Home Health Quality Reporting Training
The Centers for Medicare & Medicaid Services (CMS) has many sources of information about Home Health Quality Reporting Program (HH QRP) for stakeholders including:
- Training Materials
- Training Q&As
- Special Open Door Forum (SODF) Presentations
Updates
September 4, 2024
UPDATED RESOURCE AVAILABLE: From Data Elements to Quality Measures Cross-Setting Web-Based Training
The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course that provides a high-level overview of how data elements within CMS patient/resident assessment instruments are used to construct quality measures (QMs) across post-acute care (PAC) settings. The course also discusses the relationship between these data elements and Quality Reporting Program (QRP) QMs, QM calculation, and how to access reports and use QM data for quality improvement. To access the training, click on the following link: https://pac.training/courses/data_elements_2024/#/
If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.
August 26, 2024
UPDATED RESOURCE AVAILABLE: Section GG Web-Based Training Series
The Centers for Medicare & Medicaid Services (CMS) is offering an updated series of web-based training courses that provide an overview of the assessment and guidance to promote accurate coding of the post-acute care (PAC) cross-setting Section GG data elements. Each course contains interactive exercises to test your understanding. To access the courses, click on the links below:
- Course 1: Section GG Data Accuracy and Quality Measures.
- Course 2: Prior Functioning and Prior Device Use Items.
- Course 3: Accurate Coding for GG0130 and GG0170 Items.
- Course 4: Understanding Admission and Discharge Performance for GG0130: Self-Care Items.
- Course 5: Understanding Admission and Discharge Performance for GG0170: Mobility Items.
If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.
August 14, 2024
NOW AVAILABLE: CMS National Summary Report, Executive Summary, and National Summary Results workbook for the 2023 Post-Acute Care Health Equity Confidential Feedback Reports
In October 2023, the Centers for Medicare & Medicaid Services (CMS) released two Health Equity Confidential Feedback Reports to post-acute care (PAC) providers: the Discharge to Community (DTC) Health Equity Confidential Feedback Report and the Medicare Spending Per Beneficiary (MSPB) Health Equity Confidential Feedback Report.
To help expand access to aggregate stratified results, the National Summary Report provides insights on aggregate (e.g., national-level) differences in quality by dual-enrollment status and race/ethnicity in the PAC settings. This report can be used as a reference by PAC providers who received the 2023 Health Equity Confidential Feedback Reports. In addition, this report can help other stakeholders understand aggregate variations in the stratified DTC and MSPB measure outcomes. The Executive Summary of the National Summary Report serves as a quick summary of the main findings from the National Summary Report. The National Summary Results workbook includes the full set of results that were included in the National Summary Report.
The National Summary Report, Executive Summary, and National Summary Results workbook can be found in the Downloads section of the PAC QRP Training webpage for HH, IRF, LTCH, and SNF.
July 24, 2024
NEW RESOURCE AVAILABLE: Patient Mood Interview (Patient Health Questionnaire PHQ-2 to 9©) Video Tutorial
- The Centers for Medicare & Medicaid Services (CMS) is offering a video tutorial for completing D0150, Patient Mood Interview (PHQ-2 to 9) and D0160, Total Severity Score. This video depicts two scenarios that demonstrate the coding of the PHQ-2 to 9 for the purposes of completing D0150, Patient Mood Interview (PHQ-2 to 9) and D0160, Total Severity Score. Two patient vignettes are depicted, one in which the PHQ-2 is demonstrated and one in which the entire PHQ-2 to 9 is completed. This video can be viewed through the following https://youtu.be/_JU7ABmbBGA
If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.
July 19, 2024
NEW RESOURCE AVAILABLE: What You Need to Know: PAC QRP Key Program Updates – FY/CY 2025 Web-Based Training
The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course that provides an overview of key updates to the Home Health (HH) Quality Reporting Program (QRP) for Calendar Year (CY) 2025. This targeted training discusses new, removed, and revised quality measures, timelines for public reporting, and measure specifications. In addition, assessment guidelines and coding instructions are presented for a new data element: O0350. Patient’s COVID-19 vaccination is up to date. To access the training, click on the following link: FY/CY 2025 Web-Based Training.
