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LTCH Quality Reporting Spotlight Announcements

What’s new with the Long-Term Care Hospital Quality Reporting Program (LTCH QRP)? 

Updates

June 12, 2019

The 2019 Data Collection Periods for LTCH Compare are now available in the downloads section of the LTCH Quality Public Reporting webpage.

June 10, 2019

LTCH Provider Preview Reports- Now Available

Long-term Care Hospital (LTCH) Provider Preview Reports have been updated and are now available.
These reports contain provider performance scores on LTCH QRP quality measures, which will be
published on LTCH Compare during the September 2019 refresh.

For more information:

•     LTCH Quality Public Reporting webpage, LTCH Compare and Preview Report
Access Instructions

June 07, 2019 

The LTCH QRP Table for Reporting Assessment-Based Measures for the FY2021 LTCH QRP APU is now available for download on the LTCH Quality Reporting Measures Information webpage. This table indicates the LTCH CARE Data Set data elements that are used in determining the APU minimum submission threshold for the FY 2021 LTCH QRP determination.

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

June 05, 2019

LTCH Compare Quarterly Refresh

The Long-term Care Hospital (LTCH) Compare website has been updated.

For more information visit the CMS LTCH QRP Public Reporting website.

May 31, 2019

Update of the Discharge to Community Measure for the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)

Beginning fall 2019, CMS will publicly display on LTCH Compare the updated measure results for the Discharge to Community Measure adopted for the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP), using updated methodology related to the assignment of categorical ratings to each provider based on their performance on this measure (better than, same as, or worse than the national average). For more information, please visit the LTCH Quality Public Reporting 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 Long-Term Care Hospital Compare website for the Potentially Preventable 30-Day Post-Discharge Readmissions measure adopted for the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP). For more information, please visit the LTCH Quality Public Reporting webpage.

May 23,2019

Sections of Chapter 3, Section A (Administrative Information) and Chapter 4 (Submission and Correction of the LTCH CARE Data Set Assessment Records) have been updated to revise references from QIES ASAP System to iQIES. A document summarizing the updates and the revised sections of the LTCH QRP Manual Version 4.0 are available in the downloads section of the LTCH CARE Data Set & LTCH QRP Manual webpage.

April 30, 2019

Policy Change for Assessment Submission Timeframe

The current CMS policy for submission of patient assessment records allows providers to submit records for up to 36 months from the assessment target date.  Effective October 1, 2019, the CMS policy for patient assessment submission will be changed to 24 months from the assessment target date.  The policy change applies to new, modified, and inactivated records.

April 25, 2019

The submission deadline for the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) is approaching. LTCH CARE Data Set assessment data and data submitted via the Center for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) for October 1 – December 31 (Q4) of calendar year (CY) 2018 are due with this submission deadline. 

All data must be submitted no later than 11:59 p.m. Pacific Standard Time on May 15, 2019. 

It is recommended that the applicable CMS iQIES reports and NHSN analysis reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted. We encourage you to verify all facility information prior to submission, including CCN and facility name. 

View the list of measures required for this deadline on the LTCH Quality Reporting Data Submission Deadlines webpage. 

For additional information, visit:

CORMAC sends informational messages to LTCHs that are not meeting APU thresholds on a quarterly basis ahead of each submission deadline. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@cormac-corp.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates.

April 23, 2019

Specifications for the quality measures and standardized patient assessment data elements for the SNF QRP, IRF QRP, and LTCH QRP as proposed in the FY 2020 SNF PPS Proposed Rule, FY 2020 IRF PPS Proposed Rule, and FY 2020 IPPS/LTCH PPS Proposed Rule respectively are now posted.

In addition, the new and modified sections of the MDS, IRF-PAI, and LTCH CARE Data Set, along with a change table, effective October 1, 2020 for the measures and standardized patient assessment data elements proposed for the SNF QRP, IRF QRP, and LTCH QRP in the FY 2020 SNF PPS Proposed Rule, FY 2020 IRF PPS Proposed Rule, and FY 2020 IPPS/LTCH PPS Proposed Rule respectively can be found on the IMPACT Act Downloads and Videos webpage at https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/post-acute-care-quality-initiatives/impact-act-of-2014/impact-act-downloads-and-videos.html

The Proposed Rules are available at https://www.federalregister.gov/.

