IPPS rule has fewer new quality measures in FY 2010

Last month, CMS released its final IPPS rule for FY 2010, which makes few changes to the Reporting Hospital Quality Data for Annual Payment Update (RHQDAPU) initiative. The final rule for FY 2010 adds just four new measures, retires one measure, and harmonizes two measures, for a total of 46 measures required for reporting to receive the FY 2011 full market basket update.
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CMS looking for comments on potential hospital quality measures

The Centers for Medicare & Medicaid Services is accepting comments on two cardiac outcomes measures being developed for potential use in the hospital inpatient quality pay-for-reporting program and four hospital outpatient quality reporting measures being developed for certain cardiovascular, chronic obstructive pulmonary disease, and cataract surgery patients.

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CMS proposes changes for hospital outpatient departments in 2010

Under a proposed rule issued by the Centers for Medicare & Medicaid Services (CMS), in the Hospital Outpatient Department Quality Reporting Program (HOP QDRP) program hospitals that did not participate in the program or did not successfully report the quality measures will receive an update in CY 2010 equal to the annual payment update factor minus 2.0 percentage points, or 0.1 percent.
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CMS releases proposed IPPS rule for FY 2010

The Centers for Medicare & Medicaid Services (CMS) late today issued a hospital inpatient and long-term care prospective payment system proposed rule for fiscal year 2010 that would decrease average inpatient payments by 0.5%. The proposed rule includes an initial market-basket update of 2.1% for those hospitals that submit data on quality measures; hospitals not submitting data would receive a 0.1% update. Click here for the CMS proposed rule.

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Medicare adds public reporting measures for dialysis care

The Centers for Medicare & Medicaid Services (CMS) added two quality measures for anemia care to Dialysis Facility Compare, a Web site providing quality and other information on 4,700 dialysis facilities certified by Medicare. The measures show the percentage of patients with high and low hemoglobin levels, respectively. See the news release.

(SOURCE: AHA News Now, http://ahanews.org, November 21, 2008)

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Senators release discussion draft of value-based purchasing bill

Senate Finance Committee Chairman Max Baucus (D-MT) and Ranking Member Charles Grassley (R-IA) yesterday issued a discussion draft of legislation that would begin a Medicare value-based purchasing program for inpatient hospital care in fiscal year 2012.

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Value-based purchasing should adhere to 5 principles, AHA leader tells group

According to an article in the AHA News Now, AHA President and CEO Rich Umbdenstock expressed hospitals’ commitment to health reform, stressing that the “status quo simply isn’t sustainable.” Participating today in a National Business Coalition on Health panel discussion on value-based purchasing, Umbdenstock said that hospital leaders believe the concept of value-based purchasing – structuring provider payments to reward performance excellence – holds merit for improving care quality. However, he said any approach to pay for performance should adhere to five principles.
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CMS releases final 2009 OPPS rule, e-prescribing incentive program

CMS yesterday released its final rule for the outpatient prospective payment system (OPPS) in calendar year (CY) 2009, under which the agency will give providers a 3.6% annual inflation update and pay an estimated $30.1 billion in 2009 for outpatient services, up from an estimated $28.5 billion for CY 2008 (see related story in the July 7 Daily Briefing). Hospitals that do not meet quality reporting requirements, however, will receive a 1.6% inflation update.

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No-pay conditions difficult to implement, according to CMS

The Centers for Medicare and Medicaid Services (CMS) has faced early challenges as it rolls out its new payment method for "no-pay conditions," ModernHealthcare.com reports. Coding and defining what conditions are reasonably preventable by providers have proven to be difficult, said Thomas Valuck, medical officer and senior advisor in the CMS' Center for Medicare Management. Valuck was speaking during a panel discussion about payment models during the recent National Quality Forum policy conference in Washington.

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Hospital patient satisfaction leaps after launch of public reporting

Press Ganey recently reported data showing a strong improvement in hospital patient satisfaction since March, when hospitals began publicly reporting data on patients’ experience of care. The company analyzed its proprietary patient satisfaction data for hospitals that in March began reporting data from the HCAHPS patient experience of care survey, and found a dramatic upturn in patient satisfaction.

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The Hospital Quality Alliance updates CMS Hospital Compare data

Last week the Hospital Quality Alliance (HQA) updated the quality information posted to the Center for Medicare and Medicaid Services (CMS) Hospital Compare web site, including new data on pneumonia mortality, pediatric asthma, and updated data on heart attack and heart failure mortality.

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CMS accepting comments on trial run of heart failure readmission measure

According to AHA, hospitals participating in the hospital quality reporting program are conducting a national “dry run” of the new 30-day readmission measure for heart failure to be added to the Hospital Compare Web site next year. The data used by the Centers for Medicare & Medicaid Services to calculate hospitals’ dry run readmission rates are based on eligible patients discharged from the hospital during calendar year 2006. The dry run results will not be publicly reported. Hospital-specific reports were distributed in late August via My QualityNet to help hospitals understand the methodology used to estimate their risk-standardized readmission rate and interpret the results.

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CMS releases new data on hospital mortality

The Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS), today announced important additions to the Hospital Compare consumer web site that will give consumers even better insight into the quality of care provided by their local hospitals.

The improvements include the addition of a mortality measure for pneumonia and, for the first time on Hospital Compare, publicly reported measures for hospital care of children. Previously, Hospital Compare had provided only quality information based on hospitalizations of adult patients.

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Final CMS IPPS rule for fiscal year 2009 expands list of quality reporting requirements and nonpayment for ‘never events’

CMS yesterday released its inpatient prospective payment system (IPPS) final rule for fiscal year (FY) 2009, expanding the list of preventable conditions for which it will withhold payments and the number of quality measures that hospitals will be required to report to receive the full market basket update in FY 2010. Meanwhile, although CMS had previously proposed adding 43 measures to the list of quality metrics that hospitals must report to receive the full market basket update, the final rule scales back that expansion, adding 13 new measures to the current list of 30 and deleting one pneumonia measure. CMS also added three new hospital-acquired conditions (HAC) to its non-payment list and expanded the number of quality measures hospitals must report on to 42.

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