Quiero saber acerca de...

Federal Register / Vol. 86, No. 164 / Friday, August 27, 2021 / Notices
48227

MAP did notevaluate any measures for Ambulatory Surgical nter Quality Reporting ASl during this MAP cycle, but theysugested lnfectton-!t!lated measure11,metr1cs that establ!Sh the quality and safety of procedures within ambulatory .surgery.centers previously done In hospltartnpatlentand outpatlent settings, .medication.safety measures wlthan emphasis on.opioid prescrlbfngand stewardshlp,ahd measures of PROswlth an emphaslsoi1funct1on11 status.
there wete. lt measures for consldi!ratlonfortheMAP during this cycliffor the Hosp1tarA1:qultet:f condition HAC program. MAPdtd not Identify any specific measure gaps but rncludedcommerrts related to the tlsk adjustment model for the tfACquallty measure, Speclftcally, MAP noted concem that the rtskadJustment modermay unfairly l>i!nall:ze hosl:lltais tfiatnaw mc,re tellabtetesults by usl!ll thi!
national average to Impute the hospltalscore for those with smaller case volume. It was also mentioned that a naloxone prescription Is not always an Indicator thatthere has been harm but may be appropriate tor prestrlbl!ll, the2019 Muc 11st did not 1:ontatrtany potentlal ttospttal Readmissions :Redui:tlort Pr:cgramHRRP
measutesfofMAPto. review; In the dllicussron of gapsforthls measute set,. MAP suggestedevatuatrhJ
seven-day readrriissJon ra rah than 30-ciayrates. MAP suffl$dJh;tt there1,1c1s an Issue Yllth atttlbut1on,namely that.30.;day measures may not solely reflect the perforhiance of the hoslltal, but a combination ofhospltal and community care; MAP noted thatsome.ofthe measures have been In the program for a longtime and may haveJQpped out. They c:alled ori CMS to examlne Whtch measures may have outlived their usefulness. MAP also encouraged CMS to explote the poter1t1a1 lnterattron betw.een mortality and readmissions, particularly for patients with heart failure;
TheteWere no measures underc:oristc:terat1oriJor Hospttar Outpatient QUallty Repottlhg OQ.R this cycle.
MAP did notspeclfy any ml!asuregapsfor the program dufngelr cllscusslon.
Hospital talueBased PaymentVBI> had 110 measures forconslderat:lon during this cycle. In MAP
dlalogueon measure pps,rtwas !ICted thatHospTtalVBPisasubset ofldR measures. MAP sumsted the IQR program WC>uld benefit from addlttohal c:atetrarisltlohs measures as Well as ehhancec:t measures ofpreventable healthcare harm such as the PSI-SO compQslte NQ,F 0531. MAP also emphasized makrn,measutes !1101 attJortablefotHospltaV8P, such as. by rep0rtllig CAHPS:scotes by UhlUtid by reporting Medicare spending perbeneflc:lary for cohdltlonsthat match CMS. mortallty.ahd readllilsslori measures.

MAP Identified potential gaps fn the Home Health Quality Reporting Program HK QRP measure set.
MAI> members Identified measurementgaps arounl long-term tracklng of actMtles of dally llvlng and measurement that captuteSwound cate hollStlc:ally.
In Its review of the H05plc:e O.uality Rept>rtlng Program measuteset, lllAP rioted a pp lri measures addtesstngsatety, partrc:ularlyaround polypharmacyand med1c:at1on.reconc111at1on;PR0s.around liYlFIPtom.manageml!n; care aligned wtththl! patients goals; anci communication of those.goals to th!l next site of care should the patient leave. hospice.

VerDate Sep<11>2014

17:52 Aug 26, 2021

Jkt 253001

PO 00000

Frm 00114

Fmt 4703

Sfmt 4725

E:FRFM27AUN1.SGM

27AUN1

EN27AU21.082

lotter on DSK11XQN23PROD with NOTICES1

the Inpatient Rehabllltatton FacllltyQ.uallty Reporting Program IRF Q.RPdld. not have any measures submitted for tevlew durrng this cycle.MAP noted appropriate clln1ca1 presc:rlblng:arid use of oi:,lotdsas a potential ml!asurementgap In the Hf QRP measure set,