Happy Thanksgiving from OAI to You!
OASIS Answers - Wednesday, November 25, 2015
We hope you enjoy quality time with your family and those you love & care for!
Discharge to Community Cross-Setting Measure – Public Comment Period Ends November 23, 2015
OASIS Answers - Friday, November 13, 2015
The Centers for Medicare & Medicaid Services (CMS) has posted an opportunity for public comment on another new cross-setting quality measure mandated by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014: the Discharge to Community measure.
The Discharge to Community measure is a claims-based measure that will use Medicare fee-for-service claims and Medicare eligibility claims. The measure describes the risk-standardized rate of Medicare fee-for-service (FFS) patients/residents/persons who are discharged to the community following a post-acute stay or episode and do not have an unplanned (re)admission to an acute care hospital or LTCH in the 31 days following discharge to the community and remain alive during the 31 days following discharge to the community. In the home health setting, an acute care discharge preceding the start of the home health episode is not required.
The discharge to community measure for post-acute settings would affect a large proportion of the Medicare population. In 2013, 1.7 million Medicare FFS beneficiaries had SNF stays, 338,000 beneficiaries had IRF stays, 122,000 beneficiaries had LTCH stays, and 3.5 million beneficiaries received home health care (March 2015 Report to the Congress: Medicare Payment Policy. Medicare Payment Advisory Commission. 2015).
The IMPACT Act promotes person-centered care through the alignment of a set of quality measures across the post-acute settings of home health, inpatient rehabilitation facilities (IRF), skilled nursing facilities (SNF), and long term care hospitals (LTCH).
Detailed specifications for the Discharge to Community measure can be found at the CMS Quality Measures Public Comment site. Information on the measure, including instructions for submitting comments, can be found at the bottom of the page in the “Downloads” section.
The public comment period for the Discharge to Community cross-setting measure closes on 11/23/2015. Comments should be submitted to: email@example.com
Thank you for your commitment to post-acute quality of care!
CMS Needs Your Feedback: Potentially Avoidable Readmissions Cross-Setting Measure – Public Comment Period Ends November 16, 2015
Jo-Lynn Jansen - Thursday, November 05, 2015
The Centers for Medicare & Medicaid Services (CMS) is providing home health agencies, stakeholders, and the public with many opportunities to provide input on new cross-setting measures developed as mandated by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. The IMPACT Act is landmark legislation that supports person-centered care through the alignment of a set of quality measures across the post-acute settings of home health, inpatient rehabilitation facilities, skilled nursing facilities, and long term care hospitals.
The current opportunity for feedback is related to the Potentially Preventable Readmission (PPR) measure. This is a claims-based measure that uses Medicare fee-for-service claims and a list of conditions for defining a potentially preventable hospital readmission for 30-days post- PAC discharge. In addition, the measure has an extensive list of exclusions (circumstances that exclude the patient from being included in the measure calculation for the PAC provider).
Information related to this measure can be found at the CMS Measure Management Public Comment site. Upon accessing this site, information on the PPR measure, including instructions for submitting comments, can be found at the bottom of the page in the “Downloads” section.
The public comment period for the PPR cross-setting measure ends on November 16, 2015 and comments should be submitted to: PPR@rti.org
Please continue to watch our blog posting as new opportunities for commenting on IMPACT Act cross-setting measures will be coming soon!
Thank you for your commitment to home health quality!