April 16, 2019

IMPORTANT: Update for IQIES Reports

Long Term Care Hospitals (LTCHs) were recently notified to begin using iQIES for assessment submissions and for obtaining their LTCH provider reports. CMS has discovered a reporting issue with some of the provider reports and is performing additional testing on these reports to ensure they display accurate information. Please continue to access these user-requested reports in the Certification And Survey Provider Enhanced Reports (CASPER) application until further notice. It was previously communicated that CASPER access would be removed on April 22, 2019, but this deadline is no longer in effect.

LTCHs should continue to obtain their LTCH Final Validation and other provider reports from iQIES, however, the following reports should be accessed from CASPER:

     * LTCH Facility-Level Quality Measure Report

     * LTCH Patient-Level Quality Measure Report

     * LTCH Review and Correct Report

     * LTCH Admissions

     * LTCH Discharges

     * LTCH Roster

Additional updates will be provided as information becomes available. Please contact the helpdesk at help@qtso.com or (800)339-9313 with any questions.

March 27, 2019

Upgraded Assessment Submission & Reporting System for LTCHs is now available in iQIES

On February 28, 2019, CMS sent an email to Long-Term Care Hospitals (LTCHs) indicating that in coming weeks, all LTCH users will be required to access the enhanced assessment submission and processing (ASAP) system, Internet Quality Improvement & Evaluation System (iQIES), to submit patient assessments and view reports.

As of March 25th, the Long-Term Care Hospital Continuity Assessment Record and Evaluation (LTCH CARE) Submission functionality within the QIES Assessment Submission & Processing (ASAP) system is no longer available and users are required to access iQIES to submit patient assessments and view associated reports. Before accessing iQIES, you must create an account and establish credentials in the Healthcare Quality Information System (HCQIS) Access Roles and Profile system (HARP). Here’s how you can set up a HARP user account to access iQIES:

  1. Select Create an Account from the iQIES landing page at https://iqies.cms.gov/ or visit: https://harp.qualitynet.org/register/profile-info . HARP is a security identity management portal provided by CMS.
  2. Follow the four steps in HARP to create an account and set up a two-factor authentication.
  3. From the iQIES landing page, enter the User ID and Password and select Log In, then follow the instructions for two-factor authentication.
  4. Complete the Access Request Form. Enter the required information to request your iQIES role and access to providers, if applicable.

To learn more about how to submit data or run reports please review the instructional training videos available on the iQIES Help page https://iqies.cms.gov/help upon login. 

For assistance with HARP onboarding or any questions related to iQIES, users can call the QIES Technical Support Office QTSO Helpdesk at (800) 339-9313 or e-mail help@qtso.com.

Please send general feedback and inquires to iQIES_Broadcast@cms.hhs.gov.

March 06, 2019

LTCH Compare Quarterly Refresh

The Long-term Care Hospital (LTCH) Compare website has been updated. 

For more information visit the CMS LTCH QRP Public Reporting website.

March 04, 2019

LTCH Provider Preview Reports- Now Available – March 4, 2019

Long-term Care Hospital (LTCH) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores on LTCH QRP quality measures, which will be published on LTCH Compare during the June 2019 refresh. 

For more information:

Feb. 28, 2019

Improved Assessment Submission & Processing System: iQIES

An improved assessment submission & processing system, iQIES, is coming. Starting on March 20, 2019, if you’re an LTCH provider, you’ll have to submit assessments in iQIES. We’ll send updates through multiple channels in upcoming weeks. 

For more information visit the LTCH Quality Reporting Technical Information web page.

February 28, 2019

Long-Term Care Hospitals Assessment Submission & Processing

System Enhancement Scheduled for March 2019

Starting in March, the Centers for Medicare & Medicaid Services (CMS) will begin a series of Quality Improvement and Evaluation System (QIES) enhancements for Long-Term Care Hospitals’ (LTCH) Assessment Submission and Processing system. Once updated, the system will be called the Internet Quality Improvement and Evaluation System (iQIES). 

The new enhancements in iQIES are based on user research and testing and feature a human-centered design and agile development practices. The Cloud-based solutions will also make it easier for users to receive support and use the system. 

