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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

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 09, 2018

REGISTRATION OPEN – Upcoming Home Health QRP Webinars (August 28, and September 5, 2018) Related to Changes Associated with the Scheduled January 1, 2019, Implementation of the OASIS-D

The Centers for Medicare & Medicaid Services (CMS) will be hosting two webinars to introduce Home Health providers to changes to the Outcome and Information Assessment Set (OASIS)-D related to the Home Health Quality Reporting Program (QRP) that are scheduled to become effective on January 1, 2019. The two webinars are scheduled for Tuesday, August 28, and Wednesday, September 5, 2018. See the Home Health Quality Reporting Training webpage for details.

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.

June 08, 2018

Updated Process Measures Table and Specifications for “Timely Initiation of Care”

An updated home health process quality measure table is available on Quality Measures, along with updated specifications for the Timely Initiation of Care measure. These documents have been modified to further align with the Medicare Conditions of Participation (CoPs) for home health agencies that became effective January 13, 2018. These included a change regarding resumption of care (ROC) dates for patients returning to home health following an inpatient stay, which allowed for a physician ROC date as an alternative to the fixed 48-hour timeframe for the post-hospital reassessment. 

June 01, 2018

Home Health Agencies: Quality of Patient Care Star Ratings Algorithm Call — June 27

Wednesday, June 27 from 2 to 3 pm ET

Register for Medicare Learning Network events.

During this call, learn about proposed modifications to the way CMS calculates Home Health Quality of Patient Care star ratings, including:

• Removal of the Drug Education on All Medications Provided to Patient/Caregiver during All Episodes of Care measure

• Addition of the Improvement in Oral Medications measure

CMS presents the rationale, proposed timing, and impact of these changes. A question and answer session follows the presentation.

April 20, 2018

Post-Training Materials Available – Home Health Review and Correct Reports Webinar, March 6, 2018

Post-training materials from the Home Health Review and Correct Reports Webinar held on March 6, are now available on the Home Health Quality Reporting Training webpage.

April 17, 2018

Updated Quarterly OASIS Q&As

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

April 16, 2018

Quality of Patient Care Star Ratings

Several updated documents have been posted in the Downloads section of Star Ratings page. The Fact Sheet, Frequently Asked Questions (FAQ) and methodology documents have been revised to reflect the removal of Influenza Immunization Received for Current Flu Season from the Quality of Patient Care star ratings calculation.

March 07, 2018

Updated Process Measures Table

An updated home health process quality measure table is available on Quality Measures. This table has been modified to align with the revised technical specification for the Timely Initiation of Care measure, which were effective for episodes of care starting on or after January 13, 2018.

March 02, 2018

Pre-Training Materials Available -- Home Health Review and Correct Reports Webinar, March 6, 2018

Pre-training materials (without answers to knowledge checks) for the Home Health Review and Correct Reports Webinar are now available under the Downloads section of the Home Health Quality Reporting Training webpage. The webinar is scheduled for March 6, 2018, from 2:00 p.m. to 3:30 p.m. ET.

February 27, 2018

Revised Logic for the Timely Initiation of Care Measure

The Medicare Conditions of Participation (CoPs) for home health agencies that became effective January 13, 2018 included a change regarding resumption of care (ROC) dates for patients returning to home health following an inpatient stay.  Specifically, the revised guidance allows for a physician ROC date as an alternative to the fixed 48-hour timeframe for the post-hospital reassessment.  To align with this CoP change, updated logic for the Timely Initiation of Care process measure has been posted in the “Downloads” section here. With this update, an episode will also be included in the numerator (achieve success in the measure) when the physician-ordered ROC date is later than two days after inpatient stay and the agency completes the ROC assessment on the physician-ordered ROC date.  Use of this new calculation logic will be effective for quality episodes that begin on or after January 13, 2018. This change will be reflected in the Quality of Patient Care Star Rating and Home Health Compare Preview Reports available in September 2018 for the January 2019 Home Health Compare update. Also, in September CMS will retroactively apply these specifications to the confidential feedback and Review and Correct reports available through CASPER.

