Measure Inventory Data and Definitions

Topics
Where Does the Information in CMIT Come From?
CMS and the Measures Management System (MMS) Contractor, Battelle, gather measure information from published Federal Rules and measure specification manuals to populate the measures that are finalized, implemented, or ultimately removed from use in a CMS Program. In addition to measures that go through the federal rulemaking process, the inventory consists of measures in CMS programs that are not subject to the federal rulemaking process, including measures that may be a part of CMS models or initiatives.
In order to provide a comprehensive Measures Inventory, CMS includes Measures Under Development (MUD), meaning measures that are currently being developed for various programs and initiatives, and Measures Under Consideration (MUC), meaning they have been published on an annual MUC List. To ensure that the information is 100% accurate, Program Leads validate the collected information by reviewing all of the measures for their program before it is uploaded into CMIT.
The Centers for Medicare and Medicaid Services (CMS) publishes the CMS Measures Inventory to comply with Section 3014 of the Patient Protection and Affordable Care Act of 2010 (ACA), which created sections 1890A of the Social Security Act and requires the Department of Health and Human Services (DHHS) to develop a process for dissemination of quality measures.
How Often is CMIT Updated?
Currently, the CMS Measures Inventory (CMIT) is updated three times a year: in February, July and November.
Data Definitions
Search Result
Add to Measure Comparison
Clicking a button will add/delete the measure from the list of measures to compare; only 2-3 measures can be compared at a time.
Relevance
When performing keyword searches, a measure of the strength of the association between the result and the keywords. Higher numbers indicate that the result is more relevant to the keyword search.
Measure
Care Settings
The care settings to which this measure applies.
CMIT Ref No
The unique reference number assigned to the measure by CMIT.
Conditions
A disease, illness or injury including physiologic, mental or psychological disorder (e.g., Cardiovascular Disease, Malignant Neoplasm).
Contact
Contact information for the measure steward.
Core Measure Set
The set the measure belongs to, if applicable.
Data Sources
Type of data used within a measure specification (e.g., claims, Electronic Health Record (EHR), paper medical records, registry).
Denominator
The denominator is a statement that describes the population evaluated by the performance measure and is the lower part of a fraction used to calculate a rate, proportion, or ratio. It can be the same as the initial population or a subset of the initial population to further constrain the population for the purpose of the measure. CV measures do not have a denominator, but instead define a measure population.
Denominator Exclusions
Denominator exclusions are patients who should be removed from the measure population and denominator before determining whether numerator criteria are met. Proportion and ratio measures use denominator exclusions to help narrow the denominator. For example, patients with bilateral lower extremity amputations would be listed as a denominator exclusion for a measure requiring foot exams.
Description
Summary of measure specifications, such as medical conditions to be measured, particular outcomes or results that could or should result from the care specified in the measure for the patient populations.
Development Stage
Stage of measure development (e.g., Concept, Fully-Developed, Tested).
eCQM Spec Available
Indicates if the data elements for the measure will be readily captured and reported by EHR systems.
Evidence
A description of the performance gap that the measure is targeting.
Group Identifier
The identifier for the specified measure within the measure group (if any).
Healthcare Priority
The healthcare priority which supports three overarching aims: Better Care, Healthy People/Healthy Communities, and Affordable Care.
Impacts Payment
Indicates whether the program or model is using the measure to determine payment.
Last NQF Update
The date of the last update to the measure’s National Quality Forum (NQF) endorsement.
Last Updated in CMIT
The last recorded date and time the measure was updated in CMIT.
Links (Measure)
Links providing more information about the measure regardless of program such as the measure specification manual or eCQM information on the eCQI Resource Center.
Links (Measure Program)
Links providing more information about the usage of a measure within a program.
Links (Measure Program Milestone)
Links providing more information regarding the milestone of a measure within a program, such as the Federal Rule initiating the milestone change.
Meaningful Measure
The core issue that a measure addresses that is most vital to providing high-quality care and improving patient outcomes.
Measure Developer
Refers to the organization, contractor, or partnering agencies responsible for conceptualizing, developing and testing a measure in preparation for consideration within a CMS program.
Measure Group
Specifies the measure group.
Measure Groups
Identifies the logical sets of measures to which this measure belongs (e.g., Diabetic Retinopathy Measures Group). Groups may be established by a variety of organizations including CMS programs and professional societies.
Measure Group Label
Measure group concatenated with the measure group identifier, if any (e.g., IMM-2)
Measure Title
Name of the measure as listed within the Federal Register or measure specification documents.
Measure Type
Refers to the domain of quality that a measure assesses.
Milestone
For measures that are part of programs that go through the Federal Rulemaking process and have Proposed and Final Rules published, these milestones represent what decisions have been made regarding those measures based on the rule publications.
National Quality Forum (NQF) Endorsement Status
Status provided by the National Quality Forum: http://www.qualityforum.org/Field_Guide/
National Quality Forum (NQF) ID
The four- or five-digit identification number assigned by the National Quality Forum.
Numerator
The numerator is the upper portion of a fraction used to calculate a rate, proportion, or ratio. Also called the measure focus, it is the target process, condition, event, or outcome. Numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. A numerator statement describes the clinical action that satisfies the conditions of the performance measure.
Other Data (Measure Program Milestone)
Additional data about the milestone change.
Program
The CMS Program which uses this measure as designated by legislation, rule or policy.
Publicly Shared (Measure)
IIndicates whether the entire measure is/will be shared on the public CMIT website
Publicly Shared (Measure-Program)
Indicates whether the measure program association is/will be shared on the public CMIT website
Purposes
The purposes of the specified measure within the specified program.
Program / Model Notes
Notes regarding the use of this measure in the program or model
Quality Domain
The program specific quality domain text as derived from the CMS quality domains specified in the CMS quality strategy.
Rationale
An explanation for the value of this measure; usually includes statements pertaining to importance criterion: impact, gap in care, and evidence.
Reporting Frequency
How often providers submit data for reporting.
Reporting Level
The level of reporting the measure applies to
Reporting Status
Refers to the status of the measure in terms of data collection for mandatory or voluntary reporting.
Revision
The revision number of the measure.
Similarity
A measures of how similar two measures are based on terminology in selected fields.
Steward
Refers to the primary (and secondary, if applicable) party responsible for updating and maintaining a measure.
Subconditions
A specific disease, illness or injury including physiologic, mental or psychological disorder (e.g., heart failure, breast cancer). Also includes disease, illness or injury impacting a condition population (e.g., hepatitis A within patients who have hepatitis C).
Target Population Age
Specific age range the measure targets (e.g., 65-85)
Target Population Age (High)
The high-end of the target age range, in years.
Target Population Age (Low)
The low-end of the target age range, in years.
Environmental Scan
Associated Measures
The list of other measures for which this document is relevant.
Content Type
The type of document: abstract or full text
Links
Links to the citation source
Publication Date
The publication date of the document
Ref. No.
The reference number of the document
Relevance
The degree to which the cited document matches the concepts which appear in the measure specification
Relevant Measure Concepts
A list of specific concepts from the document which are relevant to the measure; categorized by type – measure focus, opportunity for improvement, and target population
Relevance Verified
Indicates whether the document was cited in the measure information form or has otherwise been manually verified to be relevant to the measure.
Source
The source of the document
Source Document Title
The title of the document.
User Relevance Ratings
Ratings of the relevance of the document to the measure supplied by users; categorized by type – measure focus, opportunity for improvement, and target population
General
Last Updated By
The name of the user who most recently updated the measure
Download the User Guide
Download the CMIT User Guide (PDF) if you would like more detailed information about CMIT.