Hospice Quality Reporting Program Training-Training and Education Library

About this Page

The purpose of this page is to provide access to materials from past Hospice Quality Reporting Program (HQRP) trainings and educational events. Materials on this page are organized by event and materials from each event (e.g., PowerPoint slides, worksheets, Q&A documents) are posted in the .zip files in the Downloads section below. Providers can browse this training library for topics of interest and use the associated downloads to increase their knowledge on topics pertinent to the HQRP.

NOTE: In late 2020, CMS launched Care Compare, a streamlined redesign of eight existing CMS healthcare Compare tools. Trainings prior to December 2020 still reference Hospice Compare. Providers should refer to the Care Compare site to view new and updated quality data.

Older trainings are moved to the Hospice Quality Reporting Archives page. Trainings on the Archives page may be helpful historical references to providers but have been archived because at least some portion of their content is out-of-date.


Updates

May 05, 2021

April 15, 2021: Changes in the Hospice Item Set (HIS) Manual V3.00 Webinar

Overview of content:  The purpose of this training is to provide a general overview of the changes included in the Hospice Item Set (HIS) Manual V3.00. It is a helpful resource for current and new hospice providers to ensure success with the quality reporting program.  

This webinar covers:

  • The Hospice Quality Reporting Program (HQRP) Requirements.
  • Changes in Hospice Item Set (HIS) Manual V3.00.
  • The data sources that will comprise the HQRP.
  • The new quality measure (QM) created from administrative data (Medicare claims).
  • HQRP resources.

Available resources: 

  • Webinar slides: See the “2021_Apr.15_HIS_Manual.V3.00_Webinar_Slides_508 (PDF)” in the Downloads section at the bottom of this webpage.
  • Video recording: A video recording of the webinar (https://youtu.be/7mCS_VwxPEs)

August 05, 2020

Web-Based Course on Hospice QRP Education and Training Resources by Topic with Hotlinks for Easy Access

What you will learn: The purpose of the Web-Based Course on Hospice QRP Education and Training Resources by Topic with Hotlinks for Easy Access is to offer hospice providers with a brief tour of the many training resources available 24/7, 365 days a year with a summary broken down by topic, including their hotlinks for easy access to ensure their success in complying with the requirements of the Hospice QRP.

Date of original training: August 4, 2020.

Web-Based Course on Hospice QRP Education and Training Resources by Topic with Hotlinks for Easy Access: Access the web-based training.


May 15, 2020

May 2020: HQRP Acronyms List

Overview of content: This resource contains acronyms commonly used throughout HQRP training materials and presentations. Providers may wish to download and/or print this acronym list and have it available as they are reviewing resources in the Training and Education Libraries.

Available resources: See the PDF “[5.5.20] HQRP_ AcronymList_May 2020” in the Downloads box, below.


March 2020: Hospice Item Set (HIS) Submission Requirements Webinar

Overview of content: The purpose of this webinar is to provide a general overview of the Hospice Item Set (HIS) and associated submission requirements. Specific topics include:

  • A general overview of the Hospice Quality Reporting Program.
  • CAHPS submission and exemptions.
  • Basic instructions for completing the HIS.
  • An update on data submission requirements.
  • How to correct HIS records.
  • How to access resources to assist providers in successfully completing and submitting the HIS.

Date of Training: March 3, 2020 (conducted via webinar)

Date of Posting: April 3, 2020

Available resources:

  • Webinar slides: See the “[03.03.2020] Hospice Item Set (HIS) Submission Requirements Webinar with answers.pdf” in the Downloads section at the bottom of this webpage.
  • Video recording: A video recording of the training presentation is also available for download. If you would like to fast forward to a specific segment of the video, please expand the Description of the video to see timestamps for various sections of the training.
  • Q&A documents: Questions submitted during the webinar have been distributed to the appropriate Help Desks. They will be posted to the HQRP Requirements and Best Practices webpage as soon as responses have been drafted.

November 2019: Success with the HQRP- Putting the Pieces Together to Meet Compliance

Overview of content: The purpose of this webinar is to detail for providers the essentials needed to ensure compliance with both the HIS and the CAHPS Hospice Survey components of the HQRP. It is a helpful resource for current and new hospice providers to ensure success with the quality reporting program.  

