Summary of Updates on HIQR Collection Forms

Summary of HQR Information Collection Forms - FY2023 IPPS Final Rule - HQR PRA Package (1).docx

Hospital Reporting Initiative--Hospital Quality Measures (CMS-10210)

Summary of Updates on HIQR Collection Forms

OMB: 0938-1022

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FY 2023 Inpatient Prospective Payment System Rule: Summary of Updates on Hospital Quality Reporting Information Collection Forms


Form

Notes on Updates

  1. Hospital Inpatient Quality Reporting Notice of Participation

  • Changed radio buttons to bullets and added if the selection is now in a drop down box.

  1. Hospital Quality Reporting Data Accuracy and Completeness Acknowledgement (DACA)

  • In the requirements section, removed the individual measures to make it more general, e.g. removed “Sepsis” from the chart-abstracted measure. This will make it easier if new measures are added. Both tracked and clean versions are in the zip file.

  1. Care Compare Request Form for Withholding/Footnoting Data for Public Reporting

  • Added new measures to Table 1 and corrected two Measure ID names.

  • Corrected the MEDCON Measure ID in Table 2.

  • Both tracked and clean versions are in the zip file. Reviewed by Lantana.

  1. Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Quality Reporting Programs Measure Exception Form for PC and HAI Data Submission

  • Made minor verbiage edits to the SSI and CAUTI/CLABSI sections as requested by DPS (HACRP Team).

  • Both tracked and clean versions are in the zip file.

  1. CMS Quality Reporting Program APU Reconsideration Request Form

  • Made minor verbiage edit in the validation section to encourage sending through Managed File Transfer as requested by the Validation Support Contractor.

  • Both tracked and clean versions are in the zip file.

  1. CMS Hospital IQR Program Validation Review for Reconsideration Request Form

  • No changes made.

  1. Centers for Medicare & Medicaid Services (CMS) Quality Program Extraordinary Circumstances Exceptions (ECE) Request Form

  • Clarifyed the deadlines for reporting and performance ECEs.

  • Added the new COVID-19 HCP Vaccination measure where applicable.

  • Added lines to the Non-Measure requirements, where applicable, for the submitter to write in the appropriate requirement.

  • For the SNF VBP program, added the Non-Measure and Other requirements for selection.

  • Both tracked and clean version are in the zip file.

  1. Hospital Value-Based Purchasing (VBP) Program Review and Corrections Request Form

  • No changes made.

  1. Hospital Value-Based Purchasing (VBP) Program Appeal Request Form

  • No changes made.

  1. Hospital Value-Based Purchasing (VBP) Program Independent CMS Review Request Form

  • No changes made.

  1. Maternal Morbidity Structural Measure

  • This is new for the PRA package.

  • Replicates the data entry form that is within the HQR Secure Portal.

  1. PC-01 Measure

  • This is new for the PRA package.

  • Replicates the data entry form that is within the HQR Secure Portal.

  1. Population and Sampling

  • This is new for the PRA package.

  • Replicates the data entry form that is within the HQR Secure Portal.

Validation Templates

  1. CAUTI

  2. CDI

  3. CLABSI

  4. MRSA

  • No changes made.

  • Provided by the Validation Support Contractor.

  1. CMS Quality Reporting Validation Educational Review Form

  • No changes made.

  • Provided by the Validation Support Contractor.


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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorOwen, Nanette
File Modified0000-00-00
File Created2023-09-07

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