finalhqrheader

September 2010
Quality Improvement Specialists
donna
Donna Piatt
(405) 302-3212
 
 
dale
Gayla Middlestead
(405) 302-3241
 
Infection Connection

 Click above to access Infection Connection
Upcoming  Inpatient Deadlines:
 Fall 2010
  
October 13: HCAHPS Submission
 
November 1: Inpatient Population & Sampling
 
November 15: Inpatient Data Submission
 
Fact Sheets Available
   Changes Made to Specifications Manual
(As of 10-1-10)
 
 
 
Evidence-Based Medicine
  Multiple studies have shown that one of the most common reasons that urinary catheters are left in place is that clinicians are simply not aware they remain in place. Read more.
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Please Visit Us Online at: www.ofmq.com
What's Inside
Medicare Inpatient PPS FY 2011 Final Rule
Name Change for RHQDAPU
Q1 2010 Validation
SCIP- Most Frequent Question Submitted to Quest
Save the Date- Oklahoma Hospital Update
Medicare Inpatient PPS FY 2011 Final Rule


     The Centers for Medicare & Medicaid Services' FY 2011 IPPS Final Rule implements many provisions of the Patient Protection and Accountability Act of 2010:

 

     Payment Update:  2.35% payment for hospitals reporting quality measures, or 0.35% for those not reporting.

 

     Finalizes 4-years worth of quality measures to be integrated into the Reporting Quality Data for Annual Payment Update (RHQDAPU) program

·        Retires 1 quality measure for payment in FY 2011 (total of 45)

·        Adds 10 administrative quality measures for payment in FY 2012

·        Adds 2 chart-based quality measures for payment in FY 2013

·        Adds 5 measures while retiring 2 for payment in FY 2014.

 
To access FY 2011- FY 2014 yearly updates and requirements,
click here. Or to access more information on the Final Rule from the Federal Register, click here.

 

    

Name Change for RHQDAPU 

 

     CMS just announced a name change for its pay-for-reporting program, the Reporting Hospital Quality Data for Annual Payment Update (RHQDAPU) program. The program has been renamed the Hospital Inpatient Quality Reporting Program. This name change is effective immediately.

 
     This is a name change only and reflects the hospital reporting of quality data activities of the program defined in the Deficit Reduction Act of 2005 and required in the FY 2011 Inpatient Prospective Payment System (IPPS) Final Rule. The Hospital Inpatient Quality Reporting Program requirements continue as written in the FY 2011 IPPS Final Rule (under program requirements specified for the formerly named RHQDAPU program).
 
     Please note that documents, correspondence, regulation and any other systems that currently have the RHQDAPU name listed will be changed over time. In some instances the name change will be immediate and in others it will occur as documents, correspondence, regulation and systems are updated.
Q 1 2010 Validation
     Q1 2010 validation cases have been requested from the 19 Oklahoma hospitals chosen to be in the first year of validation.  If you are one of these hospitals, make sure you have received the list and that all the cases are submitted to the CDAC before the deadline of October 14, 2010.

 

     If you were not one of the 19 Oklahoma hospitals selected, you will not have any validation cases selected for Q1, Q2, or Q3 2010.

SCIP- Most Frequent Question Submitted to QUEST in August 2010
 
SCIP Reminder: Specific Data Elements for discharges 4/1/10 through 9/30/10, Version 3.1a
 
Infection Prior to Anesthesia - There must be preoperative physician/APN/PA documentation of a current infection or current possible/suspected infection to select "Yes." The documentation of preoperative infection must be in place prior to surgery.  Symptoms such as fever, elevated white blood cells OR wounds described as reddened, swollen and hot are not considered as infection, or possible/suspected infection.
 
-     Instructions were added to select "Yes" when: the surgery is a joint revision and a pre-operative culture is performed.
-     A  joint revision was defined as: There was a surgery prior to the principal procedure on the same extremity that was a total or partial arthroplasty OR hardware removal occurred during this principal procedure.
-     3 Inclusions were added: endometritis, free air in abdomen and perforation of bowel.
 
New for 10/1/10 discharges:
Surgical Incision Date - data element was added to address abstraction when the surgery begins prior to midnight and the incision is made after midnight
 
Save the Date
 
CMS FY 2011 IPPS Final Rule- Oklahoma Hospital Update

 

Learn how the Final Rule links to value-based purchasing, and what it means for your hospital's reporting requirements and future reimbursement.
 
Presenter: Dr. Dale Bratzler, OFMQ CEO
Who Should Attend: Hospital Leadership, Physicians and Quality Staff
 
Event: OFMQ- Hospital Updates on the Final Rule 
Date: Wednesday October 13, 2010
Time: 12:00 PM-1:00 PM CDT
Event Password: OFMQ
Teleconference:   1-877-615-4339
Teleconference Access Code:   6814675#

 

Please follow these instructions to join the event:

 

1) Click on or go to https://ifmcevents.webex.com
2) Locate your event
3) Click on the Join Now link to the right of the event or click on the name of the event
4) Enter your name and email address
5) Enter the Event Password:   OFMQ

6) Click on Join

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-1116-OK-0910