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.
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.
Public reporting of hospital clinical outcomes for percutaneous coronary intervention (PCI) has been shown to reduce mortality rates. However, a review in the Journal of the American College of Cardiology (JACC) suggests that the practice may encourage physicians to avoid high-risk cases.
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)
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.
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.
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.
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.
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.
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.
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.
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.