MAP 2018 Considerations for Implementing Measures Final Report - Hospitals 

The Measure Applications Partnership (MAP) Hospital Workgroup reviewed measures under consideration for five hospital and setting-specific programs. MAP recognized the need for parsimony and harmonization of measures across programs. As CMS continues to transition to value-based purchasing and alternative payment models, MAP noted that appropriate evidence must inform the measures chosen for use, and those measures must be shown to be reliable and valid. Finally, MAP discussed potential criteria for measure removal from federal programs. MAP supported measure removal criteria that CMS suggested. MAP put forward related considerations regarding unintended consequences, provider burden and operational issues, appropriate risk adjustment, and consumer value.