February 23, 2018

Hurricane Nate - Disaster Exceptions/Exemptions for Medicare Certified Providers Affected by Severe Storms and Flooding

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, renal dialysis facilities, ambulatory surgical centers as well as Merit-Based Incentive Payment System (MIPS) eligible clinicians located in areas affected by Hurricane Nate. These healthcare providers and suppliers will be granted exceptions without having to submit a request if they are located in one of the counties listed in the memo posted on February 8, 2018, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county.

The scope and duration of the exception under each Medicare quality reporting program is described in the memo as well, however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

If FEMA expands the current disaster declaration to include additional counties, CMS will update this memo to expand the list of providers eligible to receive an exception without submitting a request.

In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Additional details and materials are available on the CMS Hurricanes webpage. Please check back frequently for updates.

February 22, 2018

California Wildfires - Disaster Exceptions/Exemptions for Medicare Certified Providers Affected by Severe Storms and Flooding

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, renal dialysis facilities, ambulatory surgical centers as well as Merit-Based Incentive Payment System (MIPS) eligible clinicians located in areas affected by the California wildfires (FEMA DR-4353). These healthcare providers and suppliers will be granted exceptions without having to submit a request if they are located in one of the California counties listed in the memo posted on February 8, 2018, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county.

The scope and duration of the exception under each Medicare quality reporting program is described in the memo as well, however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

If FEMA expands the current disaster declaration to include additional counties, CMS will update this memo to expand the list of providers eligible to receive an exception without submitting a request.

In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Additional details and materials are available on the CMS Wildfires webpage. Please check back frequently for updates.

February 14, 2018

Updated Quality Measure Specification Document Available

An updated quality measure specifications document for the cross-setting measure Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened is now available in the Downloads section of the Quality Measures webpage. The measure specification logic has not changed but language has been added to clarify how valid skips are accounted for in the measure denominator.

February 08, 2018

HHA Review and Correct Report Issue 

Please be informed there was a technical issue with the weekly calculation which was to occur on February 5, 2018 for the HHA Review and Correct Report. Any OASIS records submitted beginning January 29, 2018 have not yet been included in the calculations for the HHA Review and Correct Report. 

We anticipate that the issue will be corrected and calculations will be performed later this week for any records submitted on or after January 29, 2018. We will send a follow-up announcement when the calculations have occurred. 

If you have any questions concerning this information, please contact the QTSO Help Desk at help@qtso.com or 1 (800) 339-9313.  

HHA Review and Correct Report Issue Correction 

Earlier this week HHA’s were notified of an issue which prevented the February 5, 2018 weekly calculations for the HHA Review and Correct Report, and that any OASIS records submitted beginning January 29, 2018 had not yet been included in the calculations for the HHA Review and Correct Report.

This issue has been corrected, and calculations have been performed for all OASIS records submitted between January 29, 2018 and (will insert date here, potentially February 8, 2018). The updated calculations for those records should now be apparent for the Open periods within any new HHA Review and Correct Reports that are requested. The regular weekly calculations will also resume on January 12, 2018. 

If you have any questions concerning this information, please contact the QTSO Help Desk at help@qtso.com or 1 (800) 339-9313.

February 01, 2018

Correction of Home Health Review and Correct Report

CMS has determined that the denominator counts for the Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened (NQF #0678) on the home health Review and Correct reports are incorrect. Specifically, they do not include episodes where M1313 was coded as a valid skip, when the response to M1306 was “0” (No). The numerator counts on these reports were calculated correctly. The forthcoming confidential feedback reports for this measure (the HH on-demand Risk Adjusted Outcome Reports), as well as public reporting on Home Health Compare starting in 2019, will both correctly incorporate episodes with valid skips in the denominator. 

As a result, HHAs can expect to see much lower rates for the measure relative to the values on their Review and Correct reports to date. The Review and Correct reports going forward will also include this update. As a result, measure calculation will be standardized across post-acute care settings.

January 23, 2018

TEP on Development of Potentially Preventable Hospitalization Measures for Home Health Agencies- Nominations due February 22

Nominations are due February 22, 2018 for a Technical Expert Panel (TEP) to develop potentially preventable hospitalization/readmission measures for Home Health Agencies (HHAs) including standardized items and specifications such as inclusion/exclusion criteria, and patient and facility characteristics--factors associated with outcome measures (risk adjusters).

