Federal Register - August 4, 2021
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Source: Federal Register
42596
Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Rules and Regulations
Measure Reference Name
Acute care Hospitalization AH
NQF 0171
Emergency Department Use EDU NQF
0173
Reportability % providers meetingPRT
Standard Public Reporting, SPR
Scenario 80.9
meetingPRT
COVID-19
Affected Reporting, CAR
Scenario 75.8
80.9
75.8
We proposed to use the CAR scenario for the last of the refreshes affecting OASIS-based measures, which will occur in January 2022. We also proposed to use the CAR scenario for refreshes from January 2022 through July 2024 for some claims-based measures.
Our proposal to adopt the CAR
scenario for the January 2022 refresh would allow us to begin displaying recent data in January 2022, rather than continue displaying October 2020 data
% providers
Reliability Pearson Correlation
Spearman Correlation
5.1%
.88
.87
5.1%
.91
.90
Change in%
Providers meetingPRT
Q1 2019 through Q4 2019. We believe that updating the data in January 2022
by more than a year relative to the October 2020 freeze data can assist the public by providing more relevant quality data and allow CMS to display more recent HHA performance.
Similarly, using fewer than standard numbers of quarters for claims-based measures that typically use eight or twelve months of data for reporting between January 2022 and July 2024
will allow us to begin providing more
relevant data sooner. Our testing results indicate we can achieve these positive impacts while maintaining high standards for reportability and reliability. Table 22 and Table 23
summarize the comparison between the original schedule for public reporting with the revised schedule that is, frozen data and also with the proposed public display schedule under the CAR
scenario that is, using 3 quarters in the January 2022 refresh, for OASISand claims-based measures respectively.
TABLE 22: Original, Revised and Proposed Schedule for Refreshes Affected by COVID-19 PHE Exce tions for HH OASIS-based QMs Quarter Refresh
October 2020
OASIS Quarters in Original Schedule for Care Compare number of uarters QI 2019- Q4 2019 4
January 2021
Q2 2019- Ql 2020 4
April 2021
Q3 2019-Q2 2020 4
July 2021
Q4 2019- Q3 2020 4
October 2021
QI 2020- Q4 2020 4
January 2022
Q2 2020-Ql 2021 4
OASIS Quarters in revised/proposed Schedule for Care Compare number of uarters
Note: The shades cells represent data frozen due to the COVID-19 PHE.
OASIS data with 3 versus 4 quarters of data
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