Hospice Quality Reporting Program 2021 Information Gathering Report

The Centers for Medicare & Medicaid Services (CMS) has released the Hospice Quality Reporting Program 2021 Information Gathering Report, which provides information from literature reviews and expert interviews that supports expansion of the hospice quality reporting program. Specific topics include treatment of moderate to severe pain, patient preferences, spiritual care, social needs, medication management, and other topics related to hospice quality.

CMS anticipates expanding the Hospice Quality Reporting Program (HQRP) over the next several years to include additional meaningful quality measures to help consumers make informed decisions when selecting a hospice for end-of-life-support. This expansion includes introducing the Hospice Outcomes & Patient Evaluation (HOPE), and may be introduced for possible hospice use for FY2024, although CMS has not provided a date.

There are only a handful of current measures publicly reported as part of the HQRP.  This is slim compared to other provider types and due in part to the lack of a tool for the HQRP that collects data while care is being delivered to the patient, as the HOPE will do.  The Hospice Information Gathering Report supports the efforts to expand the HQRP by reviewing available resources to inform HOPE development and related quality measures. Technical Expert Panel (TEP) deliberations, in addition to discussions with the HOPE development team, the hospice quality measurement development team, and federal stakeholders, identified areas where additional information could support the HQRP expansion.

This Report provides insight into the specific aspects CMS focused on for each of the topics addressed in the Report – treatment of moderate to severe pain, patient preferences, spiritual care, social needs, medication management, and other topics related to hospice quality – why and what was discovered.  Links to all the resources reviewed are available and hospices may find these helpful for understanding how best to address the issues CMS identified in each of the topic areas.

Among its conclusions, CMS found that evidence supports the current HQRP measures under development for treating moderate to severe pain. In other areas (risk adjustment for neuropathic pain, patient and proxy concordance of patient symptom management preferences, and psychosocial outcomes), CMS found limited evidence for the hospice setting.  However, CMS provided information from other settings to support HQRP activities in these instances.

CMS explored evidence for future potential areas of measure development, such as medication management, finding gaps concerning the reasonable use of medications at the end of life and the engagement of patients and caregivers.  Those interested in the future path of the HQRP and its measures should read this report and investigate some of the tools and resources CMS found to be promising for providing/assisting in providing good quality care to patients.

More information about CMS’ efforts to expand the HQRP can be found in the 2019 Information Gathering Report and the  2020 Information Gathering Report.

Hospice Quality Reporting Program 2021 Information Gathering Report

The Centers for Medicare & Medicaid Services (CMS) has released the Hospice Quality Reporting Program 2021 Information Gathering Report, which provides information from literature reviews and expert interviews that supports expansion of the hospice quality reporting program. Specific topics include treatment of moderate to severe pain, patient preferences, spiritual care, social needs, medication management, and other…

Hospice Quality Reporting Program 2021 Information Gathering Report

The Centers for Medicare & Medicaid Services (CMS) has released the Hospice Quality Reporting Program 2021 Information Gathering Report, which provides information from literature reviews and expert interviews that supports expansion of the hospice quality reporting program. Specific topics include treatment of moderate to severe pain, patient preferences, spiritual care, social needs, medication management, and other topics related to hospice quality.

CMS anticipates expanding the Hospice Quality Reporting Program (HQRP) over the next several years to include additional meaningful quality measures to help consumers make informed decisions when selecting a hospice for end-of-life-support. This expansion includes introducing the Hospice Outcomes & Patient Evaluation (HOPE), and may be introduced for possible hospice use for FY2024, although CMS has not provided a date.

There are only a handful of current measures publicly reported as part of the HQRP.  This is slim compared to other provider types and due in part to the lack of a tool for the HQRP that collects data while care is being delivered to the patient, as the HOPE will do.  The Hospice Information Gathering Report supports the efforts to expand the HQRP by reviewing available resources to inform HOPE development and related quality measures. Technical Expert Panel (TEP) deliberations, in addition to discussions with the HOPE development team, the hospice quality measurement development team, and federal stakeholders, identified areas where additional information could support the HQRP expansion.

This Report provides insight into the specific aspects CMS focused on for each of the topics addressed in the Report – treatment of moderate to severe pain, patient preferences, spiritual care, social needs, medication management, and other topics related to hospice quality – why and what was discovered.  Links to all the resources reviewed are available and hospices may find these helpful for understanding how best to address the issues CMS identified in each of the topic areas.

Among its conclusions, CMS found that evidence supports the current HQRP measures under development for treating moderate to severe pain. In other areas (risk adjustment for neuropathic pain, patient and proxy concordance of patient symptom management preferences, and psychosocial outcomes), CMS found limited evidence for the hospice setting.  However, CMS provided information from other settings to support HQRP activities in these instances.

