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Submission Tool and Repository Measure Database

As the Centers for Medicare & Medicaid Services (CMS) consensus-based entity (CBE), Battelle Memorial Institute (Battelle) discloses complete information (e.g., full measure specifications, coding logic, algorithms) regarding each measure to the public for the purpose of evaluating, analyzing, or displaying of each measure for endorsement consideration. If an interested party wishes to attain complete measure information for the use and/or implementation of a measure, the interested party should contact the measure steward. Contact information for the measure steward can be found under the “Point of Contact” section of the respective measure page within the Submission Tool and Repository (STAR). Battelle is not responsible for, nor is privy to the measure use agreements that may be established between a measure steward and an interested party.

To obtain a copy of the full measure submission forms for measures endorsed prior to Fall 2023 cycle, please contact PQMSupport@battelle.org.

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          CBE ID Sort descending Title Steward Endorsement Cycle Status Previous Endorsement Cycle
          3626 Lumbar Spine Fusion for Degenerative Disease, 1-3 Levels Measure Centers for Medicare & Medicaid Services Endorsed Spring 2022
          3633e Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Clinician Level) Alara Imaging Endorsed Fall 2021
          3636 Quarterly Reporting of COVID-19 Vaccination Coverage among Healthcare Personnel Surveillance Branch, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention Endorsed Spring 2023
          3639 Clinician-Level and Clinician Group-Level Total Hip Arthroplasty and/or Total Knee Arthroplasty (THA and TKA) Patient-Reported Outcome-Based Performance Measure (PRO-PM) Centers for Medicare & Medicaid Services Endorsed Fall 2021
          3645 Hospice Visits in the Last Days of Life Centers for Medicare & Medicaid Services Endorsed with Conditions Fall 2024
          3656 Hospital-Wide All-Cause Unplanned Readmission Measure (HWR) Centers for Medicare & Medicaid Services Endorsement Removed Spring 2018
          3658 Adult Blood Culture Contamination Rate; A national measure and standard for clinical laboratories and antibiotic stewardship programs Centers for Disease Control and Prevention Endorsed Spring 2022
          3661 Mismatch Repair (MMR) or Microsatellite Instability (MSI) Biomarker Testing Status in Colorectal Carcinoma, Endometrial, Gastroesophageal, or Small Bowel Carcinoma College of American Pathologists Endorsed Fall 2021
          3662e Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Clinician Group Level) Alara Imaging Endorsed Fall 2021
          3663e Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Facility Level) Alara Imaging Endorsed Fall 2021