Federal Register - August 4, 2021
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Source: Federal Register
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Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Rules and Regulations
January 2022 through July 2024 for some claims-based measures.
6. Update to the Public Display of HH
CAHPS Measures Due to the COVID19
PHE Exception Since April 2012, we have publicly displayed four quarters of HH CAHPS
data every quarter, in the months of
January, April, July, and October. The COVID19 PHE Exception applied to Q1
and Q2 of 2020. Those excepted quarters cannot be publicly displayed and resulted in the freezing of the public display using Q1 2019 through Q4 2019 data for the refreshes that would have occurred from October 2020
through October 2021, as shown in
Table 24. Beginning with January 2022, we will resume reporting four quarters of HH CAHPS data. The data for the January 2022 refresh are Q3 2020
through Q2 2021. These are the same quarters that would have been publicly displayed despite the COVID19 PHE.
Table 24 summarizes this discussion.
TABLE 24: HH CAHPS Public Reporting Quarters During and After the Freeze
October 2020-October 2021
QI 2019 - Q4 2019
Q3 2020-Q2 2021
January 2022
Q4 2020-Q3 2021
April 2022
QI 2021-Q4 2021
July 2022
Q2 2021-Q 1 2022
October 2022
Q3 2021-Q2 2022
January 2023
Q4 202 l -Q3 2022
April 2023
QI 2022-Q4 2022
July 2023
The grey shading refers to the frozen quarters.
IV. Requests for Information
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A. Fast Healthcare Interoperability Resources FHIR in Support of Digital Quality Measurement in Post-Acute Care Quality Reporting Programs Request for Information Through the proposed rule, we sought input on the following steps that would enable transformation of CMS quality measurement enterprise to be fully digital 86 FR 19765:
a. What EHR/IT systems do you use and do you participate in a health information exchange HIE?
b. How do you currently share information with other providers and
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are there specific industry best practices for integrating SDOH screening into EHRs?
c. What ways could we incentivize or reward innovative uses of health information technology IT that could reduce burden for post-acute care settings, including but not limited to hospices?
d. What additional resources or tools would post-acute care settings, including but not limited to hospices and health IT vendors find helpful to support testing, implementation, collection, and reporting of all measures using FHIR standards via secure APIs to reinforce the sharing of patient health information between care settings?
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e. Would vendors, including those that service post-acute care settings, including but not limited to hospices, be interested in or willing to participate in pilots or models of alternative approaches to quality measurement that would align standards for quality measure data collection across care settings to improve care coordination, such as sharing patient data via secure FHIR API as the basis for calculating and reporting digital measures?
f. What could be the potential use of FHIR dQMs that could be adopted across all QRPs?
We plan to continue working with other agencies and stakeholders to coordinate and to inform our
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Resume rolling of most recent four rolling quarters of data. These are the same rolling quarters that would have displayed regardless of the COVID-19 PHE.
