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
4125	Thirty-day Risk-Standardized Death Rate among Surgical Inpatients with Complications (Failure-to-Rescue)	Centers for Medicare & Medicaid Services	Endorsed with Conditions	Fall 2023
4130e	Hospital Harm – Postoperative Respiratory Failure	Centers for Medicare & Medicaid Services	Endorsed	Fall 2023
4190	30-Day Risk Standardized All-Cause Emergency Department Visit Following an Inpatient Psychiatric Facility Discharge	Centers for Medicare & Medicaid Services	Not Endorsed	Fall 2023
4210	Patient Understanding of Key Information Related to Recovery After a Facility-Based Outpatient Procedure or Surgery, Patient Reported Outcome-Based Performance Measure	Centers for Medicare & Medicaid Services	Endorsed	Fall 2023
4220	Breast Cancer Screening Recall Rates	Centers for Medicare & Medicaid Services	Not Endorsed	Fall 2023
4315e	Kidney Health Evaluation	National Kidney Foundation	Not Endorsed	Spring 2024
4360	CVD Risk Assessment Measure - Proportion of pregnant/postpartum patients who receive CVD Risk Assessment with a standardized tool.	University of California, Irvine	Not Endorsed	Spring 2024
4440e	Percent of hospitalized pneumonia patients with chest imaging confirmation	University of Utah	Endorsed	Spring 2024
4490	Hospitalizations for Ambulatory Care Sensitive Conditions among Home and Community Based Service (HCBS) Participants	Centers for Medicare & Medicaid Services	Endorsed with Conditions	Spring 2024
4540e	Excess Antibiotic Duration for Adult Hospitalized Patients with Uncomplicated Community-Acquired Pneumonia	University of Utah	Endorsed with Conditions	Fall 2024

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The Submission Tool and Repository (STAR) is a measure database of quality performance measures that have been submitted to the previous consensus-based entity for endorsement review. The STAR database will be updated regularly as new and maintenance measures are submitted to the Partnership for Quality Measurement for endorsement review. Battelle will be providing additional enhancements to the STAR database as measure information is submitted in order to better support the accessibility of timely and accurate measure information for all interested parties.