NEW Hospice Provider Preview Reports

Last month, the Centers for Medicare & Medicaid Services (CMS) announced that the Hospice Visits in the Last Days of Life (HVLDL) and the Hospice Care Index (HCI) claims-based measures were not publicly displayed as planned in the May 2022 refresh. NAHC reached out to CMS about this and learned that there were technical errors in the data calculation, which were discovered well after the Preview Reports for these measures were released to hospices in March.

CMS is mandated to give providers a full 30 days to review the Preview Reports.  Because of this, there was not time to re-release Preview Reports prior to the planned May 2022 refresh.  Hospices should disregard the Preview Reports released in March for the HVLDL and HCI.

CMS is targeting the August 2022 refresh for the inaugural display of these quality measures and announced that new Provider Preview Reports for the HVLDL and HCI are now available in hospice’s CASPER (Certification and Survey Provider Enhanced Reports) folder. 

Hospices utilized data from the incorrect scores in the Preview Reports to plan for performance improvement and they may have to adjust their priorities and plans now that the new Preview Reports are available.

The recently available provider Preview Reports also contain the Preview Reports for other publicly reported measures that will be updated in the August 2022 Care Compare refresh.  These include the CAHPS Hospice Star Rating and the HIS Comprehensive Assessment measure.

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, or a total of 60 days. The preview period for the latest Provider Preview Report lasts from May 25, 2022 to June 27, 2022.

CMS encourages providers to download and save their Hospice Provider Preview Reports for future reference, as they will no longer be available in CASPER after this 60-day period.

NEW Hospice Provider Preview Reports

Last month, the Centers for Medicare & Medicaid Services (CMS) announced that the Hospice Visits in the Last Days of Life (HVLDL) and the Hospice Care Index (HCI) claims-based measures were not publicly displayed as planned in the May 2022 refresh. NAHC reached out to CMS about this and learned that there were technical errors…

Hospice Proposed Rule Listening Session – Health Equity RFI and Payment

  • REGISTER NOW for these listening sessions!
  • Friday, May 20

On March 30, the Centers for Medicare & Medicaid Services (CMS) issued a proposed FY2023 hospice rule containing a Request for Information (RFI) on health equity, a proposed cap on wage index losses from year to year and providing guidance on projected payment rates. 

NAHC invites you to participate in one or more of the following listening sessions to provide input on the RFI and proposals. This input will help inform comments NAHC submits at the end of the month.

The RFI has two components:

Continue reading “Hospice Proposed Rule Listening Session – Health Equity RFI and Payment”

Hospice Proposed Rule Listening Sessions – Health Equity RFI and Payment

REGISTER NOW for these listening sessions! Tuesday, May 17 Wednesday, May 18 Friday, May 20 On March 30, the Centers for Medicare & Medicaid Services (CMS) issued a proposed FY2023 hospice rule containing a Request for Information (RFI) on health equity, a proposed cap on wage index losses from year to year and providing guidance on…

Hospice Proposed Rule Listening Sessions – Health Equity RFI and Payment

  • REGISTER NOW for these listening sessions!
  • Thursday, May 12
  • Tuesday, May 17
  • Wednesday, May 18
  • Friday, May 20

On March 30, the Centers for Medicare & Medicaid Services (CMS) issued a proposed FY2023 hospice rule containing a Request for Information (RFI) on health equity, a proposed cap on wage index losses from year to year and providing guidance on projected payment rates. 

NAHC invites you to participate in one or more of the following listening sessions to provide input on the RFI and proposals. This input will help inform comments NAHC submits at the end of the month.

The RFI has two components:

