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LTCH Quality Reporting Technical Information

LTCH Quality Reporting

  • National Health Safety Network
  • LTCH Continuity Assessment Record and Evaluation Data Set
  • LASER

Announcements:

July 30, 2014 – LASER v1.1.1

LASER 1.1.1 (LTCH Assessment Submission Entry and Reporting tool) is a java based application that allows Long Term Care Hospitals to collect and maintain facility, patient and assessment information for subsequent submissions to the appropriate national data repository.  LASER is free software provided by the Centers for Medicare & Medicaid Services (CMS).  Consult the LASER Installation Guide and LASER User Guide for further information.

LASER 1.1.1 update to LASER 1.1.0 includes the following: 

* The Assessment Print Report has been added
* A database backup bug has been fixed.  The user will now be notified if their desired backup location is no longer available.  The database will be backed up to the default location.

Choosing the appropriate installation:
Users that have not yet installed LASER and wish to install a Network version (intended for a group of users with a designated database server in a separate location) should:

1. Use the LASERServerSetup-1.0.1.exe followed by the LASERSetup-1.1.1.exe
2. Follow the installation instructions documented in the LASER 1.1.1 Installation Guide for Network Install

 

February 10, 2014

The LTCH CARE Data Submission Specifications have been updated and posted.  The new version is V1.01.1 and the documents containing the specifications are dated 01/31/2014.  This version is scheduled for implementation on July 1, 2014 and can be considered final.  

The update addresses all of the issues that were contained in the errata document that was posted in September, 2013.  Several additional changes were made as well:

  • Edits -1012 and -1013 referenced CRCTN_NUM in their item lists.  These references were changed to A0055.
  • Information edit -9002 contained an error which was corrected.  In the previous version, it said, "If A0050 = [1,2] and A0250 = [12] then ITM_SBST_CD = [LU]”.  This was corrected to say, “...ITM_SBST_CD = [LE]”
  • Section 9 of the previous version of the overview document (on page 13) contained incorrect information about how special characters such as apostrophe are supposed to be represented in XML documents.  This section was corrected.
  • The updated data submission specifications file is available in the Downloads section of this webpage below, by selecting the link titled LTCH Data Submission Specs FINAL v1.01.1 (January 2014) – Implementation on July 1, 2014 [ZIP, 4MB].

The files within this .zip are:

  • LTCH CARE 1.00 data specs overview (v1.01.1) 01-31-2014.pdf
  • LTCH data dictionary (v1.01.1) 01-31-2014.zip
  • LTCH data specs CSV files (v1.01.1) 01-31-2014.zip
  • LTCH data specs HTML files (v1.01.1) 01-31-2014.zip
  • LTCH data specs PDF files (v1.01.1) 01-31-2014.zip

 

November 19, 2013

LTCH CARE Software Developer/Vendor Call on December 12, 2013

CMS will host an LTCH CARE technical informational call for software vendors and developers on Thursday, December 12, 2013. Call-in information is as follows:

Date: Thursday, December 12, 2013

Time: 2:30 P.M. – 3:30 P.M. ET

Conference Call Number: 1-866-712-2205

Conference Code: 4260581739

This call will cover topics for the July 1, 2014 LTCH CARE release such as:

• Changes identified in the LTCH CARE Draft Data Submission Specification Errata

• Submitted Q & A Discussion

• Open Q and A Session

The agenda for the call will be available prior to this call on the QTSO website at:

https://www.qtso.com/vendor.htm .

Please Note:

• We encourage software developers/vendors to familiarize themselves with this website (https://www.qtso.com) and review the website regularly for important technical information and updates.

• We encourage vendors to register on this website to receive important announcements from CMS. Registration is completed on the QIES Technical Support Office website (QTSO) website at https://www.qtso.com/vendor.html .

LTCH CARE software developers/vendors are encouraged to review specifications and submit questions specific to the LTCH CARE 2014 release to the LTCH Technical Issues mailbox (LTCHTechIssues@cms.hhs.gov). The subject line must be "VENDOR CALL". Questions to be addressed on this call must be e-mailed prior to 6:00 pm ET on December 5, 2013.

**CMS strongly recommends that all LTCH Software Developers/Vendors attend this call

May 7, 2013 – LASER v1.0.1

LASER 1.0.1 (LTCH Assessment Submission Entry and Reporting tool) is a java based application that allows Long Term Care Hospitals to collect and maintain facility, patient and assessment information for subsequent submissions to the appropriate national data repository.  LASER is free software provided by the Centers for Medicare & Medicaid Services (CMS).  Consult the LASER Installation Guide and LASER User Guide for further information.  LASER v1.0.1 is available under the Related Links section of the main LTCH Quality Reporting web page, which is accessible by selecting the link titled LTCH Quality Reporting in the upper left hand corner of this web page.

