Spotlight and Announcements

About this Page

The page provides recent news and updates pertinent to the Home Health Quality Reporting Program. On this page you will find announcements about posting of resource guides and fact sheets, the availability of Q&A documents, information about Home Health Compare, among other notifications. Questions about home health quality measures, including the Quality of Patient Care star ratings, can be sent to HomeHealthQualityQuestions@cms.hhs.gov. For any other questions, please see the Home Health Quality Reporting Program Help Desks page to identify the correct contact email and/or phone number.

Updates

December 10, 2019

NOW AVAILABLE – Updated measure tables for OASIS-D1

Updated measure tables, aligned with the implementation of OASIS-D1 on January 1, 2020, are now available on the Quality Measures page, in the Downloads sections. The outcome, process, and potentially avoidable events measure tables include measure definitions and data sources, as well as information about National Quality Forum endorsement and use in the Quality of Patient Care star ratings. Questions about these resources can be sent to HomeHealthQualityQuestions@cms.hhs.gov.

November 26, 2019

NOW AVAILABLE- OASIS Considerations for Medicare PDGM Patients - Transition

A resource to assist agencies with OASIS considerations during the PPS to PDGM transition is now available in the Downloads section of the OASIS User Manuals webpage

This document provides PDGM transition guidance including OASIS time point, data set version and M0090 Date Assessment Completed considerations for patients where resulting assessments must provide the Health   Insurance Prospective Payment System (HIPPS) code for a PDGM payment period that begins January 1, 2020 or later. 

November 21, 2019

The Centers for Medicare & Medicaid Services (CMS) Home Health (HH) Quality Reporting Program (QRP) is seeking input from the public as part of the measure development process. CMS has posted the Technical Expert Panel Summary Report: Development of Home Health Within-Stay Potentially Preventable Hospitalization Measure for Home Health Agencies and the Measure Specifications for the Home Health within-stay Potentially Preventable Hospitalization Measure for the public’s review.  Please review the Home Health within-stay Potentially Preventable Hospitalization measure specification document as well as PPH Technical Expert Panel Summary Report and give us your feedback via the email HH_QM_Comment@abtassoc.com.


The full documents are available at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Public-Comments.html

November 13, 2019

As part of our Measures Management initiative, CMS announces that we are simplifying the number of measures reported to home health agencies (HHAs) in the on-demand Tally Reports.  Beginning in January 2020, we will be removing the following the previously retired measures from the Tally Reports:

  • Improvement in Grooming
  • Improvement in Toileting Hygiene
  • Improvement in Eating
  • Improvement in Urinary Tract Infection
  • Stabilization in Cognitive Functioning
  • Improvement in Anxiety Level
  • Stabilization in Anxiety Level
  • Improvement in Behavior Problem Frequency
  • Emergency Department Use with Hospitalization
  • Depression Interventions Implemented During All Episodes of Care
  • Treatment Of Pressure Ulcers Based On Principles Of Moist Wound Healing For All Episodes
  • Drug Education on High Risk Medications Provided to Patient/Caregiver SOE
  • Falls Prevention Steps Implemented For All Episodes
  • Pressure Ulcer Prevention Implemented All Episodes
  • Pain Interventions Implemented During All Episodes

                                                                                                                    

November 08, 2019

Specifications for the quality measures and standardized patient assessment data elements for the HH QRP finalized through the CY 2020 HH PPS Final Rule are now posted. The specifications document provides detailed information on the new and updated measures: Transfer of Health Information to Provider–Post-Acute Care (PAC), Transfer of Health Information to Patient–Post-Acute Care (PAC), and Discharge to Community–Post-Acute Care (PAC) HH QRP. The standardized patient assessment data elements and evidence of support for these data elements are also detailed in the specifications document.

The new and modified sections of the OASIS, along with a change table, effective January 1, 2021 for the measures and standardized patient assessment data elements finalized for the HH QRP in the CY 2020 HH PPS Final Rule are also posted. The specifications, mockups and change table can be found in the Downloads section of the HH Quality Measures webpage.

The CY 2020 HH PPS Final Rule is available at https://www.federalregister.gov/.