  1. CMS is soliciting public comment on the following questions:
    • What efforts does your hospice employ to recruit staff, volunteers, and board members from diverse populations to represent and serve underserved populations? How does your hospice attempt to bridge any cultural gaps between your personnel and beneficiaries/clients? How does your hospice measure whether this has an impact on health equity?
    • How does your hospice currently identify barriers to access in your community or service area? What are barriers to collecting data related to disparities, social determinants of health, and equity? What steps does your hospice take to address these barriers?
    • How does your hospice collect self-reported data such as race/ethnicity, veteran status, socioeconomic status, housing, food security, access to interpreter services, caregiving status, and marital status used to inform its health equity initiatives?
    • How is your hospice using qualitative data collection and analysis methods to measure the impact of its health equity initiatives?
  2. CMS is seeking information on publicly reporting a composite structural health equity quality measure; displaying descriptive information on Care Compare from the data hospices provide to support health equity measures; and the impact of the domains and quality measure concepts on organizational culture change.
    • Domain 1: Hospice commitment to reducing disparities is strengthened when equity is a key organizational priority. Candidate domain 1 could be satisfied when a hospice submits data on their actions regarding the role of health equity and community engagement in their strategic plan. Hospices could self-report data in the reporting year about their actions in each of the following areas, and submission of data for all elements could be required to qualify for the measure numerator
      • Hospice attests whether its strategic plan includes approaches to address health equity in the reporting year.
      • Hospice reports community engagement and key stakeholder activities in the reporting year.
      • Hospice reports on any attempts to measure input from patients and caregivers about care disparities they may experience and recommendations or suggestions
    • Domain 2: Training board members, leaders, staff and volunteers in culturally and linguistically appropriate services (CLAS)27, health equity, and implicit bias is an important step hospices take to provide quality care to diverse populations. Candidate domain 2 could focus on hospices’ diversity, equity, inclusion and CLAS training for board members, employed staff, and volunteers by capturing the following self-reported actions in the reporting year. Submission of relevant data for all elements could be required to qualify for the measure numerator.
      • Hospice attests whether employed staff were trained in CLAS and culturally sensitive care mindful of social determinants of health (SDOH) in the reporting year. Example data include specific training programs or training requirements for staff.
      • Hospice attests whether it provided resources to staff and volunteers about health equity, SDOH, and equity initiatives in the reporting year. Examples include the materials provided, webinars, or learning opportunities.
    • Domain 3: Leaders and staff could improve their capacity to address disparities by demonstrating routine and thorough attention to equity and setting an organizational culture of equity. This candidate domain could capture activities related to organizational inclusion initiatives and capacity to promote health equity. Examples of equity-focused factors include proficiency in languages other than English, experience working with populations in the service area, experience working on health equity issues, and experience working with individuals with disabilities. Submission of relevant data for all elements could be required to qualify for the measure numerator.
      • Hospice attests whether equity-focused factors were included in the hiring of hospice senior leadership, including chief executives and board of trustees, in the previous reporting year.
      • Hospice attests whether equity-focused factors were included in the hiring of hospice senior leadership, including chief executives and board of trustees, is more reflective of the services area patient than in the previous reporting year.
      • Hospice attests whether equity-focused factors were included in the hiring of direct patient care staff (for example, RNs, medical social workers, aides, volunteers, chaplains, or therapists) in the previous reporting year.
      • Hospice attests whether equity focused factors were included in the hiring of indirect care or support staff (for example. administrative, clerical, or human resources) in the previous reporting year.

REGISTER NOW for these listening sessions!

Hospice Proposed Rule Listening Sessions – Health Equity RFI and Payment

REGISTER NOW for these listening sessions! Thursday, May 12 Tuesday, May 17 Wednesday, May 18 Friday, May 20 On March 30, the Centers for Medicare & Medicaid Services (CMS) issued a proposed FY2023 hospice rule containing a Request for Information (RFI) on health equity, a proposed cap on wage index losses from year to year…

2 New HHVBP Resources Focused on Quality Measures & Improvement

To support home health agencies (HHAs) participating in the expanded Home Health Value Vased Purcahsing (HHVBP) Model, the HHVBP TA Team produced two expanded Model resources focused on quality measures and quality improvement. The on-demand video, Quality Measures Used in the Expanded HHVBP Model, provides measure-specific information on each of the quality measures included in the expanded…

CMS Provides Quality Reporting and Other Updates in Most Recent Open Door Forum

During the most recent Centers for Medicare & Medicaid Services (CMS) Home Health, Hospice, and DME (Durable Medicare Equipment) Open Door Forum (ODF), the following information and updates were provided. HOME HEALTH Home Health Claims Processing Issues Notice of Admission                            CMS officials reported on  a claims processing issue where the NOA is returning to providers…

Now in iQIES: Preview Reports & Star Rating for April 2022 Refresh

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…

Hospice Quality Reporting Update for February 2, 2022

  • CAHPS Star Rating
  • CASPER toolkit
  • HIS, HCI, HVLDL

A CAHPS Hospice Survey Star Rating will be added to Care Compare for hospices with the August 2022 refresh. How the star rating is calculated, what will be publicly reported, and information about the current “dry run” and provider preview information are part of the overview.  Stay tuned to NAHC Report for member resources on the CAHPS Hospice Survey Star Rating.

The Centers for Medicare & Medicaid Services (CMS) conducted an overview of the star rating in a webinar on December 16, 2021 and the materials from the webinar – slide deck, transcript, and recording — are now available here.

CMS also updated and rebranded a provider toolkit for hospices, Getting Started with Hospice CASPER Quality Measure Reports: February 2022. The toolkit is to assist hospice providers in understanding and using the CASPER Quality Measure (QM) Reports that now include claims-based measures.  There are two reports:

  • The Hospice-Level QM Report includes the HIS Comprehensive Assessment at Admission (NQF #3235), HCI, and HVLDL measure scores.
  • The Hospice Patient-Level QM Report identifies each patient with a qualifying HIS record used to calculate the hospice-level quality measure values for a select period.

The reports are detailed, and hospices may be especially interested in the Hospice Care Index (HCI) and Hospice Visits in Last Days of Life (HVLDL) information.

NAHC conducted a webinar on these measures in December where we reviewed the most frequently asked questions about the HVLDL and explained the HCI – each of its ten indicators, calculation of the index score, and expected performance for each of the indicators and the index. Information from the webinar and from a hospice’s QM reports are helpful for performance improvement. The recording of the webinar is available here.