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Hospice Item Set (HIS)

About this Page

The Hospice Item Set (HIS) web page provides updates, announcements, and resources specific to the HIS. On this page you will find direct links to the HIS, the HIS manual, fact sheets, and training materials. Announcements related to HIS activities (such as trainings and OMB approval) is posted here.

For questions related to content posted on this page, please contact the Quality Help Desk at HospiceQualityQuestions@cms.hhs.gov.

June 30, 2015

FAQs from June 17th National Provider Call Now Available for Provider Download

On June 17th, 2015, CMS hosted an MLN connects National Provider Call to cover updates made to V1.02 of the HIS Manual. Following the National Provider Call, CMS developed a frequently asked questions (FAQs) document to address provider questions that were received prior to the MLN connects National Provider Call.

The FAQs document is now available for provider download at the bottom of this webpage in the “Downloads” section.

V1.02 of the HIS Manual is also available for provider download in the “Downloads” portion of this webpage.

 

June 23, 2015

Clarification of HIS Manual and HIS data submission specification versioning: V1.02 of HIS Manual associated with V1.01.0 of HIS Data Submission Specifications, not V1.02.0

CMS recently released an updated version of the HIS Manual, V1.02. CMS would like to clarify the relationship between guidance in V1.02 of the HIS Manual and the HIS data submission specifications.

Changes to V1.02 of the HIS Manual do not correlate with changes in V1.02.0 of the data submission technical specifications. These two documents run on separate versioning schedules. Changes in V1.02 of the HIS Manual correlate with changes that were in V1.01.0 of the data submission specifications, which were effective 6/28/15 (the same effective date as V1.02 of the HIS Manual).

Updates to V1.01.0 of the data submission specifications that are included in updated guidance in the HIS Manual V1.02 include:

  • Allowing the date in J2040B to precede the date in J2030B
  • Allowing the date in F3000B to precede the admission date
  • Allowing a dash for A0245

In the future, if providers would like to “map” or “crosswalk” versions of the HIS Manual with versions of the data submission specifications, these materials should be matched based on the effective date listed on materials, not the version number(s) of the materials.

Changes outlined in V1.02.0 of the data submission specifications are not included in V1.02 of the HIS Manual. Changes outlined in V1.02.0 of the data submission specifications will be addressed by guidance released by CMS at a later date, closer to the implementation date of those specifications, which is 4/1/16.

Providers can download V1.02 of the HIS Manual from the “Hospice Item Set (HIS)” portion of the CMS HQRP website here: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Hospice-Item-Set-HIS.html.

Providers can download V1.01.0 of the HIS data submission specifications from the “HIS Technical Information” portion of the CMS HQRP website here: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/HIS-Technical-Information.html.

June 02, 2015

V1.02 of the HIS Manual now available for provider download; National Provider Call to be held 6/17 to cover updates made to the HIS Manual V1.02

V1.02 of the HIS Manual, along with a change table that outlines changes from V1.01 to V1.02, is now available for provider download in the ‘Downloads’ portion of this webpage, below. V1.02 of the HIS Manual provides clarifications of HIS item definitions and expectations for use. Providers should download and review V1.02 for the most up-to-date guidance on HIS item completion.

To review updates made to V1.02 of the HIS Manual, CMS will host an HIS-focused National Provider Call on June 17th, 2015. This presentation will cover updates that were made to the HIS Manual from V1.01 to V1.02.

Providers can now register for the MLN Connects National Provider Call on June 17th, 2015 from 1:30 – 3:00 PM ET. To register for the MLN Connects Call, please visit the MLN National Provider Calls and Events webpage: http://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events.html

The MLN Connects Call will be recorded and transcribed. This recording and transcription will be made available for provider download following the MLN Connects Call.

Since the call will focus on updates that were made to the HIS Manual from V1.01 to V1.02, it will be helpful for attendees to review V1.02 of the HIS Manual prior to the National Provider Call.

05/22/2015

Registration for the June 17th Hospice Item Set (HIS) National Provider Call Training Now Available

CMS will host an HIS-focused National Provider Call on June 17th, 2015. This presentation will cover updates that were made to the HIS Manual from V1.01 to V1.02. Updates to the HIS Manual, and the related National Provider Call presentation, will provide clarifications of HIS item definitions and expectations for use.

Providers can now register for the MLN Connects National Provider Call on June 17th, 2015 from 1:30 – 3:00 PM ET. To register for the MLN Connects Call, please visit the MLN National Provider Calls and Events webpage: http://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events.html

The MLN Connects Call will be recorded and transcribed. This recording and transcription will be made available for provider download following the MLN connects Call.

