SUPPLEMENTARY INFORMATION:

I. Background

Section 10331 of the Patient Protection and Affordable Care Act of 2010 (the Affordable Care Act) requires CMS to establish a Web site, which will be known as Physician Compare, containing information on physicians enrolled in the Medicare program and other eligible professionals who participate in the Physician Quality Reporting Initiative (PQRI) by January 1, 2011. Section 10331 of the Affordable Care Act also requires CMS to implement a plan to make information on physician performance publicly available through the Physician Compare Web site no later than January 1, 2013 (and for reporting periods beginning no earlier than January 1, 2012).

In implementing section 10331 of the Affordable Care Act, the law requires establishing processes, to the extent practicable, to ensure the following:

• The data made public are statistically valid and reliable, and provide an accurate and robust portrayal of performance.
• Appropriate attribution of care.
• Timely statistical performance feedback.
• The data reflects the care provided to all patients including Medicare and other payers where such data would more accurately portray performance.
• Physicians and other eligible professionals have a reasonable opportunity to review their individual data prior to publication.

The Affordable Care Act also requires the assurance of patient privacy, input from multi-stakeholder groups, and taking into consideration the plan to transition to value-based purchasing. Section 10331 of the Affordable Care Act also requires CMS to submit a Report to Congress on the Physician Compare Web site by January 15, 2015, and authorizes CMS to establish a demonstration program by January 1, 2019, to provide financial incentives to Medicare beneficiaries who are furnished services by high quality physicians. The Affordable Care Act requires that the measures include, to the extent practicable, the following:

• Measures collected under the PQRI;
• An assessment of patient health outcomes and the functional status of patients;
• An assessment of the continuity and coordination of care and care transitions, including episodes of care and risk-adjusted resource use;
• An assessment of efficiency;
• An assessment of patient experience and patient, caregiver, and family engagement;
• An assessment of the safety, effectiveness, and timeliness of care; and
• Other information as determined appropriate by the Secretary.

II. Town Hall Format

The Town Hall meeting will begin with an overview of the objectives for the session. The remainder of the meeting will be devoted to presenting and receiving input on possible key Web site design issues.

Following each presentation, the meeting agenda will provide opportunities for brief 2-minute comments on each of the key issues from on-site session attendees. As time allows, telephone participants will also have the opportunity to provide brief 2-minute comments on each of the key issues. Written submissions will also be accepted through the timeframe specified in the DATES section of this notice.

III. Registration Instructions

There is no registration fee. For security reasons, any persons wishing to attend this meeting must register by the date listed in the DATES section of this notice. Persons interested in attending the meeting or participating by teleconference must register by completing the online registration via the Web site at www.usqualitymeasures.org/​qm/​. The online registration system will generate a confirmation page to indicate the completion of your registration. Please print this page as your registration receipt. If seating capacity has been reached, you will be notified that the meeting has reached capacity.

Individuals may also participate in the Town Hall meeting by teleconference. Registration is required as the number of call-in lines will be limited. The call-in number will be provided upon confirmation of registration.

We anticipate posting an audio download and/or transcript of the Town Hall meeting on the CMS Web site after completion of the listening session at www.usqualitymeasures.org/​qm/​.

IV. Security, Building, and Parking Guidelines

Because this meeting will be located on Federal property, for security reasons, any persons wishing to attend this meeting must register by the deadline specified in the DATES section of this notice at the address specified in the ADDRESSES section of this notice. Individuals who have not registered in advance will not be allowed to enter the building to attend the meeting. Seating capacity is limited to the first 250 registrants.

The on-site check-in for visitors will begin 45 minutes prior to the start of the meeting. Please allow sufficient time to go through the security checkpoints. It is suggested that you arrive no later than 30 minutes before the start of the meeting so that you will be able to arrive at the meeting on time. All items brought to the building, whether personal or for the purpose of demonstration or to support a presentation, are subject to inspection.

Security measures will include inspection of vehicles, inside and out, at the entrance to the grounds. In addition, all persons entering the building must pass through a metal detector. All items brought to CMS, including personal items such as laptops, cell phones, and P.D.A's, are subject to physical inspection.

Authority: Section 10331 of the Affordable Care Act.

(Catalog of Federal Domestic Assistance Program No. 93-773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Insurance Program)

75 FR 58411