CHA News Article

Updates Available for Post-Acute Care Quality Reporting   

The Centers for Medicare & Medicaid Services (CMS) regularly provides important updates for post-acute care quality reporting programs, including training opportunities, public reporting details and reminders of data submission and review deadlines. The latest updates for inpatient rehabilitation facilities, skilled-nursing facilities, long-term care hospitals, home health and hospice providers are below.

Inpatient Rehabilitation Facilities 
Provider Preview Reports
Inpatient rehabilitation facility (IRF) provider preview reports have been updated and are now available. Providers have until June 30 to review their performance data on quality measures based on data from the fourth quarter of 2016 to the third quarter of 2017, prior to their posting to the IRF Compare website in September. Corrections to the underlying data will not be permitted during this time. However, providers can request a CMS review if they believe their data scores are inaccurate. 

This update of the provider reports includes two additional assessment-based measures and four new claims-based measures, as well as removal of the All-Cause Unplanned Readmission Measure for 30 Days Post-Discharge from Inpatient Rehabilitation Facility measure.  

New assessment-based measures: 

  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) (NQF#0674) 
  • Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function (NQF #2631) 

New claims-based measures:

  • Medicare Spending per Beneficiary 
  • Discharge to Community
  • Potentially Preventable 30-Day Post-Discharge Readmission Measure 
  • Potentially Preventable Within Stay Readmission Measure 

Long-Term Care Hospitals 
Provider Preview Reports
Long-term care hospital (LTCH) provider preview reports have been updated and are now available. Providers have until June 30 to review their performance data on quality measures based on data from the fourth quarter of 2016 to the third quarter of 2017, prior to their posting on the LTCH Compare website in September. Corrections to the underlying data will not be permitted during this time. However, providers can request a CMS review if they believe their data scores are inaccurate.

This update of the provider reports includes two additional assessment-based measures and three new claims-based measures, as well as removal of the All-Cause Unplanned Readmission Measure for 30 Days Post-Discharge from Long-Term Acute Hospitals measure.  

New assessment-based measures: 

  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) (NQF#0674) 
  • Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function (NQF #2631) 

New claims-based measures:

  • Medicare Spending per Beneficiary 
  • Discharge to Community
  • Potentially Preventable 30-Day Post-Discharge Readmission Measure 

Skilled-Nursing Facilities 
Provider Preview Reports
Skilled-nursing facility (SNF) provider preview reports have been updated and are now available. Providers have until June 30 to review their performance data prior to public display on the Nursing Home Compare website. Corrections to the underlying data will not be permitted during this time. However, providers can request a CMS review if they believe their data scores are inaccurate. The SNF provider preview report includes performance data on the following quality measures based on subsequent quarterly data:   

  • Quarter 1 to Quarter 4 2017 data:
    • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) (#0674)
    • Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened (Short Stay) (NQF #0678)
    • Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function (#2631)
  •  Quarter 4 2016 to Quarter 3 2017 data: 
    • Medicare Spending Per Beneficiary 
    • Discharge to Community
  • Quarter 4 2015 to Quarter 3 2017 data:
    • Potentially Preventable 30-Days Post-Discharge Readmission Measure 

Home Health 
Home Health Star Ratings
CMS will host a call on proposed modifications to the way it calculates home health quality of patient care star ratings, including removal of the Drug Education on All Medications Provided to Patient/Caregiver during All Episodes of Care measure, and the addition of the Improvement in Oral Medications measure. During the call, CMS will present the rationale, proposed timing and impact of these changes, and will respond to questions. The call will be held June 27 from 11 a.m. to noon (PT). Registration is available online.

Hospice Services 
Provider Preview Reports
Hospice provider preview reports and Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey provider preview reports have been updated and are now available. Both reports are available in facilities’ Certification and Survey Provider Enhanced Reports non-validation reports folder. Hospice providers are encouraged to review their Hospice Item Set (HIS) quality measure results from the fourth quarter of 2016 to the third quarter of 2017, as well as their facility-level CAHPS® survey results from the fourth quarter of 2015 to the third quarter of 2017. 

Providers have 30 days to review their HIS and CAHPS® results (June 1 through June 30). Providers that believe the denominator or other HIS quality metric is inaccurate, or if there are errors within the results from the CAHPS® Survey data, may request CMS review.

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