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CHA DataSuite has released hospital-specific analyses of the Value-Based Purchasing Program and Hospital Acquired Conditions Reduction Pogram, and the Medicare Quality Programs Overview Report.
- The Value-Based Purchasing (VBP) Program analysis is intended to provide hospitals a preview of the program’s potential impact for federal fiscal year (FFY) 2022, based on the most recent publicly available data and program rules established by the Centers for Medicare & Medicaid Services (CMS). A “Performance Scorecard” report that compares actual FFY 2020 and FFY 2021 program performance to estimated FFY 2022 program performance is included.
- For FFY 2022, performance periods are impacted by the extraordinary circumstances exception granted by CMS in response to the public health emergency, so no claims data or chart-abstracted data reflecting services provided Jan. 1-June 30, 2020, will be used in these calculations. Where possible, case counts are adjusted in the analysis to reflect this, resulting in some providers that usually receive a VBP analysis not being eligible for the program this year.
- The FFY 2022 figures are estimates, based on CMS’ 4th quarter 2020 update of Hospital Compare. For the VBP Program, only the Medicare Spending per Beneficiary measure was updated in 4th quarter 2020 Hospital Compare.
- For more detailed information, see the analysis description.
- The FFY 2022 Medicare inpatient Hospital Acquired Conditions (HAC) Reduction Program analysis, designed in the information builders (IB) platform, intends to show hospitals a preview of the potential impact of the FFY 2022 program based on publicly available data and program rules established by CMS.
- The reports included in this analysis evaluate hospital performance under the FFY 2022 programs. The analyses include estimates and details on how HAC measure and domain scores are calculated and how payment penalties are determined and applied under the program.
- The report compares actual FFYs 2020 and 2021 program performance to current estimated FFY 2022 program performance. Since CMS did not update the HAI measures in 4rd quarter 2020 Hospital Compare, this analysis uses 3rd quarter 2019/2020 updates of Hospital Compare.
- Due to the pandemic, CMS is not using data from first and second quarters of 2020 in the FFY 2022 HAC program and, therefore, in this analysis HAI case counts are adjusted to reflect the shortened performance period. With this adjustment, some providers that usually receive a HAC analysis may not be eligible for the program this year.
- For more detailed information, see the analysis description.
- The hospital-specific report of the Medicare Quality Programs Overview summarizes hospital quality performance and impacts for the three Medicare inpatient programs: VBP, Readmissions Reduction, and HAC Reduction from FFYs 2019-2021.
- The report, which is designed in the IB platform, is a one-page summary of actual hospital quality performance and estimated impacts for each CMS program. Adjustment factors provided in this report are the final factors as reported by CMS. Correction notices are reflected in this report.
- For more detailed information, see the report description.
To ensure your hospital receives zip files for the reports sent in the IB format (htm file), please ensure the DataSuite email is white-listed. For any questions about the analyses or report, please contact datasuitereports@calhospital.org.
