"HIMSS members are concerned that a single quality metric has little value relative to the quality of health care. The greatest value is in quality measures that are based on clusters related to condition(s). Significant weight should be given to measurement sets rather than isolated measures. It would be helpful if CMS would consider requiring the reporting of standard measure sets. Treatment inertia is the biggest road block to optimal patient care, which results in the creation of discomfort for the patient and unnecessary expense to the healthcare system."