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March 2, 2018 By Kate Goodrich, MD Director, CMS Center for Clinical Standards and Quality CMS Chief Medical Officer

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Funding Opportunity: Measure Development for the Quality Payment Program

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Funding Opportunity: Measure Development for the Quality Payment Program

CMS is pleased to announce a new funding opportunity for the development, improvement, updating, and expansion of quality measures for use in the Quality Payment Program. CMS will be partnering directly with clinicians, patients, and other stakeholders to provide up to $30 million of funding and technical assistance in development of quality measures over three years.

Cooperative agreements provide a unique opportunity for CMS to partner with external entities, such as clinical specialty societies, clinical professional organizations, patient advocacy organizations, educational institutions, independent research organizations, and health systems, in developing, improving, updating, and expanding quality measures for the Quality Payment Program. By giving external entities needed resources to help guide their measure-development efforts though this funding opportunity, CMS can leverage the unique perspectives and expertise of these external entities, such as clinician and patient perspectives, to advance the Quality Payment Program measure portfolio. The cooperative agreements will allow CMS to collaborate with stakeholders to address essential topics such as: clinician engagement, burden minimization, consumer-informed decisions, critical measure gaps, quality measure alignment, consumer-informed decisions, clinician engagement, and efficient data collection that minimizes health care provider burden.

The priority measures developed, improved, updated or expanded under the cooperative agreements will be aligned with the CMS Quality Measure Development Plan . The CMS Quality Measure Development Plan provides a strategy for filling clinician and specialty area measure gaps and for recommendations to close these gaps in order to support the Quality Payment Program, and identifies the following initial priority areas for measure development: Clinical Care, Safety, Care Coordination, Patient and Caregiver Experience, Population Health and Prevention, and Affordable Care. The gap areas include, but not limited to: Orthopedic Surgery, Pathology, Radiology, Mental Health and substance use conditions, Oncology, Palliative Care, and Emergency Medicine.

When the Heritage Lottery Fund refused the initial application made in the name of Huddersfield University, Dr Gear enlisted the support of the Hadley Trust, which made a £50,000 donation to ensure that there could be a full survey and investigation with metal detectors of land in and around Wrotham Park, which the celebrated military archaeologist Dr Glenn Foard believes might have been the site of the battlefield.

Dr Gillian Gear invested with the Order of the British Empire at the Tower of London in Nov 2014. L to R: Sir David Brewer, Lord Lieutenant of Greater London; Michael Gear (husband); Tim Gear (son); Gillian Gear; Chris Gear (son); General Lord Dannatt, Constable of the Tower Dr Gear was leading the Battle of Barnet of Project and had put her name to a renewed application to the Heritage Lottery Fund.

As the Barnet Society’s representative on the project team, I know from personal experience how infectious her enthusiasm could be.

Whenever we went to meetings, she usually had one of the latest possible finds in her handbag, perhaps an early cannon ball or piece of lead shot that had been brought into the museum.

Dr Gear did all she could to encourage local historians and also children to visit the museum and get involved in its work. Carla Herrmann, one of the museum’s many volunteers, described Dr Gear’s skill in engaging all comers:

“Wednesday afternoons at the museum were like the inside of a beehive, all centred and buzzing around the queen bee who tirelessly, cheerfully and effortlessly dealt with everyone, volunteers and public alike. She was the museum personified.”

Dr Gear secured an MA in social and industrial history at Middlesex University and completed her PhD in the history of education at London University.

Her published works include The Diary of Benjamin Woodcock , Master of the Barnet Union Workhouse , Sixty Years of Local History , Community Life in Hertfordshire and East Barnet Village .

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I am so sorry to hear this terribly sad news: I worked with Gillian in an attempt some years ago to save the old Barnet Workhouse, and had immense respect for her knowledge, and tenacity. Barnet Museum is indeed a monument to her wonderful career and indefatigable commitment to local history. My condolences to her family and colleagues.

A longtime friend of my mum Doreen Willcocks and a wonderful asset to Barnet and the museum. who will by missed by many

A lovely tribute, very sad news. Mary Rean Neville Gray Xxx

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