We are dedicated to the continued evaluation of the E&M process to address the demands of the changing health care landscape and interested party feedback. Therefore, the process and the E&M Guidebook evolves over time. We update the E&M Guidebook to maintain a current reference to assist measure developers, stewards, and E&M committee members in navigating the E&M process.
Any major changes to the E&M process, policies, or evaluation criteria undergo a formal public comment period before we implement them. We recently implemented several changes to the E&M process for the Spring 2024 cycle, which focused on increased E&M committee engagement. These changes are reflected in Version 2.0 of E&M Guidebook, along with additional enhancements and clarifications that will take effect beginning with the Fall 2024 cycle . This version is currently open for public comment from June 4 – June 24, 2024. The changes to the E&M Guidebook and process include:
- Enhancements to E&M committee engagement, size, convenings, and voting (see E&M Committee Composition, Roles, and Responsibilities, Advisory Group Meetings, and Endorsement Meeting section).
- Updates to measure public comment opportunities (see Public Comment section).
- Added requirements measures to be considered for endorsement (see Requirements for Measure Consideration section).
- Updates to the Intent to Submit and Full Measure Submission forms (see Submission Tool and Repository section).
- Changes to the PQM Measure Evaluation Rubric (see Appendix D).
- Updates to the conditions for the “Endorsed with Conditions” designation (see Table 4 and Table 5 of the Overview of and Enhancements to the Endorsement Process section).
- Updates to the appeals eligibility criteria (see Appeals Eligibility Criteria section).
We are seeking comments on the sections noted above, as well as the E&M Guidebook in its entirety. Any interested party may use this comment form to provide feedback.