This webinar covers:

  • The requirements for the Hospice Quality Reporting Program (HQRP)
  • HQRP Timeframes and the Compliance Cycle
  • HIS submission thresholds
  • CAHPS® Hospice Survey requirements and switching vendors
  • Compliance Checklist
  • The Reconsideration Request Process

Date of training: November 14, 2019 (conducted via webinar)

Date of posting: December 2019

Available resources:

  • Webinar materials: See “[11.14.19] Success with the HQRP Materials [Zip file]” in the Downloads section at the bottom of this webpage to access the webinar slides, transcript, and a video recording of the training presentation.

October 2019: HQRP Compliance Tip Sheet

Overview of content: The purpose of the HQRP: Compliance Tip Sheet is to provide hospice agencies new to the HQRP with an overview of the basic requirements providers must meet in order to achieve a full Annual Payment Update (APU). The HQRP Compliance Tip Sheet also contains links to numerous resources available to assist providers in meeting those requirements.

Date of Training: October 23, 2019

Date of Posting: November 21, 2019

Available resources: See the “Hospice Quality Reporting Program Compliance Tip Sheet” in the Downloads section at the bottom of this webpage.

­­­­­­­­­July 2019: Introduction to the HQRP: Course #1

Overview of content: This course provides an overview of the two major components of the Hospice Quality Reporting Program (HQRP): the Hospice Item Set (HIS) and the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey.  The course is comprised of the following five lessons:

  • What is the Hospice Quality Reporting Program (HQRP)?
  • The Hospice Item Set (HIS)
  • Timing of the Hospice Item Set (HIS)
  • The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey
  • Hospice Compare and Public Reporting

Each lesson is designed to be completed at your own pace. We recommend completing the lessons in order, but you may complete them as best fits your needs.

Date of posting: July 15, 2019 (conducted as web-based only training).

Available resources: Access the course.


July 2019: Introduction to the HQRP: Course #2 on HQRP Data Submission Requirements and Reports

Overview of content: This course provides an overview of topics related to the HQRP Data Submission Requirements and Reports and is comprised of the following seven lessons:

  • Getting Ready to Submit the Hospice Item Set (HIS)
  • Hospice Item Set (HIS) Item Completion
  • Successful Submission and Acceptance of the Hospice Item Set (HIS)
  • Identifying and Addressing Errors on the Final Validation Report (FVR)
  • Overview of HQRP Provider Reports
  • HQRP Useful Websites and Resources
  • HQRP Exemption and Extension for Extraordinary Circumstances Policy

Each lesson is designed to be completed at your own pace. We recommend completing the lessons in order, but you may complete them as best fits your needs.

Date of posting: July 15, 2019 (conducted as web-based only training).

Available resources: Access the course.


June 2019: HQRP: Review and Correct Report Overview Webinar

Overview of content:  The purpose of this webinar is to increase providers’ awareness of how to use the Review and Correct Report to verify the data displayed on the Hospice Compare website for their facility is accurate. This webinar will cover:

  • An overview of public reporting in the context of the Hospice Quality Reporting Program (HQRP).
  • The purpose of the Review and Correct Report.
  • How to access the Review and Correct Report.
  • How to use and interpret the information in the Review and Correct Report.
  • How and when you can submit corrections to errors found in the Review and Correct Report.

Date of training: June 11, 2019 (conducted via webinar)

Date of posting: June 5, 2019

Available resources: 

  • Webinar slides: See the “[6.11.19] Hospice Quality Reporting Program: Review and Correct Report Overview Webinar with answers.pdf” in the Downloads section at the bottom of this webpage.
  • Video recording: A video recording of the training presentation is also available for download. If you would like to fast forward to a specific segment of the video, please expand the Description of the video to see timestamps for various sections of the training.
  • Q&A documents: Please find answers to questions submitted during the webinar at the HQRP Requirements and Best Practices webpage.

January 2019: HQRP: Achieving a Full Annual Payment Update (APU) Webinar

Overview of content: The purpose of this webinar is to educate providers as to how the Annual Payment Update (APU) is calculated. Topics include:

  • The relationship between the APU and the Hospice Quality Reporting Program,
  • Associated data submission requirements, and
  • The reconsideration process for providers who are identified as being noncompliant.

Date of training: January 23, 2019 (conducted via webinar)

Date of posting: February 26, 2019

Available resources: 

  • Webinar slides: See the “2019.01.23.HQRP.Achieving.A.Full.APU.Webinar_508_1-16-1f” in the Downloads section at the bottom of this webpage. Please note:  Questions submitted during the webinar have been distributed to the appropriate Help Desks. They will be posted in the April 2019 HQRP Quarterly Update in the download section of the HQRP Requirements and Best Practices webpage as soon as responses have been drafted.
  • Video recording: A video recording of the training presentation is also available for download. If you would like to fast forward to a specific segment of the video, please expand the Description of the video to see timestamps for various sections of the training.
  • Q&A documents: Please find answers to questions submitted during the webinar at the HQRP Requirements and Best Practices webpage.

