Measures for Monitoring and Evaluation

Innovation.cms.gov:  6/23/14

In an effort to enhance understanding of Innovation Center initiatives and to establish a consistent framework for performance measurement and evaluation, the Research and Rapid Cycle Evaluation Group aims to align measures used for monitoring and evaluation across the Innovation Center where applicable. Appropriate measurement alignment is necessary for the Innovation Center to examine the overall impact of its initiatives on the health of populations, quality, and efficiency of care, and to compare the effectiveness of different models. This priority list is intended to identify a set of meaningful measures for monitoring and evaluations of Innovation Center models, and we encourage the use of additional measures within each model as necessary to fully address model-specific monitoring and evaluation needs.

The term “monitoring”, as used in this document, is a process intended to provide contemporaneous data and information on model performance. In various models, the focus of monitoring are on issues such as beneficiary access to, quality, cost and efficiency of care and on identifying unintended consequences (e.g., cost shifting, patient steering). Monitoring is a continuous, iterative process, and serves as an early warning system to detect potential changes relevant to the quality of, cost of and access to care for beneficiaries following implementation of a model. While monitoring cannot determine the cause of observed changes, certain early trends identified through monitoring will be used to alert CMS of the need for further review and is a way to determine whether an initiative is meeting its goals and objectives (e.g., how well a model is working).  Read More