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Spotlight and Announcements

About this Page

The Spotlight page provides recent news and updates pertinent to the Home Health Quality Initiative. 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 Care, 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.

Updates

February 20, 2019 

Post-Acute Care Quality Reporting Program Quarter 3 Data Submission Deadline Extension 

CMS is aware of the issue with CMSNet that impacted post-acute care (PAC) providers’ ability to submit assessment data for the quality reporting programs (QRP) to the QIES-ASAP system on the Quarter 3 data submission deadline of February 15, 2019. We have extended the data submission deadline, and we will be accepting QRP assessment data submissions through, Thursday, February 21, 2019. Providers can also apply for an extension following the instructions listed on the PAC QRP Reconsiderations and Exception & Extension webpages if they are unable to meet this extension deadline. 

February 08, 2019

HH Compare Quarterly Refresh – January 2019

The January 2019 quarterly Home Health (HH) Compare refresh, including new quality measure results based on data submitted to CMS, is now available on the HH Compare Site. In addition to the HH QRP measures that have displayed on Home Health Compare previously, the following four new quality measures are newly reported on HH Compare: 

Assessment-based measures:

  1. Percent of Residents or Patients with a Pressure Ulcers that Are New or Worsened (Short Stay) (NQF#0678)
  2. Drug Regimen Review Conducted with Follow-Up for identified Issues

Claims-based measures:

  1. Medicare Spending Per Beneficiary-PAC HH QRP
  2. Discharge to Community-PAC HH QRP

CMS has decided not to publish a 5th quality measure, Potentially Preventable 30-Day Post-Discharge Readmissions, at this time.   Additional time would allow for more testing to determine if there are modifications that may be needed both to the measure and to the method for displaying the measure. The additional testing will ensure that the future publicly reported measure is thoroughly evaluated so that Compare users can depend upon an accurate picture of provider quality.   While we conduct this additional testing, CMS will not post reportable data for this measure, including each agency’s performance, as well as the national rate.

Please visit the Home Health Compare website to view the new and updated quality data. 

January 29, 2019

REGISTRATION OPEN – Home Health QRP Provider In-Person Training Event, March 5 and 6, 2019

The Centers for Medicare & Medicaid Services (CMS) will be hosting a 2-day Home Health (HH) Quality Reporting Program (QRP) in-person 'Train the Trainer' event for providers on March 5 and 6, 2019, in Baltimore, MD. See the Home Health Quality Reporting Training webpage for details.

January 25, 2019

Section GG Decision Tree Training Document Now Available

A decision tree training document to help with coding Section GG self-care and mobility data elements is now available. This document provides an overview of the 6 codes and coding instructions for admission/discharge. Please see the HH Quality Reporting Training webpage for details.

January 25, 2019

An OASIS-D Guidance Manual Errata, updated 01-25-2019, is available on the CMS OASIS User Manuals website, in the Downloads section. This Errata document includes corrections to the final version of the OASIS-D Guidance Manual, posted 12/20/2018 on the CMS OASIS User Manuals webpage.

January 16, 2019

NOW AVAILABLE- Updated Quarterly OASIS Q&As

January 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 .

January 4, 2019

You can now download the Quality of Patient Care star rating preview reports for the April 2019 Home Health Compare refresh from CASPER.  These reports show how we updated the calculation algorithm described on the October 3, 2018 Medicare Learning Network call. We took the “Drug Education on all Medications Provided to Patient/Caregiver” process measure out of the calculation and replaced it with the Improvement in Management of Oral Medications” outcome measure. You can learn more.

December 20, 2018

NOW AVAILABLE - Final OASIS-D Guidance Manual and final OASIS-D Instrument

The Office of Management and Budget (OMB) approved the OASIS-D Guidance Manual and OASIS-D Instrument December 6, 2018. The final OASIS-D Guidance Manual is available on the OASIS User Manuals webpage, in the Downloads section. The final OASIS-D Instrument is available on the OASIS Data Sets webpage, in the Downloads section.