Over the next few weeks LTCHs will receive the following information about the transition to iQIES:

  • iQIES LTCH Security Official Request Letter – This will include instructions on how LTCHs can assign a “Security Official” and begin the account creation process.
  • iQIES Training Video Announcement – This will give LTCHs resources on how to navigate the iQIES system and how to utilize the improved functionality.
  • iQIES LTCH XML Upload Release Notification- LTCHs will receive notification when the system goes live
  • iQIES LTCH Assessment Tool Launch – LTCHs will learn when the new, free user tool software is available.
  • iQIES Frequently Asked Questions (FAQs) – LTCHs will have access to a compiled list of FAQs based on feedback to help improve the overall user experience. 

If you have questions, please contact our service desk at: help@qtso.com or by phone: 800-339-9313.

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. 

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 LTCH Quality Reporting Training webpage for details.

December 12, 2018

LTCH Compare Quarterly Refresh

The Long-term Care Hospital (LTCH) Compare website has been updated.

For more information visit the CMS LTCH QRP Public Reporting website.

December 06, 2018

A table providing the data collection time frames and final submission deadlines for the FY 2021 LTCH QRP is available in the Downloads section of the LTCH QRP Data Submission Deadlines webpage. 

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. 

December 04, 2018

A resource document providing mapping of Section I data elements in the LTCH CARE Data Set to ICD-10 codes, is available in the downloads section of the LTCH CARE Data Set & LTCH QRP Manual webpage.

December 03, 2018

LTCH Provider Preview Reports- Now Available – December 3, 2018

Long-term Care Hospital (LTCH) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores on LTCH QRP quality measures, which will be published on LTCH Compare during the March 2019 refresh.

For more information:

November 27, 2018

Post-Training Materials Available – September 2018 IRF and LTCH Section N: Medications Webinar

Available under the Downloads section of the Inpatient Rehabilitation Facility (IRF) Quality Reporting Training and Long-Term Care Hospital (LTCH) Quality Reporting Training webpages.

November 06, 2018

Please note that while the LTCH QRP no longer requires LTCHs to submit data for the following measures, reporting on this data is required for certain LTCHs based on state and local mandates:

  • NHSN Facility-wide Inpatient Hospital-onset Methicillin resistant Staphylococcus aureus (MRSA) Bacteremia Outcome Measure (NQF #1716)
  • NHSN Ventilator-Associated Event (VAE) Outcome Measure

Please check your state mandates and local to ensure you are in compliance with their reporting requirements. 

November 02, 2018

LTCH QRP APU FY 2019: Successful Facilities

As stated in the FY 2016 IPPS/LTCH PPS Final Rule, CMS has published a list of LTCHs who successfully met the reporting requirements after all reconsideration requests have been processed. View the list on the LTCH Quality Reporting Data Submission Deadlines webpage.

October 29, 2018

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

October 24, 2018

The submission deadline for the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) is approaching. LTCH CARE Data Set assessment data and data submitted via the Center for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) for April 1 – June 30 (Q2) of calendar year (CY) 2018 are due with this submission deadline. 

All data must be submitted no later than 11:59 p.m. Pacific Standard Time on November 15, 2018. 

It is recommended that the applicable CMS CASPER validation reports and NHSN analysis reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted. We encourage you to verify all facility information prior to submission, including CCN and facility name. 

View the list of measures required for this deadline on the LTCH Quality Reporting Data Submission Deadlines webpage. 

For additional information, visit:

CORMAC sends informational messages to LTCHs that are not meeting APU thresholds on a quarterly basis ahead of each submission deadlines. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@cormac-corp.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates. 

October 17, 2018

LTCH Quality Measure Reports- Measures Added

The Confidential Feedback Reports, also referred to as the Facility-Level and Patient-Level Quality Measure (QM) reports, for Long-Term Care Hospitals (LTCHs) have been updated to include additional quality measures. These on-demand, user-requested reports, are available via the Certification and Survey provider Enhanced Reports (CASPER) Reporting System. These reports can be used to provide feedback to help providers identify data errors and improve quality of care. For more information, view the “LTCH QM Report-Measures Added-October 2018 PDF” on the LTCH Quality Reporting Measures Information webpage.

October 11, 2018

Post-Training Materials Available – September 2018 IRF and LTCH Section M Webinar

Post-training materials (includes answers to knowledge checks) from the Inpatient Rehabilitation Facility (IRF) and Long-Term Care Hospital (LTCH) Section M: Skin Conditions (Pressure Ulcer/Injury) Webinar held September 4, 2018, are available under the Downloads section of the Inpatient Rehabilitation Facility (IRF) Quality Reporting Training and Long-Term Care Hospital (LTCH) Quality Reporting Training respect webpages.

