Aligning Quality Measures across CMS – The Universal Foundation
The quality-measurement movement began more than 20 years ago and has resulted in transparent quality-performance information, accountability and improvements. At the same time, the proliferation of quality measures caused confusion, increased reporting burden and misalignment of approaches for common clinical scenarios. The CMS and public–private partnerships have therefore moved toward creating more parsimonious sets of measures. Although some progress has been made, a lack of alignment across CMS’s quality programs has contributed to challenges for clinicians, facilities and health insurers when it comes to prioritizing outcomes that are meaningful for patients. Learn MoreIdentifying Patient Harm
Are you using the IHI Global Trigger Tool as an additional tool to identify harm in your facility? The use of the IHI Global Trigger Tool for Measuring Adverse Events provides an easy-to-use method for accurately identifying adverse events (harm) and measuring the rate of adverse events over time through a retrospective review of a sample of records by looking for specific triggers. A recent study validated the accuracy of the tool in identifying adverse events of greater harm. See the following resources: Readmissions/Care TransitionsAddressing Rural Health Inequities in Medicare
Rural communities often experience significant health inequities. Compared to urban Americans, rural Americans are more likely to have heart disease, stroke, cancer, unintentional injuries, suicide risk, and chronic lung disease, and have higher death rates from COVID-19. Addressing rural health inequities is a cornerstone of CMS’ effort to improve health equity. Read MoreFirst, Do No Harm
Ensuring patient safety is at the heart of the Hippocratic Oath: First, Do No Harm. As the nation’s largest payer for health care, CMS is focused on patient safety and pushes for continued and significant improvements. CMS is using all the levers at its disposal, including expanded and improved measures of safety performance, increased transparency, and strong payment incentives to promote improved safety outcomes. Read ArticleTransitions of Care: What Really Works
Discharging patients from the hospital setting is a complex process with many moving parts. Multiple interventions to ensure a smooth transition from one level of care to the next have been identified as best practices. What really works? In a study recently published in UpToDate, researchers in the field of transitions of care evaluated the effectiveness of various approaches to improve the discharge process. Read ArticlePatient and Family EngagementLearning From Experience: Exploring the Impact of Approaches to Family Presence in Hospitals During COVID-19
Throughout the pandemic, the Institute for Patient- and Family-Centered Care (IPFCC) remained firmly committed to advancing patient- and family-centered approaches that adhere to the safest guidelines and pose the least burden on health care professionals. Several resources were developed that relate directly to family presence and partnerships during a pandemic. View Resources Health EquityCMS Proposes Policies To Improve Patient Safety and Promote Health Equity
CMS released a press release and factsheeton a proposed rule addressing health equity in fiscal year (FY) 2024. Here are a couple of key points in the proposed rule:
There will be a 60-day public comment period beginning on May 1, and comments can be posted here.
- CMS is proposing to make health equity adjustments in the Hospital Value-Based Purchasing Program by providing incentives to hospitals to perform well on existing measures and to those who care for high proportions of underserved individuals, as defined by dual eligibility status.
- CMS is proposing to recognize homelessness as an indicator of increased resource utilization in the acute inpatient hospital setting, which may result in higher payment for certain hospital stays.
- CMS is proposing to change the severity designation of the three ICD-10-CM diagnosis codes describing homelessness (e.g., unspecified, sheltered, and unsheltered) from non-complication or comorbidity (NonCC) to complication or comorbidity (CC) based on the higher average resource costs of cases with these diagnosis codes compared to similar cases without these codes.
- CMS is proposing to add 15 new health equity hospital categorizations for the FY 2024 IPPS payment impacts. Moving forward, one of the priorities of the CMS Framework for Health Equity 2022-2032 is to expand the collection, reporting, and analysis of standardized health equity data.
- CMS is also proposing that rural emergency hospitals could be designated as graduate medical education training sites. As a result, more medical residents would be able to train in rural settings, which can help address workforce shortages in these communities.