Evaluation of Patient Satisfaction and Experience of Care for Medicare Beneficiaries with ESRD: Impact of the ESRD Prospective Payment System (PPS) and ESRD Quality Incentive Program (QIP)
ICR 201210-0938-007 · OMB 0938-1206 · Historical Active
Evaluation of Patient Satisfaction and Experience of Care for Medicare Beneficiaries with ESRD: Impact of the ESRD Prospective Payment System (PPS) and ESRD Quality Incentive Program (QIP)
New collection (Request for a new OMB Control Number)
Approved consistent with the following terms of clearance; following completion of the evaluation CMS will provide OMB with a description of the response rates achieved, and describe the results of their non-coverage bias analysis and nonresponse bias analysis.
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
08/31/2016
36 Months From Approved
2,540
0
0
662
0
0
0
0
0
The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) directed the Secretary of HHS to implement a payment system under which providers or renal dialysis facilities receive a single payment for renal dialysis services in lieu of any other payment. The end-stage renal disease (ESRD) prospective payment system (PPS or "bundled payment") combines composite rate dialysis services with separately billable services under a single payment adjusted to reflect patient differences in resource needs or case-mix. MIPPA also stipulated the development of quality incentives for the ESRD program, known as the ESRD Quality Incentive Program (QIP). The ESRD QIP reduces ESRD payments by up to 2.0 percent for dialysis providers and facilities that fail to meet or exceed a specified performance score.
The Centers for Medicare and Medicaid Services (CMS) is planning a qualitative and quantitative evaluation of the impact of the recently implemented ESRD PPS/QIP on beneficiary satisfaction and experience of care. To support its review of the legislative impact on satisfaction and care, CMS will conduct two separate data collection efforts: one with ESRD beneficiaries and one with stakeholders in the renal care community. The quantitative data collection effort for this study will include 2,500 telephone interviews with 2,500 ESRD beneficiaries. CMS will assess beneficiary experiences using the current version of the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH-CAHPS) Survey. The qualitative data collection effort for this study will include interviews of 40 key stakeholder professionals in the renal care community. The focus of these interviews will include an assessment of whether there are missing domains or topics in the current ICH-CAHPS Survey (to support future modifications to the survey instrument).
PL:
Pub.L. 92 - 603 2991
Name of Law: Chronic Renal Disease Considered to Constitute Disability
Subsequent to the publication of the 60-day Federal Register notice (77 FR 27777), the annual burden hours have decreased from 1,287 to 662. Early cognitive interview findings of the ESRD Beneficiary Survey submitted during the 60 day notice exhibited respondent complaints that the survey was too long and some participants had to hang up early because they were feeling sick. Medicare beneficiaries with end stage renal disease (ESRD) are very sick and unable to remain cognitively aware for 30 minutes. The ESRD Beneficiary Survey was significantly shortened so that the time necessary to interview a single participant was reduced from 30 to 15 minutes.
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