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February 2011
Quality Improvement Specialists
donna
Donna Piatt
(405) 302-3212

 
dale
Gayla Middlestead
(405) 302-3241

 

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What's Inside
CMS Issues Proposed Rule for Value Based Purchasing
Emergency Department Measures Now Voluntary
Latest Quality Reporting Call Available for Access
CMS Issues Proposed Rule for Value Based Purchasing
Affordable Care Act's Hospital Inpatient Value-Based Purchasing Program Would Promote High-Quality Care 
    
     CMS has issued a proposed rule that would establish a new hospital value-based purchasing program that would reward hospitals for providing high-quality, safe care for patients.  Under the program, hospitals that perform well on quality measures relating both to clinical process of care and to patient experience of care, or those making improvements in their performance on those measures, would receive higher payments under the program. To read more, click here.

 

    

Emergency Department Measures Now Voluntary

     CMS has made the decision to change the ED Measures to voluntary, beginning with 10/1/10 discharges, in order to allow hospitals to begin submitting data for this measure set. Extensive changes were made to the ED-1 and ED-2 Measures Information Forms and Algorithms-see Specifications Manual for all changes. These measures will be required for acute care hospitals participating in the Hospital Inpatient Quality Reporting Program beginning 1/1/12.   Critical access hospitals may report the ED measures but are not required to at this time.

 

ED-1-Median Time from ED Arrival to ED Departure for Admitted ED Patients

Remove all stratified measures except for reporting measure.

 

Add to Excluded populations:

-Patients placed into Observation Services

-Patients with an ICD-9-CM Principal Diagnosis for Mental Disorder (Table 7.01)

-Patients who are not an ED Patient

 

ED-2 Admit Decision Time to ED Departure Time for Admitted Patients

Remove all stratified measures except for reporting measure.

 

Add to Excluded populations:

-Patients placed into Observation Services

-Patients with an ICD-9-CM Principal Diagnosis for Mental Disorder (Table 7.01)

-Patients who are not an ED patient

 

    

Latest Quality Reporting Call Available for Access

    

     The latest quality reporting conference call contained information on I Pledge (acute care hospital only), Validation updates, CART 4.9, ED measures, Preview Data, Disaster Waiver Form, National Healthcare Safety Network reporting for infections, and Specifications Manuals updates on AMI, HF, PN, and SCIP. This call was recorded and is available for replay at your convenience if you were unable to attend.

 

     If for some reason you are not able to access the recording by clicking on the link, try to copy and paste it into your web browser.

 

 https://qualitynet.webex.com/qualitynet/ldr.php?AT=dw&rID=27616537&rKey=84ce3c4ecae93d54

 

 

WebEx Support Help Line--540-347-7400 x390

 

    

  **OFMQ does not endorse or guarantee accuracy of content on external websites that may be linked from this newsletter.** 

 

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-1174-OK-0211