October 30, 2019

Home Health Compare Quarterly Refresh – October 2019

The October 2019 quarterly Home Health (HH) Compare refresh is now available on the Home Health Compare website. Visit the website to view the new and updated quality information.

 

October 29, 2019

Final OASIS D-1 Data Submission Specifications Now Available

Final OASIS D-1 data submission specifications are available in the Downloads section of the OASIS Data Specifications webpage at /Medicare/Quality-Initiatives-Patient-Assessment-Instruments/OASIS/DataSpecifications. The new version, V2.31.0, is effective for OASIS assessments with an M0090 Date Assessment Completed of January 1, 2020 or later. Changes in this version of the specifications are required to support the transition to the Patient-Driven Groupings Model (PDGM) and consist of the addition of two existing items to the Follow-Up assessment instrument (with corresponding revisions to the All Items instrument) and changes from required to optional data collection at certain time points for 23 items.

 

October 17, 2019

Video Tutorial Available to Assist with Proper Coding of GG0130A. Eating

Accessible from the following webpages:

October 15, 2019

The Centers for Medicare & Medicaid Services (CMS) Home Health (HH) Quality Reporting Program (QRP) has posted the Technical Expert Panel Summary Report: Development of Home Health Within-Stay Potentially Preventable Hospitalization Measure for Home Health Agencies. This report summarizes the feedback of a technical expert panel in reviewing work by the Abt Associates team to develop potentially preventable hospitalization measures over three meetings held in 2018.

The full report is available at: /Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TEP-Current-Panels

 

October 15, 2019

NOW AVAILABLE- Updated Quarterly OASIS Q&As

October 2019 OASIS Q&A’s are available in the OASIS Quarterly Q&As section of the CMS QTSO webpage, https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals .

 

October 1, 2019

Home Health Quality Reporting:  Non-Compliance Letters

CMS is providing notifications to Home Health Agencies that were determined to be out of compliance with Home Health Quality Reporting Program (HH QRP) requirements, which will affect their CY 2020 Annual Payment Update (APU). Non-compliance notifications are in the process of being mailed by the Medicare Administrative Contractors (MACs) and will be placed into agency CASPER folders in QIES on October 1, 2019.   Home Health Agencies that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59 local time, November 1, 2019.  If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notification and on the Home Health Quality Reporting Reconsiderations and Exception & Extension page. 

 

September 27, 2019

NOW AVAILABLE IN CASPER - Preview Reports and Star Rating Preview Reports for the January 2020 Refresh

Providers can now download the latest Provider Preview Reports and the Quality of Patient Care (QoPC) Star Rating Preview Reports from CASPER. These reports preview data that will be displayed in the Home Health Compare website beginning around January 23, 2020. The Home Health Compare Provider Preview Reports remain in the CASPER folder and are available to providers for 60 days only. The QoPC Star Ratings Provider Preview Reports remain in the CASPER folders and are available to providers for 90 days only. Providers are encouraged to save a copy of their preview reports for later reference.

Learn more about the Home Health QRP data submission deadlines here and about the Home Health Star Ratings here.

August 23, 2019

Post-Training Materials Available – Home Health Quality Reporting Program: Achieving a Full APU/Market Basket Increase Webinar

Available on the Home Health Quality Reporting Training webpage.

August 06, 2019

Posting of the Home Health Quality Reporting Program Measures Calculations and Reporting User’s Manual – Version 1.0 Effective August 2019

The Centers for Medicare & Medicaid Services (CMS) Home Health (HH) Quality Reporting Program (QRP) has posted the first version of the of the HH QRP Measures Calculations and Reporting User’s Manual. This manual presents the methods used to calculate the quality measures (QMs) that are included in the HH QRP and reported on the Home Health Compare website. It comprises detailed information for each QM, including definitions, inclusion and exclusion criteria, and QM calculation specifications. A complete version of the HH QRP QM User’s Manual may be found on the HH QRP Quality Measures page.

August 02, 2019

SUBJECT: Register for an iQIES Account - Action Required

Dear Home Health Agency (HHA):

The Quality Improvement and Evaluation System (QIES), which providers and vendors use to submit assessment data, is being upgraded to make the system more reliable, scalable, secure, and accessible. The enhancements will occur in phases (by provider type) and began with Long- Term Care Hospitals (LTCHs) in March 2019, to be followed by Inpatient Rehabilitation Facilities (IRFs) in October 2019 and Home Health Agencies (HHAs) in January 2020. The enhanced system is referred to as the Internet Quality Improvement and Evaluation System (iQIES).

