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CMS Proposed Rule Includes Changes to Public Reporting of Home Health Quality Measures, Hospice Patient Experience Measures

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On April 8, 2021 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1754-P) that includes a proposal for changes to the Home Health Quality Reporting Program (HH QRP). CMS is proposing a modification to public reporting for the HH quality measures in order to accommodate the exception of 2020 Q1 and Q2 data. This Home Health proposal was included in this rule because CMS plan to resume public reporting for the HH QRP with the January 2022 refresh of Care Compare. They aim to finalize the rule contained in this proposal by October 2021. 

Proposals to the HQRP including the:

  • Addition of claims-based Hospice Care Index (HCI) measure, and Hospice Visits in the Last Days of Life (HVLDL) measure for public reporting;
  • Removal of the seven Hospice Item Set (HIS) measures because a more broadly applicable measure, the NQF 3235 HIS Comprehensive Assessment Measure for the particular topic is available and already publicly reported; and
  • Further development of, Hospice Outcome and Patient Evaluation (HOPE) assessment instrument. Update on the public reporting change for one refresh cycle to report less than the standard quarters of data due to the COVID-19 PHE exemptions and
  • Adding the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey Star ratings.

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