October 11, 2018

Hurricane Florence - 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 located in areas affected by Hurricane Florence. 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 October 11, 2018, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county. Please check this site for the most up to date list of affected counties.

For LTCHs outside the FEMA-designated counties affected by Hurricane Florence, please follow the directions related to requesting an exemption or extension, as listed on the LTCH Quality Reporting Reconsideration and Exception & Extension website.

A document summarizing the updates and the revised sections of the LTCH QRP Manual Version 4.0 are available in the downloads section of the LTCH CARE Data Set & LTCH QRP Manual webpage. The updates have been made due to the measure removals finalized in the FY 2019 IPPS/LTCH PPS final rule (83 FR 41624 through 41634). Please see: https://www.gpo.gov/fdsys/pkg/FR-2018-08-17/pdf/2018-16766.pdf.

September 27, 2018

LTCH Compare Quarterly Refresh – September 27, 2018

The September 2018 quarterly Long-term Care Hospital (LTCH) Compare refresh, including new quality measure results based on data submitted to CMS between Q4 2016 – Q3 2017, is now available. We invite you to visit LTCH Compare to view the data. 

In addition to the LTCH QRP measures that are currently displayed on LTCH Compare, the following five new quality measures will be displayed:

Assessment-based measures:

  1. Percent of LTCH Patients With an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function (NQF #2631)
  2. Application of Percent of LTCH Patients With an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function (NQF #2631)
  3. Application of Percent of Residents Experiencing One or More Falls with Major Injury (NQF #0674)

Claims-based measures:

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

CMS has decided not to publish a 6th 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 LTCH’s performance, as well as the national rate.

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

For more information visit the CMS LTCH QRP Public Reporting website.

September 14, 2018

The following documents have been updated to reflect the removal of the National Healthcare Safety Network (NHSN) Facility-wide Inpatient Hospital-onset Methicillin-resistant Staphylococcus aureus (MRSA) Bacteremia Outcome Measure (NQF #1716), National Healthcare Safety Network (NHSN) Ventilator-Associated Event (VAE) Outcome Measure and Percent of Residents or Patients Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine (Short Stay) (NQF #0680) measure from the LTCH QRP as finalized in the FY 2019 IPPS/LTCH PPS final rule effective October 1, 2018:

  1. Data Collection and Submission Deadlines for the FY 2020 LTCH QRP document is available in the Downloads section of the LTCH Quality Reporting Data Submission Deadlines webpage.
  2. LTCH QRP Table for Reporting Assessment-Based Measures for the FY 2020 LTCH QRP document is available in the Downloads section of the LTCH Quality Reporting Measures Information webpage.

September 14, 2018

A Quick Reference Guide for the LTCH QRP for FY2020 is now available on the LTCH Quality Reporting Data Submission Deadlines page.  The guide includes frequently asked questions, information on QRP help desks, and helpful links to additional resources for the LTCH QRP.

September 12, 2018

IRF and LTCH Section N Follow-Up Webinar Rescheduled for Monday, September 17, from 2:00 to 3:30 p.m.

The Inpatient Rehabilitation Facility (IRF) and Long-Term Care Hospital (LTCH) Section N Follow-Up Webinar originally held on Wednesday, August 29, 2018, from 2:00 to 3:30 p.m. has been rescheduled due to technical difficulties experienced during the webinar. See the LTCH Quality Reporting Training  and IRF Quality Reporting Training web pages for details. 

September 7, 2018 

LTCH Provider Preview Reports- Now Available

Long-term Care Hospital (LTCH) Provider Preview Reports have been updated and are now available. Providers have until October 8, 2018 to review their performance data on quality measures based on Quarter 1 -2017 to Quarter 4 - 2017 data, prior to the December 2018 LTCH Compare site refresh, during which this data will be publicly displayed. Corrections to the underlying data will not be permitted during this time. However, providers can request a CMS review during the preview period if they believe their data scores displayed are inaccurate.

For more information:

August 27, 2018

Pre-Training Materials Now Available for the Upcoming IRF and LTCH Webinars (August 29 and September 4, 2018) Related to Changes Associated with Coding Sections N and M of the LTCH CARE Data Set and the IRF-PAI

The training materials for the upcoming Section N webinar, scheduled for Wednesday, August 29, 2018, from 2:00 to 3:30 p.m. EDT and Section M webinar scheduled for Tuesday, September 4, 2018, from 2:00 to 3:30 p.m. EDT are now available under the Downloads section of the Inpatient Rehabilitation Facility (IRF) Quality Reporting Training and Long-Term Care Hospital (LTCH) Quality Reporting Training webpages. 