The initial rollout of iQIES will not change how providers or vendors submit data. However, iQIES will require a new user management system because virtual private network (VPN) and CMSNet are no longer needed to access this system. All users will have to create an account and establish credentials in the Healthcare Quality Information System (HCQIS) Access, Roles and Profile system (HARP). HARP is a secure identity management portal that the Centers for Medicare & Medicaid Services (CMS) provides.

Through HARP, the level of access for iQIES will be similar to the roles that exist in QIES but with the addition of a Provider Security Official (PSO). The individual designated as the PSO will be responsible for approving or rejecting iQIES user access requests for their respective organizations, including vendors.

For your organization to receive access to iQIES, your organization must first complete the steps below according to the following schedule:

  1. Identify an individual who will be the Provider Security Official (PSO).
  2. Register the PSO in the Healthcare Quality Information System (HCQIS) Access Roles and Profile (HARP) system at: https://harp.qualitynet.org/register/profile-info.
  3. After your MFA (Multi-Factor Authentication) is complete, choose the iQIES application presented to you to request your Security Official role. Alternatively, you can access iQIES at the following URL: https://iqies.cms.gov/ to complete your role request.

For assistance with HARP onboarding, users can call the QTSO Helpdesk at (800) 339-9313 or e-mail help@qtso.com. If you have any questions related to iQIES, please send them to iQIES_Broadcast@cms.hhs.gov.

Onboarding Start Date

Home Health Provider’s State

08/01/2019

CT, MA, ME, NH, RI, VT

08/01/2019

DC, DE, MD, PA, VA, WV

09/01/2019

IL, IN, MI, MN, OH, WI

Onboarding Start Date

Home Health Provider’s State

09/01/2019

AR, LA, NM, OK, TX

10/02/2019

AL, FL, GA, KY, MS, NC, SC, TN

10/02/2019

IA, KS, MO, NE

10/02/2019

CO, MT, ND, SD, UT, WY

10/02/2019

AK, ID, OR, WA

11/01/2019

NJ, NY, PR, VI

11/01/2019

AZ, CA, GU, HI, MP, NV

Please note that at this time, only certified Home Health Agencies will be onboarded to iQIES. For questions, please contact our service desk at: help@qtso.com or by phone: 800-339-9313 with any questions.

***Although onboarding for HHAs will begin in August, iQIES assessment submission functionality for HHAs will not be available until January 1, 2020. Although this functionality will not be available immediately, we encourage HHA security officials to request access to iQIES as soon as onboarding for your organization’s state has begun. CMS advises that HHAs register two security officials, if possible, as doing so will allow for a smoother transition prior to the January go live date. Upon receiving access, security officials will have access to ‘My Profile’ and ‘Help’ in iQIES.

To comply with federal security mandates, CMS is initiating new security requirements for access control to CMS Quality Systems through Remote Identify Proofing (RIDP) via HARP. Users will need to create an account in HARP to gain access to the iQIES system. CMS has prepared a fact sheet with more information about this process. To view the fact sheet, visit: https://qtso.cms.gov/news-and-updates/remote-identify-proofing-requirements-internet-quality-improvement-evaluation-0

Frequently Asked Questions (FAQs) related to HARP can be accessed using the following link: https://harp.qualitynet.org/login/help

 July 30, 2019

CUTPOINTS UPDATED Star Rating Preview Reports for the October 2019 Refresh Available in CASPER

The Quality of Patient Care (QoPC) Star Rating Preview Reports for the October 2019 refresh have been updated to contain corrected cutpoints for the QoPC Star Rating determination. No HHAs’ measure scores or ratings have changed in this correction. This updated QoPC Star Ratings Provider Preview Reports replace those posted on July 12th. The deadline for submitting a request for suppression remains August 12th.

These revised reports will be available to providers for 90 days only. Providers are encouraged to save a copy of their preview reports for later reference.