LASER 1.0.1 update to LASER 1.0.0 includes the following: 

  • Cosmetic changes to reports
  • Patient move updated
  • Updates to the user manuals to reference latest version and details on patient move  procedure

 

March 14, 2013 – IMPORTANT ANNOUNCEMENT

An errata document for V1.00.3 of the data submission specifications has been posted.  This document describes a change to warning edit -3900 that is scheduled to take effect on April 21, 2013.  The purpose of this change was to remove the warning edit -3900 from items considered voluntary on the LTCH CARE Data Sets.  You can access the errata document for V1.00.3 of the data submission specifications under the Downloads section of this web page below.

 

August 24, 2012

July 18, 2012

The LTCH CARE Data Submission Specifications have been updated and posted.  The new version is V1.00.3.  This version addresses all of the issues that were addressed in the errata document that was posted in June, 2012.  These data specifications are effective for October, 2012.  The previous version (v1.00.2) and its errata document have been removed from the Downloads section.  The entry for the submission specifications in the Downloads section below links to the zip file that contains the updated files.  The files within this .zip are:

  • LTCH CARE 1.00 data specs overview (v1.00.3) 07-12-2012.pdf
  • LTCH data dictionary (v1.00.3) 07-12-2012.zip
  • LTCH data specs CSV files (v1.00.3) 07-12-2012.zip
  • LTCH data specs HTML files (v1.00.3) 07-12-2012.zip
  • LTCH data specs PDF files (v1.00.3) 07-12-2012.zip

Note that the version history document that was distributed in the prior version of the data specifications has been replaced with an Item Change Report and an Edit Change Report which are contained in the PDF zip file.  Also note that the detailed data specifications report is included as both a single file and as a set of files which correspond to each section of the assessment.  Finally, the HTML zip file now contains a file that was missing in the previous version: INDEX.HTML.  To use the HTML version of the specs, unzip the HTML files to a new folder and open INDEX.HTML with your browser.

LTCH Assessment Submission Entry & Reporting (LASER) Updates:

The LTCH CARE Data Set free, downloadable software, the LTCH Assessment Submission Entry & Reporting (LASER)  usertool, will be made available for downloading in the late summer, 2012. Please continue to visit this website for additional information related to the LASER tool, and user training related to LASER, as more information will be posted as it becomes available.

  • CMS wants to ensure that LTCHs are aware of the following technical trainings related to the LTCH CARE Data Submission and LASER that are available for downloading on www.qtso.com:
    1. Data Submission Trainings:
      1. CMSNet and QIES User ID Registration Training – Recorded WebEx is now posted
      2. LTCH Assessment Submission Process – Recorded WebEx to be posted week of 8/27/12
      3. LTCH Assessment and Validation Reports – Recorded WebEx to be posted week of 8/27/12
    2. The LASER trainings are as follows, and will also be available on QTSO.com:
      1. LASER Login Process – Recorded WebEx posted by the week of 8/20/12
      2. LASER Patient and Assessment Entry – Recorded WebEx posted by the week of 8/20/12
      3. LASER Import and Export Process – Recorded WebEx posted by the week of 8/20/12
      4. LASER Reports – Recorded WebEx posted by the week of 8/20/12
      5. LASER Demonstration Version of the tool posted by the week of 8/20/12

Federal Register Notices:

  • September 2, 2011
    The LTCH CARE Data Set related to the data collection for the quality measure: Pressure Ulcers that are New or Have Worsened is discussed in a Paperwork Reduction Act (PRA) Notice which appeared in the Federal Register on September 2, 2011 (Volume 76, Issue 171). The file number for the LTCH PRA package in CMS-10409. Please see Link provided below.
  • August 18, 2011
    In the Section titled “C. Quality Reporting Program for LTCHs” which is contained in pages 51743 through 51756 the of the (CMS-1518-F) Fiscal Year 2012, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospitals Prospective Payment System and FY 2012 Rate; Hospitals FTE Resident Caps for Graduate Medical Education Payment, Rule, Federal Register/Vol. 76, No. 160, August 18, 2011, we describe the LTCH quality reporting program.

LTCH CARE Data Set:

The LTCH CARE Data Set related to the data collection for the quality measure: Pressure Ulcers that are New or Have Worsened is discussed in a Paperwork Reduction Act (PRA) Notice which appeared in the Federal Register on September 2, 2011 (Volume 76, Issue 171). The file number for the LTCH PRA package in CMS-10409. Please see Link provided below.

Comments and Questions:
Please submit comments and questions related to technical issues to: LTCHTechIssues@cms.hhs.gov.

Please submit feedback, comments and questions related to the LTCH Quality Reporting Program to: LTCHQualityQuestions@cms.hhs.gov.

Technical Support Office:

NHSN:

Information related to the procedures using the NHSN for data submission for CLABSI and CAUTI events can be found at http://www.cdc.gov/nhsn.