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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
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
2024 PRMR Hospital Committee Recommendation Group Meeting Slides

2024 PRMR Hospital Committee Recommendation Group Meeting Slides

2023-2024 Meeting Materials
2024 PRMR Hospital Recommendation Group Agenda

2024 PRMR Hospital Recommendation Group Agenda

2023-2024 Meeting Materials
PRMR Clinician Recommendation Group Agenda

PRMR Clinician Recommendation Group Agenda 

2023-2024 Meeting Materials
PRMR Clinician Recommendation Group Meeting Slides

PRMR Clinician Recommendation Group Meeting Slides

2023-2024 Meeting Materials
PRMR 2023 Hospital Measures Listening Session Final Presentation Slides

PRMR 2023 Hospital Measures Listening Session Final Presentation Slides 

2023-2024 Meeting Materials
PRMR/MSR FAQs

Responses to frequently asked questions about PRMR/MSR

2023-2024 Frequently Asked Questions
PRMR 2023 PAC-LTC Measures Listening Session Final Presentation Slides

PRMR 2023 PAC-LTC Measures Listening Session Final Presentation Slides 

2023-2024 Meeting Materials
PRMR 2023 Clinician Measures Listening Session Final Presentation Slides

PRMR 2023 Clinician Measures Listening Session Final Presentation Slides 

2023-2024 Meeting Materials
PRMR 2023 Clinician Measures Listening Session Slides

PRMR 2023 Clinician Measures Listening Session Final Presentation Slides 

2023-2024 Meeting Materials
PRMR Hospital Committee PA Final Report

Preliminary assessment of measures under consideration by the 2023 PRMR Hospital Committee.

2023-2024 Preliminary Assessment
PRMR Clinician Committee PA Report

Preliminary assessment of measures under consideration by the 2023 PRMR Clinician Committee.

2023-2024 Preliminary Assessment
PRMR-PAC-LTC Committee PA Report

Preliminary assessment of measures under consideration by the 2023 PRMR PAC/LTC Committee.

2023-2024 Preliminary Assessment
PRMR In Person Orientation Meeting

PRMR In Person Orientation Meeting Agenda 

2023-2024 Meeting Materials
PRMR MSR July 10 Webinar Slides

PRMR/MSR July 10 Webinar Slides

2023-2024 Meeting Materials