Quality Reporting Resumes July 1, 2020

In Home Health, Hospice, News by Lisa Selman-HolmanLeave a Comment

Both hospice and home health providers are required to resume quality data reporting for episodes beginning on or after July 1, 2020.

The Centers for Medicare and Medicaid Services (CMS) provided an exception for hospice and home health providers from submitting quality data due to the Public Health Emergency (PHE) for three calendar quarters – October 1, 2019 through June 30, 2020.  Even though the COVID-19 pandemic continues across the country, this exception has not been extended at this time.

With the exception ending June 30, 2020, providers will need to comply with all reporting requirements beginning July 1 in order to avoid the 2% payment update penalty.

The data from Quarter 4 2019 and Quarters 1 and 2 2020 will not be used for calculations of publicly reported outcome measures by CMS.  Home Health Compare is not scheduled to update in July 2020; the next update will be October 2020. Providers can now download the latest Provider Preview Reports and the Quality of Patient Care Star Rating Preview Reports from iQIES. You can find both reports by selecting “My Reports” in iQIES. These reports preview data that will be displayed in the Home Health Compare website beginning around October 20, 2020.

The end-result outcome measure for Pain Interfering with Activity has been removed from reporting on HH Compare effective with the April update and is no longer used in calculation of the Quality of Care Star rating.

The home health PEPPER is now scheduled for release on August 12, 2020.

What does this mean for your quality improvement activities?

Pay attention to your Potentially Avoidable Events and audit every episode listed on that OBQM report: take a look at what you did right and what could have been done better to potentially avoid the adverse event (UTI, wound infection, medication error, etc.)

Check your CASPER reports and HH Compare, and continue to focus your quality improvement activities on the key quality measures currently used for Quality of Care Star rating calculation:

  • Improvement in Bathing
  • Improvement in Bed Transferring
  • Improvement in Ambulation/Locomotion
  • Improvement in Dyspnea
  • Improvement in Management of Oral Medications
  • Timely Initiation of Care (process measure)
  • Acute Care Hospitalization (claims based measure)

Download your Provider Preview Report and the Quality of Patient Care Star Rating Preview Report from iQIES, and save a copy of these preview reports for later reference. If there are questions or concerns regarding the information, please contact CMS at iqies@cms.hhs.gov


Need professional assistance with your reports and/or improvement in your scores? Contact Selman-Holman & Associates, A Briggs Healthcare Company.

Learn about quality data, PEPPER reports and more at Insight 2020. Click here to learn more. 

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