Visit the Technical Expert Panels webpage for more information.

January 16, 2018

REGISTRATION OPEN – Home Health Review and Correct Reports Webinar, March 6, 2018

The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar on Review and Correct Reports for Home Health Agencies on Tuesday, March 6, 2018, from 2:00-3:30 p.m. EST. See the Home Health Quality Reporting Training webpage for details.

January 02, 2018

Home Health QRP: Transcript and Audio from Removal of Influenza Vaccination Measure from Quality of Patient Care Star Rating Webinar Available

An audio recording and transcript is now posted in the related links section of the Home Health Quality Reporting Program Training webpage for the December 14, 2017 webinar on Removal of Influenza Vaccination Measure from Quality of Patient Care Star Rating.

December 20, 2017

NEW TRAINING EVENT — Section GG Web-based Training Module Now Available

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training module to address questions submitted by providers during trainings between November 2015 and August 2016 related to Section GG across the Skilled Nursing Facility (SNF), Long-Term Care Hospital (LTCH), Inpatient Rehabilitation Facility (IRF), and Home Health (HH) care settings. Visit the Home Health Quality Reporting Training webpage for more information.

December 18, 2017 

CMS has finalized the proposed removal of the Influenza Immunization measure from the Quality of Patient Care star rating calculation. More information is included in the slides from the December 14 HH QRP webinar, available on the Home Health Quality Reporting Training webpage. The changes will be reflected in April 2018 Home Health Compare Update.

The Quality of Patient Care Star Ratings Preview Reports for the April 2018 refresh are now available in CASPER folders. These reports contain data that will be publicly reported on the Home Health Compare website in April 2018. 

December 13, 2017 

A summary of public comments received in response to the proposed removal of the Influenza Immunization measure from the Quality of Patient Care star rating calculation is available in the downloads section of the Star Ratings page.  The public comment period was from October 11 to November 11, 2017. The comments received show support for this proposal and will be discussed during the December 14 HH QRP webinar on changes to the calculation algorithm and timeline. 

November 30, 2017

Proposed Removal of Influenza Vaccination Measure from Home Health Quality of Patient Care Star Rating

Thursday, December 14, 2017

2-3 p.m. ET

Register for the 12-14-17 HH QRP Webinar

Following the 10/10/2017 MLN call describing proposed changes to the Quality of Patient Care (QoPC) star ratings and a one-month comment period, CMS is finalizing the proposal to remove the Influenza Vaccination Measure from the QoPC Star Ratings. During this webinar, CMS will present the rationale, comments received, timing, and impact of this change.

For more information, visit the Home Health Quality Reporting Program Training webpage.

November 01, 2017

The Final Specifications for HH QRP Quality Measures and Standardized Patient Assessment Data Elements for the CY 2018 HH PPS Final Rule are now available in the Downloads section of the Quality Measures page.

The documents OASIS 2019 Change Table for CY18 HH PPS Final Rule and OASIS Items for the CY 2018 HH PPS Final Rule are now available. Both items can be found in the Downloads section of the Quality Measures page.

The document Data Elements Finalized for Removal from OASIS in the CY 2018 Home Health PPS Final Rule, is available in the Downloads section of the OASIS Data Sets page.

The Testing of Standardized Assessment Items in Home Health, as described in the CY 2018 HH PPS Final Rule, is available in the Downloads section of the OASIS Data Sets page .

November 01, 2017

Northern California Wildfires - Disaster Exceptions/Exemptions for Medicare Certified Providers

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, renal dialysis facilities, and ambulatory surgical centers located in areas affected by the devastating impacts of the Northern California wildfires since October 8, 2017, in and around counties in Northern California.. These providers will be granted exceptions without having to submit an extraordinary circumstances exception request if they are located in one of the California counties which has been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county.

The scope and duration of the exception under each Medicare quality reporting program is described in the memo posted on 10-30-17, however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Further details and materials are available on the CMS 2017 California Wildfires webpage and the Home Health Quality Reporting Requirements webpage. Please check back frequently for updates.

