The GAO studied how the agency decides what quality measures to develop and use. It also evaluated how the CMS monitors its funding for quality measurement activities. The GAO found that the CMS doesn’t have processes to make sure that the indicators actually measure what the agency says it cares about in its strategic objectives. It also found that the CMS carries over large sums of unused funds each year for activities related to quality measurement. And that the CMS fails to keep track of all its quality-measurement funding.
Recommendations from the GAO included:
- that CMS maintain more complete and detailed information on its funding for quality measurement activities,
- CMS should establish procedures to systematically assess measures under consideration based on CMS’s quality measurement strategic objectives, and
- CMS should develop and use performance indicators to evaluate progress in achieving its objectives.
HHS concurred with all three recommendations
- Modern Healthcare: https://www.modernhealthcare.com/safety-quality/medicare-quality-measures-need-improvement-says-government-watchdog
- GAO-19-628 HEALTH CARE QUALITY CMS Could More Effectively Ensure Its Quality Measurement Activities Promote Its Objectives. Report to Congressional Committees. United States Government Accountability Office. September 2019 (PDF)