If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.
June 12, 2024
Invitation to join a CMS Health Equity Confidential Feedback Report Listening Session on July 31, 2024
The Centers for Medicare & Medicaid Services (CMS) would like to invite providers to an upcoming listening session on July 31, 2024 from 2:00 – 3:00 p.m. ET. to discuss the 2023 Health Equity Confidential Feedback Reports, which were released to Post-Acute Care (PAC) providers in the Home Health (HH), Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) settings.
In October 2023, CMS released two separate Health Equity Confidential Feedback Reports that show provider performance on the Discharge to Community (DTC-PAC) and Medicare Spending per Beneficiary (MSPB-PAC) measures. The reports showed performance on these measures stratified by beneficiaries’ Medicare-Medicaid dual-enrollment status and beneficiaries’ race/ethnicity.
The goal of this listening session is to gather feedback from providers and stakeholders on the PAC Health Equity Confidential Feedback Reports to guide the development of future PAC Health Equity Confidential Feedback Reports.
If you would like to attend, please register at the following link: https://us06web.zoom.us/webinar/register/WN_y4vy8QZrQhuCU1lr3rZopA
We look forward to hearing your questions on the Health Equity Confidential Feedback Reports prior to this session. Please submit your questions or comments to: cmshealthequitycfrsession@ketchum.com by June 26 and we will incorporate them into the session discussion.
January 19, 2024
NOW AVAILABLE: CMS Frequently Asked Questions (FAQ) Document and Methodology Report for the Post-Acute Care Health Equity Confidential Feedback Reports
In October 2023, the Centers for Medicare & Medicaid Services (CMS) released two Health Equity Confidential Feedback Reports to post-acute care (PAC) providers: the Discharge to Community (DTC) Health Equity Confidential Feedback Report and the Medicare Spending Per Beneficiary (MSPB) Health Equity Confidential Feedback Report.
To answer frequently asked questions and to provide methodological information about these reports, CMS released the Frequently Asked Questions (FAQ) Document and the Methodology Report. The materials can be access through these links:
- CMS Health Equity Confidential Feedback Report Frequently Asked Questions (FAQ) Document (PDF)
- CMS Health Equity Confidential Feedback Report Methodology Report (PDF)
December 15, 2023
NOW AVAILABLE: CMS Health Equity Confidential Feedback Reports Live Q&A Materials
On November 16, 2023, the Centers for Medicare & Medicaid Services (CMS) hosted a live Q&A session about the CMS Health Equity Confidential Feedback Reports for post-acute care (PAC) providers in the Home Health (HH), Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) settings, which were released in October 2023. The PAC Health Equity Confidential Feedback Reports stratified the Discharge to Community and Medicare Spending Per Beneficiary measures by dual-enrollment status and race/ethnicity.
The live Q&A session gave participants an opportunity to ask CMS subject matter experts about the report’s methodologies and interpretations can be found in these links:
- CMS Health Equity Confidential Feedback Report Q&A Session Recording
- CMS Health Equity Confidential Feedback Report Q&A Session Slides (PDF)
- CMS Health Equity Confidential Feedback Report Q&A Session Transcript (PDF)
If you would like to submit feedback to CMS on the PAC Health Equity Confidential Feedback Reports, please submit it to your provider-specific helpdesk. Please include “Health Equity Feedback” in the subject line of your email.
- HH: HomeHealthQualityQuestions@cms.hhs.gov
- IRF: IRF.questions@cms.hhs.gov
- LTCH: LTCHQualityQuestions@cms.hhs.gov
- SNF: SNFQualityQuestions@cms.hhs.gov
December 13, 2023
NEW RESOURCE AVAILABLE: Confusion Assessment Method (CAM©) Video Tutorial
The Centers for Medicare & Medicaid Services (CMS) is offering a video tutorial to assist providers with guidance application and assessment strategies for C1310. Signs and Symptoms of Delirium taken from the Confusion Assessment Method (CAM©) found in the OASIS-E. This video tutorial is approximately 14 minutes in length and is designed to provide targeted guidance for accurate coding using a live-action patient scenario. To access the video, click on the following link: CAM Video Tutorial.
If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.
