Public Reporting: Key Dates for Providers

CMS Hospice Public Reporting Key Dates for Providers

HIS: CMS encourages providers to be familiar with the important dates outlined in the tables below. Providers need to submit all Hospice Item Set (HIS) modification or inactivation records prior to the 4.5-month data correction deadline for public reporting for the modifications to be reflected in the corresponding HIS Provider Preview Report and public display, located on Care Compare.

This means that providers have 4.5 months following the end of each calendar year (CY) quarter to review and correct their HIS records with target dates (which is the admission date for HIS-Admission records and discharge date for HIS-Discharge records) in that quarter for public reporting. After this 4.5-month data correction deadline has passed, HIS data from that calendar quarter will be permanently frozen for the purposes of public reporting. Updates made after the correction deadline will not appear in any subsequent Care Compare refresh. This policy is at the HIS record-level, meaning a patient’s HIS-Admission and HIS-Discharge records may have different data correction deadlines.

CAHPS: Hospice providers are required to submit 12 months of data from the CAHPS Hospice Survey unless they are exempt. Providers must contract with an approved CAHPS Hospice Survey vendor. They submit their patient/caregiver lists to their vendor monthly. More details about participating in the CAHPS Hospice Survey, and about exemptions, can be found on the survey website, www.hospicecahpssurvey.org. CAHPS Hospice Survey vendors submit data on behalf of providers in February, May, August, and November.

Public Health Emergency (PHE): However, due to the temporary exemption to the HQRP data submission requirements in responding to the COVID-19 PHE, public reporting of hospices’ data will freeze after the November 2020 refresh. This means that following the November 2020 refresh, the data publicly reported will be held constant through the November 2021 refresh. Further, no Provider Preview Reports will be issued for those refreshes that continue to display the constant or frozen data. For additional information on COVID-19 PHE data exemption, please see the Hospice COVID-19 Public Reporting Tip Sheet (PDF) (PDF) in the Downloads section of the HQRP Requirements and Best Practices webpage.

Care Compare Refresh Schedule and Preview Periods

Refresh Date

November 2020

February 2021

May 2021

August  2021

November 2021

Refresh Reflects Patient Stays Discharged for Quarters (HIS)

Quarter 1 2019- Quarter 4 2019

Freeze

Freeze

Freeze

Freeze

CAHPS Quarters included in Refresh (Dates refer to patients’ dates of death)

Quarter 1 2018- Quarter 4 2019

Freeze

Freeze

Freeze

Freeze

HIS and CAHPS:  Month that provider preview reports are issued

September 2020

Not Released

Not Released

Not Released

Not Released

 

Upcoming Data Correction Deadlines for Public Reporting

Target Date of HIS Record

HIS Record Data Correction Deadline for Public Reporting (11:59:59 p.m. E.T.)

Quarter 3, 2020

(07/1/20–09/30/20)

February 15, 2021

Quarter 4, 2020

(10/1/20–12/31/20)

May 15, 2021

Quarter 1, 2021

(01/1/21-03/31/21)

August 15, 2021

Quarter 2, 2021

(04/1/21-06/30/21)

November 2021

CMS encourages providers to review quality measure data early and often using their CASPER QM Reports and not wait until the 4.5-month data correction deadline for public reporting to submit any necessary HIS corrections. For more information on how providers can use their CASPER QM Reports to review data please see the CASPER QM Reports Fact Sheet in the Downloads section of the HQRP Requirements and Best Practices webpage.

CAHPS Hospice Survey Upcoming Data Submission Deadlines in CY 2021

During CY 2021, the CAHPS Hospice Survey will continue data collection as normal. This means that deadlines for data submission to the CAHPS Hospice Survey data warehouse will occur on the second Wednesday of the month in February, May, August, and November.

CAHPS Hospice Survey Upcoming Data Submission Deadlines in CY 2021

Quarter

Dates of Deaths

Data Submission Deadline

Q3 2020

July-September 2020

February 10, 2021

Q4 2020

October-December 2020

May 12, 2021

Q1 2021

January-March 2021

August 11, 2021

Q2 2021

April-June 2021

November 10, 2021

Hospice Quality Reporting Program Archives

Page Last Modified:
12/31/2020 03:17 PM