December 2018: Updates to Public Reporting in Fiscal Year 2019: Hospice Comprehensive Assessment Measure and Data Correction Deadlines

Overview of content: This webinar has two parts:

  • Part 1: This portion of the training focuses on the background and calculation of the Hospice and Palliative Care Composite Process Measure – Comprehensive Assessment at Admission (NQF #3235), also known as “the Hospice Comprehensive Assessment Measure.” The training also explains how providers can use their Certification and Survey Provider Enhanced Reporting Quality Measure Reports (CASPER QM Reports) to understand their hospice’s performance on this measure.
  • Part 2: This portion of the training focuses on the 4.5 Month Data Correction Deadline for the Public Reporting policy update that was finalized in the FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements final rule (83 FR 38622, see pages 38638-38640). Providers have approximately 4.5 months following the end of each calendar year (CY) quarter to review and correct their HIS records with target dates in that quarter for public reporting. After this 4.5-month data correction deadline has passed, HIS data from that CY quarter will be permanently frozen for the purposes of public reporting.

The presentation slides, speaker notes, and transcript, from this webinar are available for download as a combined .zip file in the Downloads section below. An audio recording of the webinar is also available.

Date of training: December 13th, 2018 (conducted via webinar)

Date of posting: January 24, 2019

Available resources: 

  • Webinar materials: See the “[12.13.18]­ Updates to Public Reporting in FY 2019” .zip file in the Downloads section, below. It contains the presentation slides, speaker notes, and transcript from the webinar.
  • Audio recording: An audio recording of the webinar is also available

August 2018: HQRP Webinar: From Data to Measure

Overview of content: In this webinar, you will learn how HIS data is used to calculate HIS quality measures (or QMs), including a discussion of how to use the quality measure specifications in the QM User’s Manual and how publicly reported scores are determined. The training also provides guidance on how providers should interpret their QM Reports (both the Hospice-level QM Report and the Patient stay-level QM Report) to understand their hospice’s quality performance. This webinar is intended for advanced HIS audiences. It is recommended that providers have a basic understanding of the HIS, a working knowledge of the HIS-based QMs, and some familiarity with the QM reports to maximize benefit from this webinar.

Date of training: August 16, 2018 (conducted via webinar)

Available resources: 

  • Webinar materials: See the “[8.16.18] From Data to Measure” .zip file in the Downloads, below. It contains the presentation slides, speaker notes, worksheet, and transcript from the webinar.
  • Audio recording: An audio recording of the webinar is also available

May 2018: HQRP Data Submission and Reporting Webinar

Overview of content: This training presents information to help providers understand the reports that are available through the HQRP, as well as to understand and access the information contained within these reports.  

Topics included:

  • How to navigate the CASPER (Certification And Survey Provider Enhanced Reports) system
  • An introduction to the Hospice Item Set (HIS) and CAHPS® Provider Preview Reports  
  • A brief review of information available in previously released reports.

Date of training: Wednesday, May 30, 2018 (conducted via webinar)

Available resources: 

  • Webinar slides: See the “[5.30.18] Hospice Quality Reporting Program (HQRP) Data Submission and Reporting Webinar” .pdf in the Downloads below.
  • Video recording: A video recording of the training presentation are also available for download. If you would like to fast forward to a specific segment of the video, please expand the Description of the video to see timestamps for various sections of the training.
  • Q&A documents: Please find answers to questions submitted during the webinar to the HQRP Requirements and Best Practices webpage with the 2nd Quarter 2018 HQRP Quarterly Update.

March 2018: Navigating the HQRP Websites Modules Series

Overview of Content: This series of modules presents information to help hospice providers navigate the three websites related to the HQRP. This series consists of 5 on-demand video modules that providers can watch to learn more about each website, what information is contained on each, and how each website is organized. PowerPoint slides for each module are also available for download.

