CMS adds new measures for future payment determination

Why This Topic Matters

Hospitals rely on these CMS measure updates to understand which quality indicators affect payment, reporting, and performance monitoring in coming fiscal years. The article helps readers identify where documentation, coding, and data-quality review may be most important for program performance.

Article Sections

1. Overview of 2016 IPPS final rule measure changes

   Introduces the CMS measure updates tied to future payment determination and summarizes the scope of the changes across hospital quality programs.

2. New measures for FY 2018 and FY 2019 payment determination

   Lists the newly added claims-based and structural measures and identifies the fiscal years in which they affect payment determination.

3. Measures removed from the inpatient quality program

   Summarizes measures CMS removed and notes which measures remain in electronic clinical quality measure form for later payment years.

4. Hospital Value-Based Purchasing Program

   Describes updates to the HVBP measure set, including removals, domain restructuring, and a newly adopted measure for reporting.

5. Hospital-Acquired Infection measure expansion

   Covers expansion of infection-related measure populations and the affected care locations and reporting years.

6. Hospital-Acquired Conditions Reduction Program

   Reviews HACRP-related timing, weighting, data expansion, and measure-specification references affecting hospital performance assessment.

7. Performance improvement and data quality considerations

   Discusses general areas hospitals and CDI teams should review to support quality-measure performance and data integrity.