Hospice-Quality-Reporting

Hospice Quality Reporting: Submission Tool Proposed

CMS to Submit Paperwork Reduction Package.

One of the requirements for Hospice Quality Reporting was for CMS to submit the Paperwork Reduction Package for the submission tool that will be used for reporting data in 2013 for data collected in Q4 2012.

The Package was posted on June 4, 2012 for review & public comment.  There are a number of documents contained within the zip file posted.

Quality Data Reporting

Based on the information contained within the Hospice Mandatory Data Submission Form the following questions remain proposed:

  1. Identify the number of admissions during the October 1 – December 31, 2012 reporting period.
  2. Identify the number of patients who answered Yes to NQF #0209 (Are you uncomfortable because of pain?) on initial assessment, during the data collection period of October 1, 2012 – December 31, 2012.
  3. Identify the number of patients who answered No to NQF #0209 (Are you uncomfortable because of pain?) on initial assessment, during the data collection period of October 1, 2012 – December 31, 2012.
  4. Identify the number of patients who were excluded from the data collection (due to communication, age, etc.)
  5. Identify the number of patients who answered Yes to the follow-up question (Was your pain brought to a comfortable level within 48 hours of the start of hospice care?), during the data collection period of October 1, 2012 – December 31, 2012.
  6. Identify the number of patients who answered No to the follow-up question (Was your pain brought to a comfortable level within 48 hours of the start of hospice care?), during the data collection period of October 1, 2012 – December 31, 2012.
  7. Identify the number of patients who were unable to self-report a follow-up.

It is our recommendation that you review these documents completely.  An internal review of the documentation took approximately 60 minutes to read through the content.

If you haven’t begun to do so, we also encourage you to start to share information with your staff about the Hospice Quality Reporting Program.  You can begin to look at the information that is outlined in the QAPI measure submission portion of the form and analyze your existing QAPI measures to see how they’d start to fit into the domains, sub-domains and topics that are noted.  If you’re unsure of what a domain or sub-domain is referring to, or need more information, additional documentation will be available when CMS publishes the manual this fall.

As more information is available we will ensure that we post additional notifications on our Facebook & Twitter pages.

Do all of the changing requirements have you worried about your agency’s compliance? HEALTHCAREfirst solutions offer CMS compliant solutions that will not only help you meet the requirements, but enable you to focus on what you do best: care for patients.  Contact us today for more information.

June 14, 2012
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