Health Data and Quality   Quality    Hospice Quality Measures

The Center for Medicare and Medicaid Services (CMS) began publicly reporting Hospice Information Set (HIS) quality measures in August 2017 on CMS Hospice Compare.  Beginning in late winter 2018 CMS will begin publicly reporting Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey data.  

CMS currently requires CAHPS Hospice Survey and HIS data from all Medicare-certified Hospice providers. The data submitted by qualified hospice providers meets the pay for reporting requirement of the Hospice Quality Reporting Program (HQRP).  

The CAHPS Hospice Survey measures patient and caregiver experience with hospice care and was nationally implemented on January 1st, 2015 with public reporting anticipated in winter of 2018[1]. MHCC plans to report these quality measures when they become publicly available.

For more information about the CAHPS Hospice Survey click here 

The HIS is a standardized data abstraction tool used by hospice staff to collect data from medical records that is then entered into the CMS Quality Improvement Evaluation Systems (QIES) Assessment Submission and Processing (ASAP) system[2]. The abstracted data is used to calculate 6 National Quality Forum (NQF) endorsed measures and 1 modified NQF measure. Hospices began using HIS for all patients on July 1st 2014. MHCC plans to report these quality measures when they become publicly available[3].

For more information about the NQF endorsed and modified measures calculated using HIS click here



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1. www.hospicecahpssurvey.org Centers for Medicare & Medicaid Services, Baltimore, MD. November, 18, 2016.
2.https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Downloads/PV-Copy-1-of-HIS-Training-Slides.pdf Centers for Medicare & Medicaid Services, Baltimore, MD. November, 18, 2016.
3. https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/hospice-quality-reporting/downloads/his-fact-sheet.pdf Centers for Medicare & Medicaid Services, Baltimore, MD. November, 18, 2016. 

 

Last Updated: 1/3/2018