November 01, 2017

A Quick Reference Guide for the Home Health QRP 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.

October 24, 2017

An audio recording and transcript are available for the October 10 call on Quality of Patient Care Star Rating Algorithms.

October 13, 2017

Hurricane Harvey – The FEMA designated areas affected by the hurricane have been updated. Refer to the Downloads section of the Home Health Quality Reporting Requirements webpage for updated information.

October 02, 2017

An audio recording and transcript  are posted for the August 17 call on IMPACT Act: Drug Regimen Review Measure Overview for the Home Health Quality Reporting Program.

September 28, 2017

Hurricane Maria - Disaster Exceptions/Exemptions for Medicare Certified Providers Affected by Severe Storms and Flooding

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, renal dialysis facilities, and ambulatory surgical centers located in areas affected by Hurricane Maria due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an Extraordinary Circumstances Exceptions (ECE) request if they are located in one of the Puerto Rico municipios or U.S. Virgin Islands county-equivalents listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster municipio or county-equivalent. The scope and duration of the exception under each Medicare quality reporting program is described below; however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

The scope and duration of the exception under each Medicare quality reporting program is described in the memo posted on 9-25-17, however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Additional details and materials are available on the CMS Hurricane page and the Home Health Quality Reporting Requirements webpage. Please check back frequently for updates.

September 26, 2017

Quality Assessment Only (QAO) Annual Performance Reports Now Available

The QAO Annual Performance Reports have been posted to the CASPER folders.  These reports show QAO results for the Annual Performance Update (APU) period of July 1, 2016 through June 30, 2017. The performance requirement for this period is a QAO rate of at least 80%. The QAO Annual Performance Reports will remain in the CASPER folders for 120 days. More information on the QAO performance requirement is available on the Home Health Quality Reporting page.

September 18, 2017

Home Health Agencies: Quality of Patient Care Star Rating Algorithm Call

Tuesday, October 10 from 2-3 pm ET

Register for Medicare Learning Network events.

During this call, learn about modifications and proposed changes to the way the Quality of Patient Care star rating is calculated, including the removal of the influenza measure. CMS presents the rationale, proposed timing, and impact of the changes. A question and answer session follows the presentation.

Target Audience: Medicare-certified Home Health Agencies.

September 14, 2017

Hurricane Irma - Disaster Exceptions/Exemptions for Medicare Certified Providers Affected by Severe Storms and Flooding

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, renal dialysis facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Irma due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an extraordinary circumstances exception request if they are located in one of the Florida counties, Puerto Rico municipios, or U.S. Virgin Islands county- equivalents, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county, municipio, or county-equivalent.

The scope and duration of the exception under each Medicare quality reporting program is described in the memo posted on 9-14-17, however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Additional details and materials are available on the Hurricane page and the Home Health Quality Reporting Requirements webpage. Please check back frequently for updates.

September 08, 2017 

Hurricane Irma

CMS is tracking Hurricane Irma closely with respect to the quality reporting programs’ data submission requirements, we will provide guidance and further information as it becomes available. 

Additional details and materials are available on the Hurricane page. Please check back frequently for updates.

Please note, that the FEMA designated areas affected have been updated in the Hurricane Harvey memo from August 31, 2017.

August 31, 2017

Expansion of the One Clinician Convention

Further guidance related to application of the Home Health one clinician convention has been posted to the downloads section of the OASIS User Manuals webpage. If providers have questions after reviewing the guidance instructions, questions may be submitted to the Home Health Quality Help Desk at homehealthqualityquestions@cms.hhs.gov.

August 31, 2017

Hurricane Harvey - Disaster Exceptions/Exemptions for Medicare Certified Providers Affected by Severe Storms and Flooding

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, outpatient dialysis facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Harvey due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an extraordinary circumstances exception request if they are located in one of the Texas counties or Louisiana parishes, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county.

The scope and duration of the exception under each Medicare quality reporting program is described in the memo posted on 8-31-17, however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

If FEMA expands the current disaster declaration for Hurricane Harvey to include additional counties or parishes, CMS will update this memo to expand the list of providers eligible to receive an exception without submitting a request to include the hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, and ambulatory surgical centers located in the additional counties and parishes.

