---
kind: "section"
citation: "42 C.F.R. § 414.1260"
title: "42"
number: "414.1260"
heading: "Composite scores."
url: "https://uscodex.org/cfr/42/414.1260"
---

# §414.1260. Composite scores.

- (a)
  - (1) The standardized score for each quality of care measure is classified into one of the following equally weighted domains to determine the quality composite:
    - (i) **Patient safety.**
    - (ii) **Patient experience.**
    - (iii) **Care coordination.**
    - (iv) **Clinical care.**
    - (v) **Population/community health.**
    - (vi) **Efficiency.**
  - (2) If a domain includes no measure or does not reach the minimum case size in [§ 414.1265](/cfr/42/414.1265.md), the remaining domains are equally weighted to form the quality of care composite.
- (b)
  - (1) The standardized score for each cost measure is grouped into two separate and equally weighted domains to determine the cost composite:
    - (i) **Total per capita costs for all attributed beneficiaries—** Total per capita costs measure and Medicare Spending per Beneficiary measure; and
    - (ii) **Total per capita costs for all attributed beneficiaries with specific conditions—** Diabetes, coronary artery disease, chronic obstructive pulmonary disease, or heart failure (four measures).
  - (2) **Measures within each domain are equally weighted.**

## Notes

### Amendments

[77 FR 69368, Nov. 16, 2012, as amended at 78 FR 74821, Dec. 10, 2013]

### Source

Source: 77 FR 69368, Nov. 16, 2012, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).

### Source

Source: 55 FR 23441, June 8, 1990, unless otherwise noted.

### Amendments

[77 FR 69368, Nov. 16, 2012, as amended at 78 FR 74821, Dec. 10, 2013]