Vision and Goals: MACRA Info Sessions
    Vision and Goals: MACRA Info Sessions
   CMS Measure Development Education & Outreach
   CMS Measure Development Education & Outreach
 • An ongoing process to engage the public in quality measure 
    development. 
 • Elicit feedback that will help CMS design resources that can 
    help all of those interested in healthcare quality 
    improvement better understand the goals of quality 
    measurement. 
         •  Education 
         •  Outreach
         •  Dedicated Websites
         •  Measure Development Roadmaps
         •  Listserv opportunities
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               MACRA Info Session #3
               MACRA Info Session #3
   CMS Measure Development Education & Outreach
   CMS Measure Development Education & Outreach
                           Agenda:
   1. Overview of business cases for measure development
   2. Components of the business case template
   3. Examples
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                 MACRA Info Session #3
                 MACRA Info Session #3
                    What is a Business Case?
                    What is a Business Case?
   • Documentation of all anticipated impacts of a quality 
     measure (both positive and negative)
       • Resources required 
       • Lives saved
       • Costs reduced
       • Complications prevented
       • Patient experience enhanced
       • Implementation challenges expected
   • Enables decision-making by demonstrating that the 
     anticipated benefits outweigh costs and burden of 
     collection and implementation
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                   MACRA Info Session #3
                   MACRA Info Session #3
                 Objectives of the Business Case
                 Objectives of the Business Case
    • Explain why the measure is needed (e.g., opportunities for 
      improvement, gaps in existing measure landscape)
    • Show how it will further CMS aims and objectives
    • Describe the strength of the evidence supporting the measured 
      process/outcome
    • Illustrate why it is the best balance of direct and indirect cost, 
      benefits, and risks
    • Describe all realistic and affordable costs
    • Demonstrate sufficient capacity 
        within the system to implement the
        measure
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                 MACRA Info Session #3
                 MACRA Info Session #3
                  Why Build a Business Case?
                  Why Build a Business Case?
   • Helps establish measure importance
       • Aligns with NQF endorsement requirements
       • Can be submitted to the Measure Applications Partnership 
         (MAP) committee during Pre-Rulemaking to inform their 
         recommendation
   • Provides justification for continued investment in 
      measure development
   • Enables CMS decision-making about continued use in 
      CMS programs (for implemented measures)
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