JULY 16, 2019

NOW AVAILABLE- Updated Quarterly OASIS Q&As

July 2019 OASIS Q&A's are available in the OASIS Quarterly Q&As section of the CMS QTSO webpage, https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals .

July 15, 2019

UPDATED Corrected Provider Preview Reports for the October 2019 Refresh  Available in CASPER

The Provider Preview Reports posted on July for the October 2019 refresh have been corrected due to an error affecting the reporting of the claims-based "Acute Care Hospitalization" and "Emergency Department Use without Hospitalization" measures. No changes have made to the other measures shown on the report.

July 12, 2019

UPDATED Star Rating Preview Reports for the October 2019 Refresh Available in CASPER

Providers can now download updated Quality of Patient Care (QoPC) Star Rating Preview Reports from CASPER. These reports have been revised to include some previously missing data and correctly preview data that will be displayed in the Home Health Compare website beginning around October 30, 2019. The revised QoPC Star Ratings Provider Preview Reports replace those posted on July 3. To accommodate the revisions, CMS is extending the deadline for submitting a request for suppression until August 12th. Some providers may see a slight change up or down in their QoPC star rating as a result of the revisions.

These revised reports will be available to providers for 90 days only. Providers are encouraged to save a copy of their preview reports for later reference.

 

July 11, 2019

Specifications for the quality measures and standardized patient assessment data elements proposed for the HH QRP through the CY 2020 HH PPS Proposed Rule are now posted. The specifications document provides detailed information on the proposed new and updated measures: Transfer of Health Information to Provider–Post-Acute Care (PAC), Transfer of Health Information to Patient–Post-Acute Care (PAC), and Discharge to Community–Post-Acute Care (PAC) HH QRP. The standardized patient assessment data elements and evidence of support for these data elements are also detailed in the specifications document. The new and modified sections of the OASIS, along with a change table, effective January 1, 2021 for the measures and standardized patient assessment data elements proposed for the HH QRP in the CY 2020 HH PPS Proposed Rule are also posted. The specifications, mockups and change table can be found in the Downloads section of the HH Quality Measures webpage.

The CY 2020 HH PPS Proposed Rule will be available at https://www.federalregister.gov/.

July 3, 2019

NOW AVAILABLE IN CASPER - Preview Reports and Star Rating Preview Reports for the October 2019 Refresh

Providers can now download the latest Provider Preview Reports and the Quality of Patient Care Star Rating Preview Reports from CASPER. These reports preview data that will be displayed in the Home Health Compare website beginning around October 30, 2019. The HHC Provider Preview Reports remain in the CASPER folders and are available to providers for 60 days only. The QoPC Star Ratings Provider Preview Reports remain in the CASPER folders and are available to providers for 90 days only. Providers are encouraged to save a copy of their preview reports for later reference.

Learn more about the Home Health QRP data submission deadlines here and about the Home Health Star Ratings here.

June 27, 2019

Enhanced Assessment Submission & Processing System/User Tool for Home Health Providers for January 1, 2020

In March 2019, the Centers for Medicare and Medicaid Services (CMS) began delivering a series of enhancements to the Quality Improvement and Evaluation System (QIES). The upgraded system, called the Internet Quality Improvement and Evaluation System (iQIES), is an Internet facing, cloud-based system that is more reliable, intuitive, secure, and accessible. iQIES will be rolled out to post-acute care providers using a phased approach that began with Long Term Care Hospitals (LTCHs), to be followed by Inpatient Rehabilitation Facilities (IRFs) in October 2019. Home Health Agencies (HHAs) will be able to receive access to iQIES starting in July 2019 as part of the upcoming release on January 1, 2020. In January 2020, HHAs will have access to a new patient assessment upload and reporting interface that will replace the current Assessment Submission & Processing (ASAP) and the Certification and Survey Provider Enhanced Reports (CASPER) submission and reporting systems. This release will also include the ability for HHA providers and vendors to create assessments in iQIES, replacing the jHAVEN user tool. In addition, this release will include survey and certification functionality for HHAs.

