Changes to the New COVID-19 Treatments Add-on Payment (NCTAP). CMS sought comment on considerations to modernize its quality measurement enterprise in the future: CMS will consider comments received in potential future rulemaking. Download the CAHPS Hospital Surveyand learn more about its implementation. CMS updates LTCH payment rates annually using to a separate market basket based on LTCH-specific goods and services. are meaningful electronic health record (EHR) users is approximately 2.5 percent. The CMS will continue to use data regarding low-income insured days (Medicaid days for FY 2013 and FY 2018 SSI days) to determine the amount of uncompensated care payments for Puerto Rico hospitals, Indian Health Services, and Tribal hospitals for FY 2022, similar to the FY 2021 methodology. This approach places more emphasis on an organizations performance on accountability measures quality measures that meet four criteria designed to identify measures that produce the greatest positive impact on patient outcomes when hospitals demonstrate improvement: Measures that meet all four criteria should be used for purposes of accountability (e.g., for accreditation, public reporting, or pay-for-performance). Also, you can decide how often you want to get updates. The main lobbying group for US drugmakers filed a complaint opposing a measure championed by President Joe Biden that would allow Medicare to negotiate prices for medications. The CMSQuality Measures Inventory is a compilation of measures used by CMS in various quality, reporting and payment programs. The agency will also update the baseline period for certain measures affected by the ECE granted in response to the COVID-19 PHE and make a few technical administrative updates. Establishment of Measure Suppression Policy in Response to COVID-19 PHE in Certain Value-Based Purchasing Programs. lock ( CMS estimates that FY 2022 Medicare spending on new technology add-on payments will be approximately $1.5 billion, nearly a 77% increase over the FY 2021 spending. These new steps looks to boost patient safety by focusing on the reduction of acute kidney injuries and patient falls; and while preserving image quality, discourage unnecessarily high radiation doses, a risk factor for cancer. Welcome to QualityNet! - Centers for Medicare & Medicaid Applications for New Technology Add-on Payments (NTAP) Approved for FY 2022. Measures | The Joint Commission Measures on the MUD List are not developed enough to undergo a final determination of any kind with respect to inclusion into a CMS program. Oops! Section 1886(d) of the Social Security Act (the Act) sets forth a system of payment for the operating costs of acute care hospital inpatient stays under Medicare Part A (Hospital Insurance) based on prospectively set rates. Thanks for working with Priority Health to give our members the right care at the right time. Inpatient Rehabilitation Facility (IRF) Quality Reporting Program The Exclusive Breast Milk Feeding (NQF #0480) beginning with the CY 2024 reporting period/FY 2026 payment determination. The final rule updates Medicare fee-for-service payment rates and policies for inpatient hospitals and long-term care hospitals for FY 2022. Federal government websites often end in .gov or .mil. Consistent with Executive Order 13985 on Advancing Racial Equity and Support for Underserved Communities through the Federal Government, CMS sought stakeholder feedback in the proposed rule on ways to attain health equity for all patients through policy solution. These measures include indicators of patient safety, clinical process of care, patient experience of care (see CAHPS Hospital Survey below), maternal morbidity, mortality outcomes, coordination of care, and payment for specific diagnoses. For FY 2022, in connection with CMSs decision to use FY 2019 instead of FY 2020 data for FY 2022 IPPS rate setting, CMS is finalizing a one-year extension of new technology add-onpayments for 13 technologies for which the new technology add-on payment would otherwise be discontinued beginning FY 2022. The final rule updates Medicare fee-for-service payment rates and policies for inpatient hospitals and long-term care hospitals for FY 2022. Remove the Patient Safety and Adverse Events Composite (CMS PSI 90) measure beginning with the FY 2023 program year. The CMS Measures Inventory Tool (CMIT) is an interactive web-based application with intuitive and user-friendly functions. CMIT increases transparency and can be used to CMS projects Medicare DSH payments and Medicare uncompensated care payments to decrease in FY 2022 compared to FY 2021 by approximately $1.4 billion. Find the exact resources