August 14, 2018

LTCH QRP Provider Training, May 8 and 9, Q+A is Available  

The question and answer (Q+A) document for the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) Training, May 8 and 9, is now available. See the LTCH Quality Reporting Training webpage for details.

LTCH Quality Reporting Program Measure Calculations and Reporting User's Manual V3.0

The LTCH Quality Reporting Program Measure Calculations and Reporting User's Manual V3.0 has been added to the Downloads section of the LTCH Quality Reporting Measures Information page. This version of the LTCH CARE Data Set-based User's Manual is effective on July 1, 2018 and provides detailed information for each quality measure, including quality measure definitions, inclusion and exclusion criteria, and measure calculation specifications. A Change Table has been added to highlight the changes from LTCH Quality Reporting Program Measure Calculations and Reporting User's Manual V2.0 to V3.0. Additionally, we have included a Risk Adjustment Appendix File for the LTCH Quality Reporting Program Measure Calculations and Reporting User's Manual V3.0, which contains the risk-adjustment values used to calculate the risk-adjusted quality measures. The Change Table and Risk Adjustment Appendix File are also available for download on the LTCH Quality Reporting Measures Information webpage.

August 07, 2018

A zip file containing an errata document and revised pages for the LTCH QRP Manual Version 4.0 has been posted and is available in the downloads section of the LTCH CARE Data Set & LTCH QRP Manual webpage.

August 01, 2018

ATTENTION ALL LTCHS!!!

Please note that your June 2018 Provider Preview Reports contained an error for the quality measure Discharge to Community – Post Acute Care (PAC) Long-Term Care Hospital Quality Reporting Program (L018.01). Your Discharge to Community preview data that was released in June 2018 incorporated your risk-standardized rate and performance category based only on 7 of the 8 required quarters of data. Data from October through December 2016 (Q1 FY 2017) were inadvertently omitted.

CMS is reissuing the LTCH Provider Preview report containing the corrected Discharge to Community quality measure data. For additional information, including guidance on how to access this preview report, we refer you to the CMS LTCH QRP Public Reporting webpage, under Updates.

July 23, 2018

REGISTRATION OPEN – Upcoming IRF and LTCH QRP Webinars (August 29 and September 4, 2018) Related to Changes Associated with Coding Sections N and M of the LTCH CARE Data Set and the IRF-PAI

The Centers for Medicare & Medicaid Services (CMS) will be hosting two webinars for providers at Long-Term Care Hospitals and Inpatient Rehabilitation Facilities to present information about proper coding of Section M Skin Conditions (Pressure Ulcer/Injury) and Section N of the Continuity Assessment Record and Evaluation (CARE) Data Set Version 4.00 and the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) Version 2.00. Updated reporting requirements for Sections M and N became effective on July 1, 2018, for LTCH providers and will become effective on October 1, 2018, for IRF providers. See the LTCH Quality Reporting Training  and IRF Quality Reporting Training web pages for details. 

July 06, 2018

LTCH Quality Reporting Program: Non-Compliance Letters

CMS is providing notifications to facilities that were determined to be out of compliance with Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) requirements for CY 2017, which will affect their FY 2019 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 facilities’ CASPER folders in QIES on July 9, 2018. Facilities that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59pm PST, August 7, 2018. If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notification letter and on the LTCH Quality Reporting Reconsideration and Exception & Extension webpage

July 03, 2018

The Centers for Disease Control and Prevention’s (CDC) National Healthcare Safety Network (NHSN) require providers to complete a new Agreement to Participate and Consent form for the Patient Safety and the Healthcare Personnel Safety Components by Monday, July 9, 2018.   LTCHs participating in the Centers for Medicare & Medicaid Services (CMS) Quality Reporting Program (QRP) must accept the updated NHSN Agreement to Participate and Consent forms to avoid interruptions in your healthcare facility’s access to NHSN, including access for purposes of submitting data to meet LTCH QRP reporting requirements.  

These forms are available for review and completion in the NHSN application.  If you have any questions about the consent process, please email the NHSN help desk at NHSN@cdc.gov

LTCH Reporting Archives