Since the call will focus on updates that were made to the HIS Manual from V1.01 to V1.02, it will be helpful for attendees to review V1.02 of the HIS Manual prior to the National Provider Training call. V1.02 of the HIS Manual will be made available on the “Hospice Item Set (HIS)” portion of the CMS website no later than 2 weeks prior to the training: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Hospice-Item-Set-HIS.html.

05/12/2015

Save the Date: Upcoming Hospice Item Set (HIS) Training

CMS will host an HIS training on June 17th, 2015. This training will cover updates that were made to the HIS Manual from V1.01 to V1.02. Updates to the HIS Manual, and the related HIS training, will provide clarifications of HIS item definitions and expectations for use.

CMS will host the training via an MLN Connects National Provider Call on June 17th, 2015 from 1:30 – 3:00 PM ET. The MLN Connects Call will be recorded and transcribed. This recording and transcription will be made available for provider download following the MLN connects Call.

Providers cannot yet register for the MLN Connects Call. Instructions for registration will be posted on the MLN National Provider Calls and Events webpage: http://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events.html, as well as on the CMS HQRP HIS website: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Hospice-Item-Set-HIS.html at a later date.

05/04/2015

Question and Answer (Q+A) Document for the First Quarter of 2015 Now Available

A new Question and Answer (Q+A) document is now available in the “Downloads” portion of this webpage, below. The Q+A document reflects frequently asked Hospice Item Set (HIS) related questions that were received by the Quality Help Desk during the first quarter (January - March) of 2015.

01/21/2015

Question and Answer (Q+A) Document for the Fourth Quarter of 2014 Now Available

A new Question and Answer (Q+A) document is now available in the “Downloads” portion of this webpage, below. The Q+A document reflects frequently asked Hospice Item Set (HIS) related questions that were received on the Quality Help Desk during the fourth quarter (October - December) of 2014.

The format of the Q+A document has been updated. It now contains a total of 3 sections. The first section lists the quarterly questions and answer. The second section highlights important information from the previous quarter. The third section describes important information in the upcoming quarter. Providers can expect sections two and three to include information such as recently released/upcoming information on trainings, fact sheets, new requirements, etc.

10/22/2014

Question and Answer (Q+A) Document for the third quarter of 2014 now available

A new Question and Answer (Q+A) document is now available in the “Downloads” portion of this webpage, below. The Q+A document reflects frequently asked Hospice Item Set (HIS) related questions that were received on the Quality Help Desk during the third quarter (July- September) of 2014.

07/31/2014

Question and Answer (Q+A) Document for the second quarter of 2014 now available

A new Question and Answer (Q+A) document is now available in the “Downloads” portion of this webpage, below. The Q+A document reflects frequently asked Hospice Item Set (HIS) related questions that were received on the Quality Help Desk during the second quarter (April-June) of 2014.

07/16/2014

2 New Fact Sheets related to the Hospice Item Set (HIS) and FY 2016 Reporting Cycle Requirements Available as “Downloads” below

  1. Fact Sheet: FY 2016 Reporting Cycle: This fact sheet is intended to help hospices understand the requirements for FY 2016 reporting, and what they should do to comply with reporting requirements.
  2. Fact Sheet: Getting Started with the HIS – Checklist and Quick Tips: This fact sheet is intended to provide hospices with a checklist of steps to complete for HIS data collection and HIS record completion and submission. The Fact sheet contains a list of resources providers may find helpful as they get started with HIS requirements

06/04/2014

Version 1.01 of the HIS Manual and relevant change table available in ‘Downloads,’ below

Version 1.01 of the HIS Manual is now available as a download, below. The download also includes a revised Change Table which denotes changes that were made from V1.00.0 to V1.01 of the HIS Manual. Providers should review Version 1.01 of the HIS Manual along with the change table to make sure they have the most up-to-date guidance on HIS Data Collection.”

Question and Answer (Q+A) Document for the first quarter of 2014 now available

A Question and Answer (Q+A) document is now available in the “Downloads” portion of this webpage, below. The Q+A document reflects frequently asked Hospice Item Set (HIS) related questions that were received on the Quality Help Desk during the first quarter (January – March) of 2014.”

New Fact Sheet regarding HIS Completion Timing guidelines now available

A new fact sheet “Fact Sheet – HIS Completion Timing Guidelines” is now available in the “Downloads” portion of this webpage. This fact sheet replaces previous CMS guidance about “updating” the HIS and provides important new information. The new fact sheet distinguishes between the Completion Date (Z0500B, actual date on which the HIS record is completed) and the Completion Deadline (latest date on which a HIS record should be completed). The new guidance states that hospices should not update the HIS-Admission record to account for changes in patient status/preferences that occur between the Completion Date and the Completion Deadline.”