December 17, 2018

Post-Training Materials Available – November 2018 Home Health QRP Provider Training

Post-training materials for the Home Health Quality Reporting Program (QRP) Provider Training held on November 6 and 7, 2018, are now available in the Downloads section of the Home Health Quality Reporting Training webpage.

December 15, 2018

The OASIS-D Guidance Manual and OASIS-D Instrument were approved by the Office of Management and Budget (OMB) on December 6, 2018.  The finalized Guidance Manual and data set are currently in the 508 process for publication.  CMS expects to post these materials shortly.

A spotlight announcement will be posted on the HH QRP Spotlight and Announcements page to alert providers when the items are available. 

December 06, 2018

Disaster Information Now Available on the Reconsiderations and Exceptions & Extensions Page

For all disaster related information moving forward, please visit the Reconsiderations and Exceptions & Extensions web page for your Quality Reporting Program. Memos will be posted in the downloads section of this page with additional information for each specific disaster impacting the Quality Reporting Programs.

NOW AVAILABLE – Updated technical measure specifications and measure tables for OASIS-D

OASIS-D Q+A is Available  

A question and answer (Q+A) document related to the OASIS-D is now available. See the Home Health Quality Reporting Training webpage for details. 

November 13, 2018

REGISTRATION OPEN – Follow-Up Question and Answer Session on Guidance Related to Implementation of OASIS-D on November 29

The Centers for Medicare & Medicaid Services (CMS) is hosting a question and answer session related to guidance on the OASIS-D presented during webinars in August and September and the Train-the-Trainer event in Baltimore. This Q+A Session will take place via teleconference on November 29 from 2:00 to 3:00 p.m. See the Home Health Quality Reporting Training webpage for details.

NOW AVAILABLE – Updated Risk Models for OASIS-D

Updated risk model information for outcome measures using OASIS-D data is available on the Quality Measures page, in the Downloads sections. This includes the model parameters and fit statistics for revised models for the 13 OASIS-based measures that will be risk-adjusted for public reporting and confidential feedback, along with technical documentation on the risk adjustment methodology.  These models are effective for quality episodes beginning on or after January 1, 2019. In addition, the summary of public comments CMS received on these models is also posted here.  Questions about these models and their application can be sent to HomeHealthQualityQuestions@cms.hhs.gov.

Pre-Training Materials Available for the November 2018 Home Health QRP Provider In-Person Training Event

Available under the Downloads section of the Home Health Quality Reporting Training webpage.

October 29, 2018

 For all QRP web pages that reference  qtso.com please update to new web address to qtso.cms.gov

October 16, 2018

NOW AVAILABLE- Updated Quarterly OASIS Q&As

October 2108 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 16, 2018

NOW AVAILABLE – Updated Home Health OASIS Static Q&As (Categories 1-4) 

Categories 1, 2, 3 & 4 of the OASIS Q&As have been updated to reflect the OASIS-D item set and are now available on the QTSO Home Health Agency (HHA) Providers page under References & Manuals https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals 

The update involved removing references to OASIS items that will not be included in OASIS-D. Q&As related to the one clinician convention/collaboration and to the 2018 Home Health Conditions of Participation (CoP) change involving the physician-ordered Resumption of Care were also revised. Ninety-three Q&As were revised, and 133 Q&As were retired as a result of this update. Additional Static Q&A updates and edits are expected in 2019. 

October 15, 2018

Updates to the Home Health Quality of Patient Care (QoPC) Star Rating

During an October 3, 2019 Medicare Learning Network event CMS finalized the recommendation to modify the QoPC Star Ratings by removing the Drug Education on All Medications Provided to Patient/Caregiver during All Episodes of Care measure and adding the Improvement in Management of Oral Medications measure. The modified QoPC Star Ratings will first be reported during the April 2019 Home Health Compare refresh. Provider Preview Reports will be available in January 2019. The data reporting period for this refresh will be July 1, 2017 to June 30, 2018 for OASIS-based measures and CY 2017 for the claims-based measure.

The slides from the Medicare Learning Event are available here.

For more information, visit the Home Health Star Ratings webpage.

