and Isosorbide Dinitrate Therapy for Selfidentified Black or African American Patients with Heart Failure and Left Ventricular Ejection Fraction (LVEF) <40% on ACEI or ARB and Beta-blocker Therapy (MUC16-74) Appropriate Use Criteria - Cardiac Electrophysiology (MUC16-398) 3:05 pm Opportunity for Public Comment on Cancer measures under consideration 3:15 pm Pre-Rulemaking Input on the MIPS measures under consideration- Cancer Patti Wahl (Lead Discussant) Michael Hasset (Lead Discussant) Febrile Neutropenia Risk Assessment Prior to Chemotherapy (MUC16-151) Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation Therapy (MUC16-287) Intravesical Bacillus Calmette-Guerin for NonMuscle Invasive Bladder Cancer (MUC16-310) 4:00 pm Opportunity for Public Comment on ENT measures under consideration 4:10 pm Pre-Rulemaking Input on the MIPS measures under consideration- ENT Terry Adirim (Lead Discussant) Winfred Wu (Lead Discussant) Otitis Media with Effusion: Systemic Corticosteroids - Avoidance of Inappropriate Use (MUC16-268) Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use (MUC16-269) 4:45 pm Opportunity for Public Comment 5:00 pm Adjourn Day 2-December 13, :30 am Breakfast 9:00 am Welcome and Recap of Day 1 Bruce Bagley, Workgroup Chair Amy Moyer, Workgroup Chair 9:15 am Workgroup Discussion- PROMIS 10:15 am Opportunity for Public Comment on Spine measures under consideration 10:25 am Pre-Rulemaking Input on the MIPS measures under consideration- Spine Diane Padden (Lead Discussant)

4 PAGE 4 James Pacala (Lead Discussant) Average change in back pain following lumbar discectomy and/or laminotomy (MUC16-87) Average change in back pain following lumbar fusion (MUC16-88) Average change in leg pain following lumbar discectomy and/or laminotomy (MUC16-89) 10:55 am Opportunity for Public Comment on Anesthesia measure under consideration 11:05 am Pre-Rulemaking Input on the MIPS measure under consideration- Anesthesia Beth Averbeck (Lead Discussant) Leslie Zun (Lead Discussant) Prevention of Post-Operative Vomiting (POV) - Combination Therapy (Pediatrics) (MUC16-312) 11:20 am Break 11:35 am Opportunity for Public Comment on Dementia measure under consideration 11:45 am Pre-Rulemaking Input on the MIPS measure under consideration- Dementia Norman Kahn (Lead Discussant) Dale Shaller (Lead Discussant) Safety Concern Screening and Follow-Up for Patients with Dementia (MUC16-317) 12:00 pm Lunch 12:30 pm Opportunity for Public Comment on Radiology measure under consideration 12:40 pm Pre-Rulemaking Input on the MIPS measure under consideration- Radiology David Seidenwurm (Lead Discussant) Janis Orlowski (Lead Discussant) Uterine artery embolization technique: Documentation of angiographic endpoints and interrogation of ovarian arteries (MUC16-343) 12:55 pm Opportunity for Public Comment on Surgery measures under consideration 1:05 pm Pre-Rulemaking Input on the MIPS measure under consideration- Surgery Eric Whitacre (Lead Discussant) Scott Friedman (Lead Discussant) Patient Experience with Surgical Care Based on the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Surgical Care Survey (S-CAHPS) (MUC16-291) 1:35 pm Workgroup discussion Surgery Measures Pierre Yong, CMS Frank Opelka, ACS

5 PAGE 5 2:00 pm Workgroup discussion- Impact, Gaps and Alignment John Bernot 2:30 pm Opportunity for Public Comment 2:45 pm Summary of the MAP Clinician Workgroup pre-rulemaking input 3:00 pm Adjourn

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