Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
There are incorrect date ranges included for the Acute Care Hospitalization measure on the Quality of Patient Care Star Rating Preview Report, however, all included provider measure scores are accurate. The report should note that the Acute Care Hospitalization claims-based measure reports data from July 1, 2020 to June 30, 2021. Though the date range represents a calendar year, the reporting period for most home health agencies will be approximately three quarters of a year because of CMS-approved data exemptions for home health episodes that begin or end in the two COVID-19 exempted quarters of Q1 and Q2 2020. Due to the COVID-19 reporting exceptions, the claims-based measures have been calculated excluding Q1 and Q2 2020 data from measure calculations. Please note, any if you have proof that there are errors in calculating your Quality of Patient Care Star Rating, you may request a review of your rating by submitting that proof. Requests must be submitted by May 20, 2022 to HHC_Star_Ratings_Review_Request@cms.hhs.gov with a final decision on your request sent by May 27, 2022. An example of the Quality of Patient Care Star Rating Preview Report with corrected dates can be found in the downloads section at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/HHQIHomeHealthStarRatings.
For additional information, please see the HH QRP COVID-19 Public Reporting Tip Sheet in the downloads section of the HH Quality Reporting Training webpage and the Home Health Data Submission Deadlines webpage.
The April 2022 quarterly refresh for the Home Health Quality Reporting Program (HH QRP) is now available on Care Compare. For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) measure scores are based on the standard number of quarters. The April 2022 refresh will add new OASIS-based measures for public reporting in alignment with the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014:
- Percent of Residents Experiencing One or More Falls with Major Injury
- Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function
Claims-based quality measure data remains frozen following CMS decision to delay the public reporting of these measures. This delay allows time to analyze the impact of the required comprehensive exclusion of Q1 and Q2 2020 claims data on risk adjustment and reporting. CMS is targeting the July 2022 refresh of Care Compare for the resumption of HH claims-based measure updates on Care Compare. For additional information, please see the HH QRP COVID-19 Public Reporting Tip Sheet in the downloads section of the HH Quality Reporting Training webpage and the FY 2022 Hospice Wage Index and Payment Update Final Rule (HH Rider).