Federal Register - August 4, 2021
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Source: Federal Register
Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Rules and Regulations
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TABLE 18: Proposed CAHPS Hospice Survey Public Reporting Quarters During and After the Freeze
Febru
Q4 2018-Q4 2019, Q3 2020-Ql 2021
2022
Ql 2019-Q4 2019, Q3 2020-Q2 2021
Ma 2022
Q2 2019-Q4 2019, Q3 2020-Q3 2021
Au ust2022
Q3 2019-Q4 2019, Q3 2020-Q4 2021
November 2022
Febru
Q4 2019, Q3 2020-Q 1 2022
2023
Q3 2020-Q2 2022
We sought public comment on this proposal to publicly report the mostrecently available 8 quarters of CAHPS
data starting with the February 2022
refresh and going through the May 2023
refresh on Care Compare because we cannot publicly report Q1 2020 and Q2
2020 data due to the COVID19 PHE.
Comment: One commenter agreed with our proposal to report the eight most recent quarters of data for the CAHPS Hospice Survey, skipping the exempted quarters. They also requested that Care Compare provide information to users explaining that the published data included pre-COVID quarters. They wanted this continued until all publicly-reported data is from after the exempted quarters.
Response: We thank the commenter and will take this into consideration as information for Care Compare is developed. We will work with colleagues to provide information on Care Compare that alerts users the composition of the data.
Final Decision: We are finalizing our proposal to publicly report the mostrecently available 8 quarters of CAHPS
data starting with the February 2022
refresh and going through the May 2023
refresh on Care Compare because we cannot publicly report Q1 2020 and Q2
2020 data due to the COVID19 PHE.
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c. Quality Measures To Be Displayed on Care Compare in FY 2022 and Beyond 1. Removal of the Seven Hospice Item Set Process Measures From Public Reporting We are finalizing our proposal to remove the seven HIS process measures from the HQRP as individual measures, and no longer applying them to the FY
2024 APU and thereafter. We are finalizing our proposal to remove the seven HIS process measures no earlier than May 2022 refresh from public reporting on Care Compare and from the Preview Reports but continue to have it publicly available in the data catalogue at https data.cms.gov/provider-data/
topics/hospice-care.
We solicited public comment on this proposal to remove the seven HIS
process measures from public reporting on Care Compare. We received several comments from various stakeholders. A
summary of the comments we received on this proposal and our responses to those comments appear below.
Comment: The majority of commenters supported the removal of the seven HIS process measures no earlier than May 2022. However, a number of comments suggested that CMS continue providing the option for consumers to view detailed information
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about the individual measures that make up the HIS Comprehensive Assessment measure for transparency.
One commenter who opposed the proposal to remove the seven HIS
measures expressed concern that such a removal runs counter to the objectives of Care Compare to provide a personalized experience. Some comments expressed concern about the publics ability to be aware of and find the seven HIS measure scores in the Provider Data Catalogue.
Response: CMS does not believe that the public display of the individual process measures on Care Compare will add value for consumers. The individual measures show performance for only one process and do not demonstrate whether the hospice provides high-quality care overall, as an organization. Conversely, the HIS
Comprehensive Assessment Measure, which is a single composite measure, differentiates hospices by holding them accountable for completing all seven process measures to ensure these core hospice services are completed for all patients. This interdisciplinary, holistic scope of the HIS Comprehensive Assessment Measure better aligns with the publics expectations for hospice care. We maintain transparency since
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lotter on DSK11XQN23PROD with RULES4
Ma 2023
The grey shading refers to the frozen quarters.