you need to succeed in your accreditation journey. The public comments on our proposal related to disproportionate share hospital payments, organ acquisition costs, and the provision of the Consolidated Appropriations Act (CAA) 2021, related to payments to hospitals for direct graduate medical education (GME) and indirect medical education (IME) costs, which were included in the FY 2022 IPPS and LTCH PPS proposed rule will be address in subsequent parts. Hospitals voluntarily submit information on the extent to which they adhere to certain quality and safety practices using the Leapfrog Hospital Survey tool. Under this final rule, CMS will distribute roughly $7.2 billion in uncompensated care payments for FY 2022, a decrease of approximately$1.1 billion from FY 2021. The measure is feasible and computable (or capable of becoming digital) The measure has no unintended consequences . These regulatory changes align our policy with the decision in Bates County Memorial Hospital v. Azar, 464 F. Supp. In early 1999, the Joint Commission solicited input from a wide variety of stakeholders (e.g., clinical professionals, health care provider organizations, state hospital associations, health care consumers) and convened a Cardiovascular Conditions Clinical Advisory Panel about the potential focus areas for core measures for hospitals. Please try again. Hospital Readmissions Reduction Program (HRRP). The goal is to minimize data collection efforts for these common measures and focus efforts on the use of data to improve the health care delivery process. In response to the impact of the COVID-19 PHE, CMS is finalizing a measure suppression policy in the Hospital Readmissions Reduction Program (HRRP), Hospital-Acquired Condition (HAC) Reduction Program, and Hospital Value-Based Purchasing (VBP) Program that would allow CMS to suppress the use of measure data if the agency determines that circumstances caused by the COVID-19 PHE have affected those measures and the resulting quality scores significantly. Consistent with Executive Order 13985 on Advancing Racial Equity and Support for Underserved Communities through the Federal Government, CMS is also committed to addressing significant and persistent inequities in health outcomes in the U.S. through improving data collection to better measure and analyze disparities across programs and policies. We are also finalizing our proposal to repeal the market-based MS-DRG relative weight methodology that was adopted effective for FY 2024, and to continue using the existing cost-based MS-DRG relative weight methodology to set Medicare payment rates for inpatient stays for FY 2024 and subsequent fiscal years. The Hospital VBP Program is a budget-neutral program funded by reducing participating hospitals base operating DRG payments each fiscal year by 2.0 percent and redistributing the entire amount back to the hospitals as value-based incentive payments. For an ACO that elected to defer advancement for both PY 2021 and PY 2022, the ACO will advance for PY 2023 to the level in which it would have participated for that performance year, absent both deferral elections (unless it elects to advance more quickly). You can decide how often to receive updates. The Specifications Manual for National Hospital Inpatient Quality Measures (Specifications Manual) contains abstraction guidance and technical specifications to successfully submit the Centers for Long Term Care Hospital Quality Reporting Program (LTCH QRP). To ensure a higher level of participation, HIMSS recommend CMS adopt significant scoring bonuses to the Inpatient Quality Reporting (IQR) program for hospitals participating in measure testing. Undo. However, some states in the past have hindered some Medicare providers from enrolling in Medicaid. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. $42 million. Improve Maternal Outcomes at Your Health Care Facility, Proposed Revisions to the Emergency Management Chapter for Ambulatory Care Programs, Proposed Revisions to the Emergency Management Chapter for Office-Based Surgery Programs, Proposed Revisions to the Infection Prevention and Control Chapter for the Critical Access Hospital and Hospital Programs Field Review, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, New and Revised Requirements to Advanced Disease-Specific Care Stroke Certification Programs, Select Retired and Revised Accreditation Requirements, Revised Requirements for Medication Compounding to Align with USP Revisions, Updates to the Advanced Certification in Heart Failure Program, Revisions Resulting from Critical Access Hospital Deeming Renewal Application Review, The Term Licensed Independent