Claims-based quality proposals and cost measures in 2017 IPPS proposed rule

Why This Topic Matters

The proposals discussed in the article can influence future hospital reimbursement, quality scores, and internal documentation priorities. Understanding the scope of the changes helps hospitals prepare for measure updates, mixed-code-set reporting periods, and alignment between CDI, coding, and quality teams.

Article Sections

1. Risk standardized readmission rates

   Discusses a proposed addition to the Hospital Readmissions Reduction Program and the related timing of performance evaluation.

2. Risk-adjusted Patient Safety Indicator (PSI) 90 composite

   Covers proposed updates to a hospital safety composite measure, including changes to measure structure, weighting, and implementation timing across CMS programs.

3. Risk-standardized mortality measures

   Summarizes a proposed mortality measure related to coronary artery bypass graft care and its expected role in hospital value-based purchasing.

4. Cost measures

   Describes proposed new hospital cost and efficiency measures, their measurement periods, and their relationship to value-based payment assessment.

5. Summary

   Wraps up the article with a general discussion of reporting, payment impact, and the need for coordination between CDI and quality teams.