Summary of Updates on HIQR Collection Forms

FY 2025 Inpatient Prospective Payment System Rule: Summary of Updates on Hospital Quality Reporting Information Collection Forms

Form	Notes on Updates
Hospital Inpatient Quality Reporting Notice of Participation	No updates made.
Hospital Quality Reporting Data Accuracy and Completeness Acknowledgement (DACA)	Updated and consolidated the requirements that are included under the DACA.
Care Compare Request Form for Withholding/Footnoting Data for Public Reporting	Table 1: Minor change for consistency with HAI measures and added measures. Table 2: Reordered the table to group program measures and added new ones.
CMS Quality Reporting Program APU Reconsideration Request Form	Updated validation section.
CMS Hospital IQR Program Validation Review for Reconsideration Request Form	Updated guidance related to submitting validation reconsideration medical records.
Centers for Medicare & Medicaid Services (CMS) Quality Program Extraordinary Circumstances Exceptions (ECE) Request Form	Added new Rural Emergency Hospital Quality Reporting Program to form. Updates to language for clarity, alignment, and inclusion of CY 2025 measures/requirements.
Hospital Value-Based Purchasing (VBP) Program Review and Corrections Request Form	Changed the time frame for which the form is due from 30 days from the ListServ announcement to 30 days from when the report is available.
Hospital Value-Based Purchasing (VBP) Program Appeal Request Form	No updates made.
Hospital Value-Based Purchasing (VBP) Program Independent CMS Review Request Form	No updates made.
Maternal Morbidity Structural Measure	Removed the paragraph regarding not being able to use the PC-01 IPPS Measure Exception1 form as hospitals will know this by CY 2025 since the measure was removed beginning CY 2024.
Population and Sampling	No updates made.
CMS Quality Reporting Validation Educational Review Form	No updates made.
Electronic Clinical Quality Measure (eCQM) Denominator Declaration	Screenshot of the data form in the Hospital Quality Reporting (HQR) system. The verbiage about the measures table was updated to reflect what is in HQR.
Total Hip Arthroplasty/Total Knee Arthroplasty (THA-TKA) Patient-Reported Outcome-based Performance Measure (PRO-PM)	This is the initial time that this data form is going through the PRA process. Screenshot of the data form in HQR.
Social Drivers of Health (SDOH) Measure	This is the initial time that this data form is going through the PRA process. Screenshot of the data form in HQR.
Hospital Commitment to Health Equity (HCHE) Measure	This is the initial time that this data form is going through the PRA process. Screenshot of the data form in HQR.

¹ The IPPS Measure Exception Form was removed from the IQR PRA Package and added to the HACRP PRA Package beginning CY 2024 due to the removal of the PC-01 measure from the Hospital IQR Program. This form now includes only the Healthcare-Associated (HAI) measures.

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