124 STAT. 937 PUBLIC LAW 111–148—MAR. 23, 2010 Security Act for ambulatory surgical centers (as described in section 1833(i) of the Social Security Act (42 U.S.C. 1395l(i))). ‘‘(2) DETAILS.—In developing the plan under paragraph (1), the Secretary shall consider the following issues: ‘‘(A) The ongoing development, selection, and modifica- tion process for measures (including under section 1890 of the Social Security Act (42 U.S.C. 1395aaa) and section 1890A of such Act, as added by section 3014), to the extent feasible and practicable, of all dimensions of quality and efficiency in ambulatory surgical centers. ‘‘(B) The reporting, collection, and validation of quality data. ‘‘(C) The structure of value-based payment adjust- ments, including the determination of thresholds or improvements in quality that would substantiate a pay- ment adjustment, the size of such payments, and the sources of funding for the value-based bonus payments. ‘‘(D) Methods for the public disclosure of information on the performance of ambulatory surgical centers. ‘‘(E) Any other issues determined appropriate by the Secretary. ‘‘(3) CONSULTATION.—In developing the plan under para- graph (1), the Secretary shall— ‘‘(A) consult with relevant affected parties; and ‘‘(B) consider experience with such demonstrations that the Secretary determines are relevant to the value-based purchasing program described in paragraph (1). ‘‘(4) REPORT TO CONGRESS.—Not later than January 1, 2011, the Secretary shall submit to Congress a report containing the plan developed under paragraph (1).’’. (b) TECHNICAL.—Section 3006(a)(2)(A) is amended by striking clauses (i) and (ii). SEC. 10302. REVISION TO NATIONAL STRATEGY FOR QUALITY IMPROVEMENT IN HEALTH CARE. Section 399HH(a)(2)(B)(iii) of the Public Health Service Act, as added by section 3011, is amended by inserting ‘‘(taking into consideration the limitations set forth in subsections (c) and (d) of section 1182 of the Social Security Act)’’ after ‘‘information’’. SEC. 10303. DEVELOPMENT OF OUTCOME MEASURES. (a) DEVELOPMENT.—Section 931 of the Public Health Service Act, as added by section 3013(a), is amended by adding at the end the following new subsection: ‘‘(f) DEVELOPMENT OF OUTCOME MEASURES.— ‘‘(1) IN GENERAL.—The Secretary shall develop, and periodi- cally update (not less than every 3 years), provider-level out- come measures for hospitals and physicians, as well as other providers as determined appropriate by the Secretary. ‘‘(2) CATEGORIES OF MEASURES.—The measures developed under this subsection shall include, to the extent determined appropriate by the Secretary— ‘‘(A) outcome measurement for acute and chronic dis- eases, including, to the extent feasible, the 5 most prevalent and resource-intensive acute and chronic medical condi- tions; and ‘‘(B) outcome measurement for primary and preventa- tive care, including, to the extent feasible, measurements Deadline. 42 USC 299b–31. 42 USC 280j.
