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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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Hospital Committee

The Hospital Committee provides input on the selection of measures for hospital and hospital-related settings, including inpatient acute, outpatient, cancer, and psychiatric hospitals. The Hospital Committee provides annual pre-rulemaking input related to: 

  • Ambulatory Surgical Center Quality Reporting Program (ASCQR)
  • End-Stage Renal Disease Quality Incentive Program (ESRD QIP)
  • Hospital-Acquired Conditions Reduction Program (HACRP)
  • Hospital Inpatient Quality Reporting Program (Hospital IQR)
  • Hospital Outpatient Quality Reporting Program (Hospital OQR)
  • Hospital Readmissions Reduction Program (HRRP)
  • Hospital Value-Based Purchasing Program (HVBP)
  • Inpatient Psychiatric Facility Quality Reporting Program (IPFQR)
  • Medicare Promoting Interoperability Program (PI)
  • Prospective Payment System (PPS)-exempt Cancer Hospital Quality Reporting Program (PCHQR)
  • Rural Emergency Hospital Quality Reporting Program (REHQR)

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