This project helps CMS’s Center for Clinical Standards and Quality develop, test, implement, and maintain electronic clinical quality measures (eCQMs) in CMS’s quality reporting and payment programs. eCQMs are quality measures that draw on information from electronic health records.
- Development and implementation of clinical quality measures using certified electronic health information technology
- Measurement of health and mental health care quality in institutional and community settings
- Evaluation of quality measures
- Long-Term Services and Supports
- Medicaid and CHIP
Sam Simon has expertise in federally sponsored health care quality reporting programs, with a focus on the design, evaluation, and implementation of health care quality measures.
Simon leads a project to specify, test, implement, and update electronic health record–based clinical quality measures that the Centers for Medicare & Medicaid Services (CMS) uses for quality reporting programs. He also provides analytic and reporting expertise for CMS’s Physician Quality Reporting System and eRx Incentive Program, producing program evaluation and monitoring reports for CMS and program experience reports for eligible professionals.
Simon’s other major interests are quality measurement in institutional and community-based long-term care settings and measurement of mental health quality. For Mathematica’s evaluation of CMS’s Money Follows the Person demonstration, Simon led analyses to examine how quality of life changed for Medicaid beneficiaries as they moved from institutional to home and community-based settings. For the Department of Defense, he is evaluating the psychometric properties of a mental health screening instrument for use among deployed members of the Armed Forces. Previously, for the Assistant Secretary for Planning and Evaluation, he developed and tested quality measures for Medicaid beneficiaries with schizophrenia. For the Substance Abuse and Mental Health Services Administration, he led an analysis on mental disorders and antipsychotic use among nonelderly nursing home residents (Simon, Lipson & Stone, 2011) and provided consultation to the Engelberg Center for Health Care Reform at the Brookings Institution to identify key measures of quality appropriate across long-term care provider settings.
Simon publishes in peer-reviewed journals such as Psychiatric Services, Journal of the American Geriatrics Society, and The Gerontologist. He holds a Ph.D. in social policy and management from the Heller School at Brandeis University, where he was awarded a National Institute of Mental Health fellowship.
Electronic Clinical Quality Measures Development and Maintenance for Eligible Clinicians (EC eCQM)
Developing Electronic Clinical Quality Measures (eCQMs) to Track Quality of Health Care
Mathematica developed, electronically specifying, and maintaining electronic clinical quality measures (eCQMs) that was used for reporting by eligible professionals using certified electronic health records (EHRs) for the Centers for Medicare & Medicaid Services (CMS) programs.