Healthcare News: CMS finalizes updates to hospital quality measures

December 6th, 2016

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This news item covers CMS final action on hospital quality measure updates in the 2017 OPPS final rule, including measures that continue unchanged for one payment year and measures finalized for later years. It also notes changes affecting outpatient and ambulatory surgery patient experience survey measures and a separate hospital value-based program survey component. The article is useful for hospital outpatient, ambulatory surgery, quality reporting, and compliance staff tracking Medicare quality program updates.

Why This Topic Matters

Hospitals and outpatient facilities need to know which quality measures and survey domains CMS has finalized so they can plan reporting, quality workflows, and program compliance for upcoming payment determinations.

Article Sections

  1. CMS quality measure updates in the 2017 OPPS final rule

    Overview of the payment-determination timing and the categories of quality measures addressed in the rule. Summarizes the scope of the CMS update for hospital outpatient reporting.

  2. Claims-based measures

    Describes the claims-based outpatient measures addressed in the final rule and their role in the quality program. Covers the measure group finalized for future payment years.

  3. OAS CAHPS survey-based measures

    Covers the patient experience survey measures finalized for outpatient and ambulatory surgery settings. Focuses on the survey-based measure set included in the CMS update.

  4. Hospital Value-Based Program change

    Notes a separate change involving a patient survey dimension used in the hospital value-based program. Describes the program area affected without detailing the underlying question content.

  5. Additional resources

    Points readers to the rule and CMS fact sheet for further reference. Provides a brief wrap-up of where to find official source material.

What You Will Learn

  • Which hospital outpatient quality measure updates CMS finalized for future payment determinations
  • How the article distinguishes claims-based measures from survey-based measures
  • What broader patient experience program change CMS made beginning with the 2018 program year
  • Where to find the official CMS rule and fact sheet referenced by the article

Who Should Read This

  • Hospital outpatient coding and compliance teams
  • Quality reporting staff
  • Ambulatory surgery center administrators
  • Revenue cycle and reimbursement professionals
  • Healthcare policy analysts

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