The modules are designed for providers to watch independently or as a group. Each module is described below:

  • Module 1: Introduction to the 3 HQRP Websites: this module provides an overview of the 3 websites pertinent to the Hospice Quality Reporting Program (HQRP), which are the CMS HQRP website, the Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey website, and the QIES Technical Support Office (QTSO) website.
  • Module 2: Learning How to use the CMS HQRP Website: this module takes a deep dive into the organization and structure of the CMS HQRP website and will help you understand how content on the website is organized so you can gain confidence in finding information on the website, even as website content is updated over time.
  • Module 3: Learning how to use the CAHPS® Survey Website: this module shows the key parts of the CAHPS® Hospice Survey website that are pertinent to providers. This module will show you where to find key Hospice CAHPS® forms, CAHPS® podcasts, and FAQs.
  • Module 4: Learning how to use the QTSO Website: this module will show providers key portions of the QTSO website that are relevant to hospice, including learning where to find information and User Guides for the Hospice Abstraction Reporting Tool (HART), Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system, and the Certification And Survey Provider Enhanced Reports (CASPER) reporting application. This module will also show providers where on the QTSO website scheduled QIES ASAP downtimes are announced.
  • Module 5: An Overview of the HQRP Help Desks: this module will provide contact information and information on the scope of each Help Desk available to hospice providers.

Available resources: See the “Navigating HQRP Websites Series of 5 modules_508C_March 2018” .zip file in the Downloads section, below. Included in this .zip file are PowerPoint slides and speaker notes for each of the 5 modules.


March 2018: HQRP Webinar: Preview of the New Educational Series and Updates on Hospice CAHPS®

Overview of Content: In this webinar, CMS presents previews of a series of two educational modules (“Navigating the HQRP Websites” and “HIS Coding” Modules Series), including information on where to find the modules, the recommended audience, and the content. This webinar also provides updates on Hospice CAHPS®, and a question-and-answer session.

Date of training: March 27, 2018 (conducted via webinar)

Available resources: 

  • Webinar materials: See the “[3.27.18] Hospice Quality Reporting Program Webinar”.zip file in the Downloads section. The file contains the presentation and transcript of the webinar.
  • Audio recording: The audio recording of this webinar is available.

March 2018: HIS Coding Modules Series

Overview of content: This series of modules presents information on updated HIS coding guidance for selected HIS items. This series consists of 8 on-demand video modules that providers can watch to learn more about how to code select HIS items in specific clinical situations. PowerPoint slides for each module are also available for download.

  • Module 1: General Information: this series of modules covers select HIS items only; the content presented in these modules addresses frequently asked questions received on the Hospice Quality Help Desk. As such, these modules present refined guidance (refined instructions and detail for coding HIS items that addresses specific clinical scenarios or frequently encountered situations) for select HIS items and are intended to be a supplement to existing guidance in the HIS Manual. Consequently, this series of modules does not cover all HIS items. This module presents general information on the HIS, including HIS completion and submission deadlines, who can complete and submit HIS records, and the difference between HIS item completion and quality measure credit.
  • Module 2: Section A, I, and Z: this module presents updated coding guidance for sections A, I, and Z in the HIS, including guidance on the ZIP Code item (A0550), payor information item (A1400), principal diagnosis item (I0010), and the record completion (Z0400) and verification (Z0500) items.
  • Module 3: Section F, Preferences: this module presents information on the intent behind items in Section F, which include the patient preferences items (F2000-F2200) and the spiritual/existential concerns item (F3000).
  • Module 4: Section J, Pain: this module presents information on items in Section J, Pain, including describing how providers receive credit for the pain screening and comprehensive pain assessment quality measure. This item also presents information on warning edit -3077 which appears when the patient is on an opioid, but pain is marked as not an active problem.
  • Module 5: Section J, Respiratory Status: this module presents information on the shortness of breath items and the associated quality measures.
  • Module 6: Section N, Medications: this module presents information on the medications items, which include the PRN and scheduled opioid items, as well as the bowel regimen item. This module also describes the intent of the associated quality measure, and why bowel regimens initiated for non-opioid induced constipation are not included in the items/measure.
  • Module 7: Section O, Service Utilization: this module presents information on the visits and level of care items in Section O, including guidance on what counts as a visit and whose visits can be counted for these items. This module also describes the Hospice Visits when Death is Imminent Measure Pair.
  • Module 8: Chapter 3 Submission and Correction of HIS Records: This module presents information on the process for correcting errors in HIS records.

Available resources: See the “HIS Coding Series of 8 Modules_508C_March 2018” .zip file in the Downloads, below. Included in this .zip file are PowerPoint slides and speaker notes for each of the 8 modules.

Hospice Quality Reporting Program Archives

Page Last Modified:
05/06/2021 02:00 PM