Preview Reports for Home Health CAHPS Survey Including Star Ratings Now Available

In January 2023 Care Compare will be updated with the Home Health CAHPS (HH CAHPS) Survey results from Q3, 2021 – Q2, 2022. The update will include the corresponding HH CAHPS Survey Star Ratings. Agencies with 40 or more completed surveys during the four quarters for this period will have their results displayed in Care…

CAHPS Hospice Survey Deadline Approaching and New Materials Available

Hospices that have served fewer than 50 survey-eligible decedents/caregivers in calendar year (CY) 2021 (January 1, 2021 through December 31, 2021) can apply for an exemption from participation in the CAHPS Hospice Survey for CY 2022.  The deadline to apply is December 31, 2022. The Participation Exemption for Size Form for the CY 2022 needs to be…

Now Available in iQIES: Preview Reports for the February 2023 Refresh

Providers can now access the latest Provider Preview Reports via the Certification and Survey Provider Enhanced Reports (CASPER) application. Once released in CASPER, providers will have 30 days during which to review their quality measure results. Although the actual “preview period” is 30 days, the reports will continue to be available for another 30 days,…

CMS Open Door Forum Updates Home Health & Hospice Providers

The Centers for Medicare and Medicaid Services (CMS) held a Home Health, Hospice, and DME Open Door Forum on November 9, 2022. What follows is a summary of the relevant ODF content for home health and hospice providers. HOME HEALTH CMS began the Forum with a summary of the CY 2023 Home Health Prospective Payment…

CAHPS Hospice Survey Quality Assurance Guidelines & Training Materials

The Consumer Assessment of Healthcare Providers and Systems Version 9.0 is now available. The Guidelines include information on the program requirements, sampling protocol, modes of survey administration, and data coding and data file preparation and submission amongst general information about the survey, its administration and oversight activities.  Updates to the guidelines were made based on questions…

Home Health Preview Reports Available

The home health Preview Reports reflecting results from the Home Health Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey from April 2021 through March 2022 are now available on the Home Health CAHPS website under the “For HHAs” tab. HHAs must be logged into the website to view their report. The Preview Reports also…

Summary of the CMS Open Door Forum on June 29

The Centers for Medicare and Medicaid Services (CMS) held a Home Health, Hospice, and DME Open Door Forum on June 29, 2022. The summary of the Forum applicable to home health and hospice providers is below. HOME HEALTH CMS provided a high-level summary of the CY 2023 Home Health PPS Rule.  (See the NAHC Report…

Important Deadlines for the Hospice Quality Reporting Program

December 31, 2021 is an important date for the hospice quality reporting program (HQRP).  This is the last day of the calendar year (CY) 2021 participation requirements for the CAHPS Hospice Survey and the Hospice Information Set (HIS). Hospices must meet the participation requirements for this year as laid out below or face the two…

Hospice Star Rating, Updated HCI Provider Preview Reports, and HQRP Tip Sheets

A Centers for Medicare & Medicaid Services’ (CMS) webinar on the CAHPS hospice star rating on December 16, 2021 revealed additional detail about the rating, which will be publicly reported on Care Compare beginning in August 2022. CMS is calling this star rating the “Family Caregiver Survey Rating Summary Star” and it will range from one star (worst) to five stars (best).

CMS will calculate nine CAHPS Hospice Star Ratings: one for each of the eight publicly reported CAHPS Hospice measures and a Family Caregiver Survey Rating, which is a summary star rating that combines the star ratings of the eight family caregiver experience measures. Only the CAHPS Hospice Summary Star Rating will be publicly reported on Care Compare and only those hospices with 75 or more completed surveys over the reporting period will have their star rating publicly reported. The rating will be updated every other quarter (every 6 months). CMS is using the February 2022 and May 2022 Care Compare refresh period as a “dry run”. This allows hospices to see their star ratings and what the summary star rating would be if it were to be posted on Care Compare.

Again, CMS will not post the Star Rating on Care Compare until August 2022. Hospices can see their first “dry run” ratings in their CMS Preview Report that became available in November 2021. This is an “on demand” report so it does not automatically appear in the CASPER folder. Hospices need to run the report from the “Hospice Quality Reporting Program” report category. The reporting period for the dry run is October 1, 2018 – December 31, 2019; July 1, 2020 – March 31, 2021. More information about how to access the Star Rating Preview Report is found in the Hospice Quality Reporting Measure Specifications User’s Guide.

During the webinar, CMS explained the calculation of the star rating, which is similar to calculations CMS uses in other quality reporting programs. Top-box scores, the proportion of respondents who gave the most favorable response(s) for each of the CAHPS Hospice Survey measures that are publicly reported, are used and adjusted for the case mix of the hospice and mode of survey administration. CMS intended with the calculation to have maximal differentiation between the star categories and to have minimal differentiation of hospices within the star category making the star rating more meaningful. Detailed information regarding the calculation can be found in the CAHPS Star Rating Technical Notes.

A little more than 2000 hospices met the eligibility criteria to be assigned a star rating for the dry run period. This is not an overwhelming majority of hospices so it is possible there are pockets where only some of the hospices will have a publicly reported Star Rating which may make comparison among hospices confusing. Approximately 90 percent of Medicare beneficiaries enrolled in hospice in 2020 were enrolled in a hospice that does have a Star Rating during the dry run.

The slides and recording of the December 16 webinar will also be available soon on the CMS Hospice Quality Reporting webpage. Additionally, NAHC is developing a resource for providers which will be available at the beginning of 2022.

HCI UPDATE
Due to an issue identified with the national averages and percentile calculations for the Hospice Care Index (HCI) measure, CMS revised the data for the HCI Preview Reports. Hospices are able to access these revised reports via the Hospice Quality Reporting Program category in their CASPER folders now.

CMS is targeting the May 2022 refresh for the inaugural public display of the HCI and Hospice Visits in the Last Days of Life (HVLDL) claims-based measures. The eight quarters of claims data used to calculate these measures for a May 2022 refresh would include Q2 2019–Q4 2019 and Q3 2020–Q3 2021. CMS is also planning to provide annual updates to the claims-based measures in November 2022 and each following November refresh. Learn more about HCI and HVLDL in the Q&A on Claims-Based Measures downloadable (PDF) located on the Background and Announcements webpage.

HQRP TIP SHEETS
CMS updated the Hospice Quality Reporting Program (HQRP) resources on December 16 by posting two new Tip Sheets

Second Edition HQRP Public Reporting Tip Sheet
HQRP Compliance Tip Sheet_ FY 2022 and Future Years​
The Second Edition HQRP Public Reporting Tip Sheet explains how CMS will handle the impact of the temporary exemption of quality reporting that occurred due to the COVID-19 Public Health Emergency (PHE) in the HQRP going forward and incorporates the changes to the HQRP from the FY 2022 hospice final rule. The HQRP Compliance Tip Sheet_FY 2022 and Future Years provides information on the HQRP, compliance requirements and how to track compliance.

Hospice Star Rating, Updated HCI Provider Preview Reports, and HQRP Tip Sheets

A Centers for Medicare & Medicaid Services’ (CMS) webinar on the CAHPS hospice star rating on December 16, 2021 revealed additional detail about the rating, which will be publicly reported on Care Compare beginning in August 2022. CMS is calling this star rating the “Family Caregiver Survey Rating Summary Star” and it will range from…