More Information
For more information about the PAC Health Equity Confidential Feedback Reports, please watch CMS’ overview webinar recording, and view the recently published fact sheet. The webinar recording can be found here. The webinar’s slides, a transcript of the webinar, and the fact sheet are all available as downloadable PDFs in the Downloads section near the bottom of this page.
CMS asks that all providers who wish to submit a question for the upcoming webinar review these materials before submitting.
October 16, 2023
NEW RESOURCES AVAILABLE: Educational webinar recording and fact sheet providing an overview of the Health Equity Confidential Feedback Reports
CMS has released an educational webinar recording and fact sheet providing an overview of the Health Equity Confidential Feedback Reports. The webinar slides, webinar transcript, and fact sheet are available in the Downloads section below. To access the webinar recording video, click on the following link: Online webinar recording.
September 26, 2023
NEW RESOURCE AVAILABLE: BIMS and BIMS Summary Score Explainer Video
The Centers for Medicare & Medicaid Services is offering a 3-minute, animated explainer video, BIMS and BIMS Summary Score: Stopping and Coding an Incomplete Interview for HH Providers. This video was developed to assist providers in accurately determining when the Brief Interview for Mental Status (BIMS) should be stopped, and how to code the remaining items in this situation. The video is now available through the following link: BIMS and BIMS Summary Score: Stopping and Coding an Incomplete Interview Explainer Video.
If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. If you would like to receive email notifications related to future training resources or events, please register to be added to our Notification List. Content-related questions should be submitted to the HH QRP Help Desk.
September 22, 2023
NEW RESOURCE AVAILABLE: Understanding Coding for N0415 Explainer Video
The Centers for Medicare & Medicaid Services is offering a 4-minute, animated explainer video, Understanding Coding for N0415. High-Risk Drug Classes: Use and Indication for HH Providers. This video was developed to assist providers in accurately determining whether a patient is taking any prescribed medications in the specified drug classes and whether the patient-specific indication was noted for all medications in the drug class. The video is now available through the following link: Understanding Coding for N0415. High-Risk Drug Classes: Use and Indication Explainer Video.
If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. If you would like to receive email notifications related to future training resources or events, please register to be added to our Notification List. Content-related questions should be submitted to the HH QRP Help Desk.
August 8, 2023
NEW RESOURCE AVAILABLE: Social Determinants of Health Items Explainer Video
The Centers for Medicare & Medicaid Services is offering a 4-minute, animated explainer video, Social Determinants of Health Items: Determining When a Proxy Response is Allowed for HH Providers. This video was developed to assist providers in accurately determining when the use of a proxy response is allowed for Social Determinants of Health items: A1005. Ethnicity, A1010. Race, A1110. Language, A1250. Transportation, B1300. Health Literacy, and D0700. Social Isolation. The video is now available through the following link: Social Determinants of Health Explainer Video.
If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. If you would like to receive email notifications related to future training resources or events, please register to be added to our Notification List. Content-related questions should be submitted to the HH QRP Help Desk.
July 14, 2023
NEW RESOURCE AVAILABLE: BIMS Video Tutorial
The Centers for Medicare & Medicaid Services (CMS) is offering a video tutorial to assist providers with guidance application and interview strategies for the cognitive assessment known as the Brief Interview for Mental Status (BIMS) found in the OASIS-E. This video tutorial is approximately 20 minutes in length and is designed to provide targeted guidance for accurate coding using live-action patient scenarios. To access the video, click on the following link: BIMS Video Tutorial.
If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.
March 21, 2023
NEW RESOURCE AVAILABLE: BIMS, PHQ-2 to 9, and Pain Interview Cue Cards
CMS is offering a set of cue cards to assist providers in conducting the Brief Interview for Mental Status (BIMS), the Patient Health Questionnaire (PHQ-2 to 9), and the Pain Interview, as referenced in the OASIS-E coding guidance. This resource is intended to be utilized as a supplemental patient communication tool that provides a visual reference for the coding of response options. More detailed instructions regarding the use of cue cards and the administration of the BIMS in writing can be found in the OASIS-E Manual.
The cue cards are available in the Downloads section below.