What to Expect/Future Communications For additional information about the release of iQIES for HHAs, the following communications will be made available in coming weeks and in the next several months:

- iQIES Provider Security Official Request Letter – Instructions on how your organization can assign a “Provider Security Official” and begin the account creation process. A Provider Security Official will need to obtain this access in iQIES in order to approve access requests for your organization. We expect to start onboarding HHA Security officials in July 2019; onboarding for HHAs will continue for several months and will follow a schedule according to your organization’s state (details will be included in these instructions, to be sent in coming weeks).

- iQIES Training Video Announcement – Resources for how to navigate the iQIES system and how to utilize the improved functionality.

- iQIES XML Upload/Assessment Tool Release Announcement- Announcement of January 1, 2020 GoLive date for HHAs

- iQIES FAQs – Frequently asked questions that will be updated periodically based on end-user feedback to improve the overall experience.

***Although onboarding for HHAs will begin in July, iQIES assessment submission functionality will not be available until January 1, 2020. Although this functionality will not be available immediately, we encourage HHA security officials to request access to iQIES as soon as onboarding for your organization’s state has begun. Upon receiving access, security officials will have access to ‘My Profile’ and ‘Help’ in iQIES.

For More Information

Visit the http://qtso.cms.gov website, or contact our service desk at: help@qtso.com or by phone: 800- 339-9313 with any questions.

June 26, 2019

NEW TRAINING EVENT — Updated Section GG Web-based Training Course

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course on how to properly code of Section GG. This 45-minute course is intended for providers in the following care settings: Skilled Nursing Facilities (SNFs), Long-Term Care Hospitals (LTCHs), Inpatient Rehabilitation Facilities (IRFs), and Home Health Agencies (HHAs); and is designed to be used on demand anywhere you can access a browser. The course is divided into the following four lessons and includes interactive exercises that allow you to test your knowledge in real life scenarios:

• Lesson 1: Importance of Section GG for Post-Acute Care

• Lesson 2: Section GG Assessment and Coding Principles

• Lesson 3: Coding GG0130.Self-Care Items

• Lesson 4: Coding GG0170.Mobility Items

Click here to access the training.

If you have technical questions or feedback regarding the training, please email the PAC Training mailbox. Content-related questions should be submitted to the Quality Reporting Program Help Desk for your care setting.

June 07, 2019

On April 30th, 2019, CMS announced a new policy for the submission of patient assessment records. Home health agencies will have 24 months from the assessment target date to submit and/or correct records. This policy was originally announced with an effective date of October 1, 2019. The effective date of the policy has been revised to January 1, 2020. To provide home health agencies with more information about this policy, a fact sheet is now available for home health agencies in the downloads section of the Home Health Quality Reporting Requirements page.

June 07, 2019

Video Tutorials Available to Assist with Coding Specific Section GG Items

Accessible from the following webpages:

Home Health QRP Training webpage

Inpatient Rehabilitation Facility QRP Training webpage

Long-Term Care Hospital QRP Training webpage

Skilled Nursing Facility QRP webpage

May 30, 2019

Publication of Potentially Preventable Readmission Measures for the Post-Acute Care Quality Reporting Programs (QRPs)

Beginning fall 2019, CMS will publicly display measure results on the Home Health Compare website for the Potentially Preventable 30-Day Post-Discharge Readmissions measure adopted for the Home Health (HH) Quality Reporting Program (QRP). For more information, please visit the Home Health Quality Measures webpage.

May 24, 2019

A specifications document providing technical details for OASIS-D1, effective January 1, 2020, is now available in the Downloads section of the OASIS Data Specifications webpage at /Medicare/Quality-Initiatives-Patient-Assessment-Instruments/OASIS/DataSpecifications. These specifications supplement the information provided in the OASIS-D1 Update memorandum revised and posted May 2019 at /Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/HHQIOASISUserManual.

Final technical specifications for OASIS-D1 will be posted once they are available. 

May 14, 2019

NOW AVAILABLE:

  • A revised version of the memorandum containing details about the changes to OASIS, effective January 1, 2020

The memorandum containing details about the changes to OASIS effective January 1, 2020 was updated to include detail addressing the transition to the Patient-Driven Groupings Model. This revised version is available on the OASIS User Manuals webpage, in the Downloads section.

 

Home Health QRP Archives

 

Page Last Modified:
12/10/2019 05:21 PM