Quality Metrics Quality measures relevant to oncology management

BeOne Medicines, formerly known as BeiGene, is committed to supporting quality cancer care by highlighting specific initiatives or best practices that payers, health systems, and physician practice groups have undertaken to successfully implement quality measures in oncology.

Whether it’s harnessing the power of technology or leveraging the unique skills of the multidisciplinary care team, advancing quality care and health equity in oncology remain key goals for all healthcare stakeholders.

Please check back to learn more about what organizations like yours are doing to drive timely, efficient, safe, and affordable cancer care.

Use of High-Risk Medications in Older Adults (MIPS)1

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This measure assesses potentially inappropriate use of high-risk medications in older adults (≥65 years of age).

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Abbreviation: MIPS, Merit-Based Incentive Payment System.

Reference: 1. Centers for Medicare & Medicaid Services. Quality ID #238 (NQF 0022): Use of High-Risk Medications in the Elderly. Accessed August 31, 2023. https://qpp.cms.gov/docs/QPP_quality_measure_specifications/CQM-Measures/2019_Measure_238_MIPSCQM.pdf

Admissions and ED Visits for Patients Receiving Outpatient Chemotherapy (OP-35)1

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This measure evaluates the rate of ED visits and inpatient admissions within 30 days of hospital-based outpatient chemotherapy treatment for patients ≥18 years of age with cancer (not including patients with leukemia).

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Abbreviation: ED, emergency department.

Reference: 1. Centers for Medicare & Medicaid Services Measures Inventory Tool. Accessed August 31, 2023. https://cmit.cms.gov/cmit/#/MeasureView?variantId=1936§ionNumber=1

30-Day Unplanned Readmissions for Cancer Patients (PPS)1

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This measure calculates the rate of unplanned readmission within 30 days of discharge from an eligible index admission for cancer patients.

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Abbreviation: PPS, Prospective Payment System.

Reference: 1. Centers for Medicare & Medicaid Services. PPS-Exempt Cancer Hospital overview. Accessed August 31, 2023. https://impl-qualitynet.cms.gov/pch/measures/readmissions

Access to care (CAHPS Health Plan Survey)1

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This measure assesses the ability of individuals to access appropriate care and to receive care in an appropriate time frame.

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Abbreviation: CAHPS, Consumer Assessment of Healthcare Providers and Systems.

Reference: 1. National Quality Forum. NQF-Endorsed Measures for Person- and Family-Centered Care. National Quality Health Forum; 2015. Accessed August 31, 2023. https://www.qualityforum.org/Projects/n-r/Person_and_Family_Centered_Care/Final_Report_-_Phase_1.aspx