If you have questions about accessing the resources or feedback regarding the trainings, please email PAC Training. Content-related questions should be submitted to the HH QRP Help Desk.
March 20, 2023
UPDATED RESOURCE AVAILABLE: Video Tutorial: GG0170C. Lying to Sitting on Side of Bed
The Centers for Medicare & Medicaid Services is releasing a short video tutorial to assist providers with coding GG0170C. Lying to Sitting on Side of Bed. This 5-minute video is designed to provide targeted guidance using simulated patient scenarios. To access the video, click on the following link: GG0170C. Lying to Sitting on Side of Bed.
If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.
January 11, 2023
NEW RESOURCE AVAILABLE: Third Edition HH QRP COVID-19 Public Reporting Tip Sheet
The purpose of the Third Edition Home Health (HH) Quality Reporting Program (QRP) COVID-19 Public Reporting (PR) Tip Sheet is to help providers understand CMS’ public reporting approach to the HH QRP to account for CMS quality data submissions that were either optional or excepted from public reporting due to the COVID-19 public health emergency. The impacts on CMS’ Care Compare website refreshes are also outlined. This tip sheet serves as a companion document to the first and second edition HH QRP COVID-19 PR Tip Sheets published in July 2020 and February 2022.
The tip sheet is available in the Downloads section below.
If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.
December 7, 2022
NEW RESOURCE AVAILABLE: PHQ-2 to 9 Cue Card
CMS is offering a cue card to assist providers in coding the Patient Health Questionnaire (PHQ-2 to 9) as referenced in the coding guidance for D0150. This resource is intended to be utilized during the Patient Mood Interview as a supplemental communication tool that provides a visual reference to assist patient selection of symptom frequency.
The cue card is offered in two sizes which can be viewed or printed and is available in the Downloads section below.
If you have questions about accessing the resources or feedback regarding the trainings, please email PAC Training. Content-related questions should be submitted to the HH QRP Help Desk.
Downloads
-
Health Equity National Summary Report 2023 PAC Health Equity Confidential Feedback Reports_Executive Summary_August 2024 (PDF) -
Health Equity National Summary Report 2023 PAC Health Equity Confidential Feedback Reports_August 2024 (PDF) -
National Summary Results Workbook 2023 PAC Health Equity Confidential Feedback Reports_August 2024 (XLSX) -
PAC_Health_Equity_Confidential_Feedback_Report_Fact_Sheet_10-16-2023 (PDF) -
PAC_Health_Equity_Confidential_Feedback_Report_Webinar_Transcript_10-16-2023 (PDF) -
PAC_Health_Equity_Confidential_Feedback_Report_Webinar_Slides_10-16-2023 (PDF) -
2023_February_Pain_Interview_Cue_Cards (PDF) -
2023_February_PHQ-2_to_9_Cue_Card (PDF) -
2023_February_Bims_Cue_Cards (PDF) -
Pocket Guide_Coding for Self Care and Mobility Items (PDF) -
Pocket Guide_Definitions for Coding Section J - Fall Items (PDF) -
Pocket Guide_Pressure Ulcers and Injuries - Stages and Definitions (PDF) -
Understanding OASIS Function M GG Item Coding_Fact Sheet (PDF) -
GG Self-Care & Mobility Activities Decision Tree (PDF) -
DTC & MSPB Health Equity Confidential Feedback Reports - Q&A Transcript, Dec 2023 (PDF) (PDF) -
DTC & MSPB Health Equity Confidential Feedback Reports - Q&A Slides, Dec 2023 (PDF) (PDF) -
DTC & MSPB Health Equity Confidential Feedback Reports - Methodology Report, Jan 2024 (PDF) (PDF) -
DTC & MSPB Health Equity Confidential Feedback Reports - FAQ, Jan 2024 (PDF) (PDF) -
DTC & MSPB Health Equity Confidential Feedback Reports - Fact Sheet, Oct 2023 (PDF) (PDF) -
DTC & MSPB Health Equity Confidential Feedback Reports - Educational Webinar Transcript, Oct 2023 (PDF) (PDF) -
DTC & MSPB Health Equity Confidential Feedback Reports - Educational Webinar Slides, Oct 2023 (PDF) (PDF)