· In the Program Funding and Mechanics Protocol, HHSC made the following changes:
o Clarified milestone valuation for measures with multiple parts
o Raised the valuation limit for bundles K1 and K2 from $2 million to $2.5 million.
o Added an exception to the 3 point measure selection requirement for CMHCs and LHDs with less than or equal to $2.5 million in valuation, and added a requirement that CMHCs and LHDs must select and report at least two unique measures.
o Added goal setting options for certain QISMC process measures with 0 numerator cases at baseline so that goals for DY7 and DY8 goal achievement milestones will be based on pre-defined benchmarks.
o Clarified that the goals for measures with an Improvement Over Self goal setting formula will not exceed an HPL to be defined in the Category C Measure Specifications.
o Amended the performance measurement periods for measures approved to use a delayed baseline so that performance year reporting aligns with measures with a standard baseline measurement period.
o The MPT cap for LHDs is 20.
o The MPT for hospitals with a state ratio greater than 10 and a valuation less than $15 million will not exceed 40.
· In the Measure Bundle Protocol, HHSC made the following changes:
o Allowed for grandfathering of P4P measures for LHDs.
o Clarified that certain bundles, if selected together, would have lower point values because of duplicative required measures.
o Added measure M1-305 Child and Adolescent Major Depressive Disorder: Suicide Risk Assessment (SRA-CH) that was inadvertently left off of the initial draft Measure Bundle Protocol.
o Added additional points for measures on the CMHC menu that are a state priority.
o Made an additional measure required in the Hospital Safety bundle which results in an increase in point value.
· In the Category C Specifications appendix to the MBP (Appendix A), HHSC will include the following items related to feedback received in response to the Measure Bundle Protocol:
o Allowance for sampling methodology for reporting measures.
o A High Performance Level for measures that are Improvement Over Self.
o A 75th percentile for QISMC measures that are eligible to report a baseline numerator of 0.