Practitioner Eliminated for AHC and OBS, New Requirements for Certified Community Behavioral Health Clinics, The Term Licensed Independent Practitioner Eliminated, Updates to the Patient Blood Management Certification Program Requirements, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs. This included ways in which to enhance hospital-specific reports that stratify measure results by Medicare/Medicaid dual eligibility and other social risk factors, ways to improve demographic data collection, and the potential creation of a hospital equity score to synthesize results across multiple measures and social risk factors. In addition, the CMS Office of the Actuarys projection of the percent of individuals without insurance in this final rule incorporates the estimated impact of the COVID-19 pandemic and the updated expectations for FY 2022 associated with changing economic conditions, newly available data on Medicaid and Marketplace enrollment, the estimated impacts from the Families First Coronavirus Response Act (FFCRA) including the provision requiring a Medicaid Maintenance of Effort, the CARES Act, and the American Rescue Plan Act. Hospital Inpatient Quality Reporting Program Measures. While CMS continues to believe that ensuring appropriate pharmacotherapy for stroke patients is an important topic, within the Hospital IQR Program portfolio of stroke measures, CMS identified STK-06 as appropriate for removal. The amount of data that you must submit (data completeness) depends on the collection This policy is intended to ensure that these programs neither reward nor penalize hospitals based on circumstances caused by the PHE for COVID-19 that the measures were not designed to accommodate. For a one-stop resource web page focused on the informational needs and interests of Medicare Fee-for-Service (FFS) hospitals, go to the Hospital Center (see under "Related Links Inside CMS" below). HIMSS is a global advocate for digital health transformation. The HAC Reduction Program creates an incentive for hospitals to reduce the incidence of hospital-acquired conditions by requiring the Secretary to reduce payment by one percent for applicable hospitals, which are subsection (d) hospitals that rank in the worst performing quartile on select measures of hospital-acquired conditions. MACRA Cost Measures: Call for Public Comment for Measure 2020). This base payment rate is multiplied by the DRG relative weight. CMS is publishing this final rule to meet the legal requirements to update Medicare payment policies for IPPS hospitals and LTCHs on an annual basis. AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund. Acute Inpatient PPS | CMS CMS is including its policies for implementing these extensions in the FY 2022 IPPS/LTCH PPS final rule. Theres no change to the process you use to submit procedures for authorization. The HRRP is a Medicare value-based purchasing program that reduces payments to hospitals with excess readmissions. Adopt a measure suppression policy and suppress the Hospital 30-Day, All-Cause, Risk-Standardized Readmission Rate following Pneumonia Hospitalization measure (NQF #0506) beginning with the FY 2023 program year; and. HCAHPS addresses critical aspects of the hospital experience, including: Patients are also asked to rate the hospital overall and their willingness to recommend the hospital to others. CMS anticipates inpatient cases of COVID-19 beyond the end of the PHE. .gov The FY 2022 IPPS and LTCH PPS final rule will be issued in multiple parts. Sign up to get the latest information about your choice of CMS topics. The Centers for Medicare & Medicaid Services (CMS) has contracted with Acumen, LLC to develop and maintain cost measures for potential use in the Merit-Based Incentive View them by specific areas by clicking here. Adopt two new eCQMs to the Medicare Promoting Interoperability Programs eCQM measure set beginning with the reporting period in CY 2023, in addition to removing three eCQMs from the measure set beginning with the reporting period in CY 2024 (in alignment with proposals for the Hospital IQR Program). Optimize your company's health plan. This add-on known as the indirect medical education (IME) adjustment, varies depending on the ratio of residents-to-beds under the IPPS for operating costs, and according to the ratio of residents-to-average daily census under the IPPS for capital costs. Find evidence-based sources on preventing infections in clinical settings. In the FY 2022 IPPS/LTCH PPS final rule, CMS is adopting new measures, removing existing measures, and finalizing changes to existing EHR certification requirements along with other administrative updates.