4/10/2014

On 4/8/2014, the Office of Management and Budget (OMB) approved the Hospice Item Set (HIS) Paperwork Reduction Act (PRA) package. The final, OMB approved versions of the HIS (HIS-Admission and HIS-Discharge) can be found at the bottom of this webpage under “Downloads”.  No changes were made as a result of the OMB review.

Hospice providers should refer to the final, OMB-approved versions of the HIS-Admission and HIS-Discharge as they prepare for HIS implementation. All Medicare-certified hospices will submit a HIS-Admission record and a HIS-Discharge record for each patient admission on or after July 1, 2014.

3/19/2014

The video recordings of the Data Collection Training for the Hospice Item Set (HIS), originally presented on February 4th and 5th, are now available @ http://downloads.cms.gov/files/HospiceTrainingOnFeb4-5Of2014.zip [1.2 GB].

YouTube videos are also available at:

2014 Feb 4th Hospice Quality Reporting Program Training

http://www.youtube.com/watch?v=Caeoezmix6M

2014 Feb 5th Hospice Quality Reporting Program Training

http://www.youtube.com/watch?v=TClgfeVHGDQ

1/22/2014

The Hospice Item Set (HIS) Manual and training slides are now available in the Downloads section below.

1/7/2014

Registration for on-site attendance at the Hospice Item Set (HIS) Data Collection Training is now available at https://www.eventbrite.com/e/hospice-item-set-his-data-collection-training-registration-10002003261.

Registration will be open until 11:59 PM ET on Monday, January 27th. The training will be held at the CMS Central Office in Baltimore, MD, on February 4th and 5th from 12:30-4:30 pm each day. Participants will need to attend both afternoons; the 2/5 session is not a repeat of 2/4, but includes unique material. The number of participants on-site will be limited and the number of in-person participants per hospice will be limited to one. Early registration is recommended.

To ensure access to the training for ALL hospices, the training will be live-streamed, and will also be recorded and posted on the CMS website for on-demand viewing. Instructions for live video-streaming access will be provided at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Hospice-Item-Set-HIS.html. No registration is required for video-streaming. If you are unable to live-stream the HIS Data Collection Training, videos of the trainings will be posted on the same cms.gov site shortly after the training is complete.

This training will cover the data collection portion of the HIS only. Detailed training on the technical submission processes and data submission software will be provided in May. Additional information about that training and the associated registration will be announced at a later date.

The HIS Data Collection Training will closely follow along with the HIS Manual, which will be available on the CMS HQRP website in late January. A PDF version of the PowerPoint slide presentation will also be made available online prior to the training. In-person training participants are encouraged to print out a copy of the manual and the slide presentation before the training, as printed materials will not be provided at the training.

See the following two documents in the Downloads area below. The HIS manual and pdf of the HIS training slides will also be posted as downloads on this page prior to the training:

  1. Agenda including Video-streaming Information and Q & A Instructions
  2. Instructions for On-Site Registrants

To view the event live on 2/4 and 2/5, users should visit http://www.cms.gov/LIVE/

There are two players on this page: the “Official Ustream Channel for CMS live events” and “Official YouTube Channel for CMS live events”. We will be broadcasting using the second player on the screen the “Official YouTube Channel for CMS live events”. Click the large arrow on the second player.

10/18/2013

A HIS fact sheet is now available for providers in the “downloads” section of this webpage, below. This fact sheet is intended to provide a general overview of the HIS. Topics covered in the fact sheet include HIS background information, possible steps for implementing the HIS in your hospice, HIS completion and submission timeframes, and additional HIS resources.

8/28/2013

For final requirements related to the Hospice Item Set (HIS) (e.g., dates of implementation, data submission requirements, etc.), please see the FY2014 Hospice Wage Index Final Rule: http://www.gpo.gov/fdsys/pkg/FR-2013-08-07/pdf/2013-18838.pdf

The HIS is a patient-level data collection tool developed as part of the HQRP, which can be used to collect data to calculate 6 National Quality Forum-endorsed (NQF) Measures and 1 modified NQF Measure:

  1. NQF #1617 Patients Treated with an Opioid who are Given a Bowel Regimen
  2. NQF #1634 Pain Screening
  3. NQF #1637 Pain Assessment
  4. NQF #1638 Dyspnea Treatment
  5. NQF #1639 Dyspnea Screening
  6. NQF #1641 Treatment Preferences
  7. Modified NQF #1647 Beliefs/Values Addressed (if desired by the patient)