In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Additional details and materials are available on the Hurricane page and the Home Health Quality Reporting Requirements webpage. Please check back frequently for updates.

August 16, 2017

May 2017 Home Health QRP Provider Training Question and Answer (Q&A) Document Is Now Available

The question and answer (Q+A) document from the  May  2017 Home Health Quality Reporting Program (QRP) Provider Training is now available in the “Downloads” section of the Home Health Quality Reporting Training webpage. The Q+A document contains participant questions from the training event which took place on Wednesday and Thursday, May 3 and 4, 2017, in Baltimore, MD.

August 08, 2017

One Clinician Rule

Based on feedback from home health stakeholders, and to better align with assessment practices in other Post-Acute Care settings, we have modified the current home care guidance related to the one clinician convention. As required by the Conditions of Participation, the Comprehensive Assessment will continue to be the responsibility of one clinician. However, effective January 1, 2018, the assessing clinician will be allowed to elicit feedback from other agency staff, or order to complete any or all OASIS items integrated within the Comprehensive Assessment.

Again, this new guidance will go into effect January 1, 2018, and at the time should be considered to supersede all previously published guidance related to application of the one clinician convention. Additional clarification is available in Chapter 1 of the 2018 OASIS Guidance Manual.

If providers have questions after reviewing the guidance manual instruction, questions may be submitted to the home health quality help desk at homehealthqualityquestions@cms.hhs.gov.

 

August 4, 2017

The 2018 guidance manual for the OASIS-C2 version of the OASIS data set is available in the Downloads section of the OASIS Data Sets webpage and the OASIS User Manuals webpage. This version corrects errata from the previous version and contains clarifications about the One Clinician Rule. The effective date is January 1, 2018.

July 25, 2017

Supplemental HH QRP materials described in the CY 2018 HH PPS Notice of Proposed Rule Making (NPRM) have been posted on the Quality Measure and OASIS Data Sets pages.

The following documents can be found in the “Downloads” section of the Quality Measure page:

  • Proposed Measure Specifications and Standardized Data Elements for the CY 2018 HH PPS Notice of Proposed Rule Making
  • OASIS 2019 Change Table for CY 2018 HH PPS NPRM
  • Proposed OASIS Items for CY 2018 HH PPS NPRM

The following documents can be found in the “Downloads” section of the OASIS Data Sets page:

  • Testing of Standardized Function Assessment Items Summary CY18 HH PPS Rule
  • Proposed Data Elements to be Removed from OASIS on January 1, 2019

July 25, 2017

Updated technical documentation for OASIS-based measures is now available in the downloads section of the Home Health Quality Measures webpage. The specifications provide detailed information on using OASIS-C2 to calculate process, outcome and potentially-avoidable event (PAE) measures in the Home Health Quality Reporting Program and Home Health Quality Initiative, as well as patient characteristics and risk factors. The revisions to the Process and Potentially Avoidable Event documentation include edits made for clarity.

June, 15, 2017

May 3 and 4 Home Health Quality Reporting Program Provider Training Video Recordings and Post Training Materials Are Now Available

Video recordings of presentations made at the Home Health Quality Reporting Program Provider Training which took place on Wednesday and Thursday, May 3 and 4, 2017, are now available. See the Home Health Quality Reporting Training webpage for details. Post-training materials from the May 3 and 4, 2017, Home Health QRP Provider Training in Baltimore, MD, are now available in the Downloads section of the Home Health QRP Training webpage. 

December 12, 2016

OASIS-C2 Approved by OMB

CMS received approval on Friday December 9, 2016 for the OASIS-C2 form. Effective January 1, 2017, HHA Providers and Vendors shall begin using the OASIS-C2 in submitting assessments. As a reminder, the guidance

manual for OASIS-C2 is available at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments /HomeHealthQualityInits/HHQIOASISUserManual.html

Please direct any questions about using the OASIS-C2 toHomeHealthQualityQuestions@cms.hhs.gov.

Home Health QRP Archives

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