| PEPPER Reports Are Back |
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PEPPER- Program for Evaluating Payment Patterns Electronic Reports are used by acute and long term care hospitals to identify Medicare severity diagnosis-related groups (MS-DRGs) at high risk for payment errors. Many hospitals use PEPPER data to identify areas for quality improvement and prepare for greater Medicare oversight by auditors such as recovery audit contractors.The reports are available through My QualityNet, www.qualitynet.org. You can also access resources including a help desk online at www.pepperresources.org.
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RHQDAPU FY 2011
NEW Requirements |
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Two additional SCIP measures must report starting Q1 2010
Two additional Structural Measures- Participation for FY 2011 will be based on data from 1/1/10 through 6/30/10. Hospital will be able to submit through an online tool via My QualityNet between 7/1/10 and 8/15/10.
- Cardiac Registry Participation
- Stroke Care (NEW for FY 2011)
- Nursing Sensitive Care (NEW for FY 2011)
Data Accuracy and Completeness Acknowledgement (DACA)
- Hospital will acknowledge all information submitted as required by RHQDAPU program for FY 2011 payment determination is complete and accurate to the best of their ability.
- Hospital will be able to submit through an online tool between 7/1/10 and 8/15/10.
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FY 2011 RHQDAPU
Ongoing Requirements
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- Register with QualityNet
- Notice of Participation
- Identify and maintain an active QualityNet
Security Administrator
- Collect & Report Clinical Data
- Q4 2008 through Q1 2010
- Submit Population & Sampling Size
- Q2 2009 through Q1 2010
- Continuously Collect & Submit Hospital Consumer Assessment of Healthcare Providers and Systems Survey Data (HCAHPS)
- Q4 2008 through Q3 2009
For complete details, please review the Final Federal Rule: CMS-1406-F which is available on www.qualitynet.org. |
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Forecast for Hospitals: Cost Scrutiny, Larger Transitions and Safety |
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In Feb. 1, The Hospitalist reported on trends in quality improvement and hospital accountability in 2010. According to Peter Pronovost, MD, PhD, the medical director of the Center for Innovation in Quality Patient Care and director of the Quality and Safety Research Group at Johns Hopkins University, there will be three major themes in 2010. The first area of increased focus will be on outcome measurements and accountability for hospital performance. Secondly, more attention will be given to measures that are population-based rather than hospital-based to address geographical and community disparities. Lastly, providers will be expected to maximize efficiency, while increasing safety and quality. Other important themes will be end-of-life care and setting up new standards for measuring transparency, quality and accountability. Click here for more information. |
| This material was prepared by Oklahoma Foundation for Medical Quality, the Medicare Quality Improvement Organization for Oklahoma, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 961HR-937-OK-1009 |
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