October 12, 2018

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 (HQRP) requirements for CY 2017, which will affect their CY 2019 Annual Payment Update (APU). Non-compliance notifications are in the process of being mailed by the Medicare Administrative Contractors (MACs).   Home Health Agencies that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 30 days after the date the non-compliance letter is issued.  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. 

NOW AVAILABLE--Post-Training Materials for Home Health Webinars (August 28 and September 5, 2018) Related to Changes Associated with the January 1, 2019, Implementation of the OASIS-D

Post-training materials for the Introduction to the OASIS-D and Section GG: Functional Abilities and Goals Webinars held on August 28 and September 5, 2018, respectively are now available in the Downloads section of the Home Health Quality Reporting Training webpage.

September 18, 2018

Updates to the Home Health Quality of Patient Care Star Rating

Wednesday, October 3, 2018

2-3 p.m. ET

Register for the 10-3-18 HH QRP Webinar

Following the 6/27/2018 MLN call describing recommended changes to the Quality of Patient Care (QoPC) Star Ratings and a one-month comment period, CMS is finalizing the proposal to modify the QoPC Star Ratings by removing the Drug Education on All Medications Provided to Patient/Caregiver during All Episodes of Care measure and adding the Improvement in Management of Oral Medications. During this webinar, CMS will present the comments received, rationale for the final decision, timing, and impact of this change.

For more information, visit the Home Health Star Ratings webpage.

September 11, 2018

REGISTRATION OPEN – Home Health QRP Provider In-Person Training Event, November 6 and 7, 2018

The Centers for Medicare & Medicaid Services (CMS) will be hosting a 2-day Home Health (HH) Quality Reporting Program (QRP) in-person 'Train the Trainer' event for providers on November 6 and 7, 2018, in Baltimore, MD. See the Home Health Quality Reporting Training webpage for details.

August 27, 2018

Pre-Training Materials Now Available for the Upcoming Home Health Webinars (August 28 and September 5, 2018) Related to Changes Associated with the January 1, 2019, Implementation of the OASIS-D

The training materials for the upcoming Introduction to the OASIS-D Webinar, scheduled for Tuesday, August 28, 2018, from 2:00 to 4:00 p.m. EDT and Section GG: Functional Abilities and Goals Webinar, scheduled for Wednesday, September 5, 2018, from 2:00 to 4:00 p.m. EDT are now available under the Downloads section of the Home Health Quality Reporting Training webpage.

August 27, 2018

Revised versions of the Outcome Measures table, CY2017 HH PPS Final Rule quality measure specifications and risk model documentation for the cross-setting Discharge to Community (DTC) measure have been posted on the Quality Measures page. These materials have been updated to clarify that a prior proximal hospital stay is not required for inclusion in the DTC denominator, and to clarify denominator exclusions.

August 07, 2018

An OASIS-D Guidance Errata, updated 08-06-2018, is available in the Downloads section of the OASIS User Manuals web page.

July 17, 2018

Updated Quarterly OASIS Q&As

July 2108 OASIS Q&A’s are available in the downloads section of the OASIS User Manuals webpage.

July 16, 2018

A Quick Reference Guide for the Home Health QRP for FY2020 is now available on the Home Health Quality Reporting Requirements webpage. The guide includes frequently asked questions, information on QRP help desks, and helpful links to additional resources for the Home Health QRP. 

July 03, 2018

Draft OASIS-D Guidance Manual Available

The draft Guidance Manual for the OASIS-D version of the OASIS data set, effective January 1, 2019, is available in the Downloads section on the OASIS Users Manuals page.

July 03, 2018

CMS held an MLN call on June 27 to describe proposed changes to the Quality of Patient Care star ratings algorithm.  Specifically, CMS is proposing to remove the Drug Education on All Medications Provided to Patient/Caregiver during All Episodes of Care measure and add the Improvement in Oral Medications measure to the calculation. Presentation slides are available in the “Downloads” section of the star ratings page. Public comment on the proposed changes can be sent to HH_QM_Comment@abtassoc.com through July 26, 2018.

 

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