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Pre-Rulemaking Review (PRMR)

The PRMR process supports consensus recommendations regarding the inclusion of measures under consideration (MUCs) in Centers for Medicare & Medicaid Services (CMS) quality reporting and value-based programs. 

There are three PRMR committees grouped by care setting: Hospital, Clinician, and Post-Acute Care/Long-Term Care (PAC/LTC). These committees consist of a diverse membership representing all facets of the health care system. PQM emphasizes the inclusion of patients/recipients of care, caregivers, patient advocates, and traditionally underrepresented groups in this process. 

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PRMR Resources

Throughout the PRMR cycle, PQM generates many resources for committee members, measure developers/stewards, CMS and the general public. This page is your one-stop archive for the PRMR technical reports, meeting summaries, preliminary evaluations, public comment summaries and more that power PQM's mission.

Resource Description Cycle Type Meeting/Publication Date
Final Guidebook of Policies and Procedures for PRMR and MSR (2023-2024)

2023-2024 guidebook of PRMR and MSR policies and procedures

2023-2024 Guidebook
PRMR PAC/LTC Committee Recommendation Group

Recording of the 2023 PRMR PAC/LTC Committee Recommendation Group Meeting held on January 22, 2024.

2023-2024 Meeting Recording
PRMR Clinician Committee Recommendation Group Day 1

Recording of the 2023 PRMR Clinician Committee Recommendation Group Meeting Day 1 held on January 16, 2024

2023-2024 Meeting Recording
PRMR Clinician Committee Recommendation Group Day 2

Recording of the 2023 PRMR Clinician Committee Recommendation Group Meeting Day 2 held on January 17, 2024

2023-2024 Meeting Recording
Hospital Committee Recommendation Group Day 2

Recording of Day 2 of the 2023 Hospital Committee Recommendation Group Meeting held on January 19, 2024

2023-2024 Meeting Recording
Hospital Committee Recommendation Group Day 1

Recording of Day 1 of the 2023 Hospital Committee Recommendation Group Meeting held on January 18, 2024

2023-2024 Meeting Recording
Measures Under Consideration Public Comment Summary – Hospital Committee

Analysis and summary of public comments received on 2023 MUC List measures under discussion in the Hospital Committee.

2023-2024 Public Comment Summary
Measures Under Consideration Public Comment Summary – Clinician Committee

Analysis and summary of public comments received on 2023 MUC List measures under discussion in the Clinician Committee.

2023-2024 Public Comment Summary
Measures Under Consideration Public Comment Summary – PAC/LTC Committee

Analysis and summary of public comments received on 2023 MUC List measures under discussion in the PAC/LTC Committee.

2023-2024 Public Comment Summary
Hospital Measures 2023 Listening Session Slides

Pre-Rulemaking Measure Review (PRMR) 2023 Measures Under Consideration (MUC), Hospital Measures Listening Session Slides (Meeting held: December 15, 2023)

2023-2024 Presentation slides
PAC-LTC Measures 2023 Listening Session Slides

Pre-Rulemaking Measure Review (PRMR) 2023 Measures Under Consideration (MUC), Post-Acute Care/Long-Term Care (PAC/LTC) Measures Listening Session Slides (Meeting held: December 18, 2023)

2023-2024 Presentation slides
Clinician Committee Final Roster and Biographies

2023–2024 Pre-Rulemaking Measure Review (PRMR) Clinician Committee Roster

2023-2024 Committee roster
Hospital Committee Final Roster and Biographies

2023–2024 Pre-Rulemaking Measure Review (PRMR) Committee Hospital Roster

2023-2024 Committee roster
Post-Acute Care/Long-Term Care (PAC/LTC) Committee Final Roster and Biographies

2023–2024 Pre-Rulemaking Measure Review (PRMR) Committee Post-Acute Care/Long-Term Care (PAC/LTC) Roster

2023-2024 Committee roster
Compiled Public Comments on MUC Recommendations

2023 Compiled Public Comments on MUC Recommendations 

2023-2024 Public Comment Summary
Compiled MUC List Public Comment Posting Summary

2023 Compiled MUC List Public Comment Posting Summary

2023-2024 Public Comment Summary
PAC-LTC Measures 2023 Listening Session Agenda

PRMR PAC/LTC Measures 2023 Listening Session Meeting Agenda

2023-2024 Meeting Materials
2024 Final PRMR/MSR Guidebook

2024 guidebook of PRMR and MSR policies and procedure

2024-2025 Guidebook
PRMR PACT-LTC Recommendation Group Meeting Summary

Summary of the 2023 PRMR PAC/LTC Recommendation Group Meeting held on January 22, 2024.

2023-2024 Meeting summary
PRMR Hospital Recommendation Group Meeting Summary

Summary of the 2023 Hospital Recommendation Group Meeting.

2023-2024 Meeting summary
PRMR Clinician Recommendation Group Meeting Summary Final

Summary of the 2023 PRMR Clinician Recommendation Group Meeting held on January 16-17, 2024.

2023-2024 Meeting summary
PRMR 2023 Final MUC Recommendation Report

Report summarizing committee discussion and recommendations from the 2023 PRMR cycle.

2023-2024 Final Recommendations
2023 PRMR Final MUC Recommendation Spreadsheet

Spreadsheet with recommendations for each measure discussed during the 2023 PRMR cycle.

2023-2024 Final Recommendations
PRMR PAC/LTC Recommendation Group Agenda Final

PRMR PAC/LTC Recommendation Group Agenda Final

2023-2024 Meeting Materials
2024 PRMR PAC-LTC Committee Recommendation Group Meeting Slides

2024 PRMR PAC-LTC Committee Recommendation Group Meeting Slides

2023-2024 Meeting Materials