CMS explored evidence for future potential areas of measure development, such as medication management, finding gaps concerning the reasonable use of medications at the end of life and the engagement of patients and caregivers.  Those interested in the future path of the HQRP and its measures should read this report and investigate some of the tools and resources CMS found to be promising for providing/assisting in providing good quality care to patients.

More information about CMS’ efforts to expand the HQRP can be found in the 2019 Information Gathering Report and the  2020 Information Gathering Report.

Hospice Quality Reporting Program Forum on December 16

On Thursday, December 16th, the Centers for Medicare & Medicaid Services (CMS) will host a webinar to share updates for the Hospice Quality Reporting Program.

During this webinar, CMS subject matter experts will provide information on the following topics:

  • The Consumer Assessment of Healthcare Providers & Systems (CAHPS) Hospice Survey
  • Introduction of Star Ratings

CMS will also answer questions at the end of the webinar.

Click through for details on how to access the webinar.

Webinar Details

Title: CMS December Hospice Quality Reporting Program Forum

Date: Thursday, December 16, 2021

Time: 2:30 – 3:30 p.m. ET

A unique access link will be sent upon registration

Participation Information

After you register, you will receive a dial-in number and webinar link. You will not be able to share your registration information as it will be unique to you. Please check your spam filter if you do not receive an email confirmation.

Attendees will be able to submit questions in various ways, including:

  • Phone – Enter your audio pin and use the hand-raising icon to enable CMS to unmute your line.
  • Computer Mic and Speakers – Enable your microphone and use the hand-raising icon to enable CMS to unmute your line.
  • Chat – Type your question into the “Questions” box.

For More Information

If you have questions, please email CMSQualityTeam@ketchum.com

Hospice Quality Reporting Program Forum on December 16

On Thursday, December 16th, the Centers for Medicare & Medicaid Services (CMS) will host a webinar to share updates for the Hospice Quality Reporting Program. During this webinar, CMS subject matter experts will provide information on the following topics: The Consumer Assessment of Healthcare Providers & Systems (CAHPS) Hospice Survey Introduction of Star Ratings CMS…

Hospice Quality Reporting Program Forum on December 16

On Thursday, December 16th, the Centers for Medicare & Medicaid Services (CMS) will host a webinar to share updates for the Hospice Quality Reporting Program.

During this webinar, CMS subject matter experts will provide information on the following topics:

  • The Consumer Assessment of Healthcare Providers & Systems (CAHPS) Hospice Survey
  • Introduction of Star Ratings

CMS will also answer questions at the end of the webinar.

Webinar Details

Title: CMS December Hospice Quality Reporting Program Forum

Date: Thursday, December 16, 2021

Time: 2:30 – 3:30 p.m. ET

A unique access link will be sent upon registration

Participation Information

After you register, you will receive a dial-in number and webinar link. You will not be able to share your registration information as it will be unique to you. Please check your spam filter if you do not receive an email confirmation.

Attendees will be able to submit questions in various ways, including:

  • Phone – Enter your audio pin and use the hand-raising icon to enable CMS to unmute your line.
  • Computer Mic and Speakers – Enable your microphone and use the hand-raising icon to enable CMS to unmute your line.
  • Chat – Type your question into the “Questions” box.

For More Information

If you have questions, please email CMSQualityTeam@ketchum.com

CMS Releases Details of Two New Hospice Quality Reporting Measures

Register for the October 19 Hospice Quality Reporting Program Forum (See details below) Hospices have been anxiously awaiting additional information on two new Hospice Quality Reporting Program (HQRP) measures: Hospice Visits in Last Days of Life Hospice Care Index. These are claims-based measures that CMS has indicated will be publicly posted on Care Compare no…

Hospice Quality Reporting Program Update: HIS Timeliness Compliance Threshold Report

Hospices can now access their confidential Quality Measure (QM) reports in CASPER for two new publicly reported measures, Hospice Care Index (HCI) and Hospice Visits in the Last Days of Life (HVLDL).  These two claims-based measures will be publicly reported on Care Compare no sooner than May 2022. Hospices have been anxiously waiting to see…

Hospice Quality Reporting Program Update

The Centers for Medicare & Medicaid Services (CMS) has recently completed its review of hospice provider compliance with the Hospice Quality Reporting Program (HQRP) requirements. Hospices that were determined to be out of compliance with the requirements for calendar year (CY) 2020 can find the non-compliance notifications in their CASPER folders in QIES. Hospices that…

CMS Wants Recruits for the Hospice Outcomes & Patient Evaluation Beta Test

APPLY BY JUNE 14 APPLICATION IS HERE The Centers for Medicare & Medicaid Services (CMS) and Abt Associates are recruiting Medicare-certified hospices for the HOPE beta test. The detailed announcement and application are attached and located on the HQRP Provider & Stakeholder Engagement webpage. CMS plans to include hospices from each of the four Census…