Welcome to the February 26 edition of the Quality Insights Renal Network 4 (QIRN4) e-newsletter. In this issue, we bring you important updates about public comment deadlines, QIP reporting measures, implementing the extraordinary circumstances exemption and much more. We encourage you to contact us with any questions, concerns or suggestions.
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CMS extends deadline for public comment on proposed changes to comorbidity adjustments
The Centers for Medicare & Medicaid Services (CMS) has extended the deadline for public comment on proposed changes to comorbidity adjustments in the Standardized Mortality Ratio (SMR) and Standardized Hospitalization Ratio (SHR) from February 22 to February 29, 2016. Learn more.
CMS is now also seeking public comment on revisions to the Standardized Transfusion Ration (STrR) and to the DFC Star Ratings. Comments on the STrR may be submitted between February 19 and March 4, 2016, and on the DFC Star Ratings until March 16, 2016.
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CMS QIP Reporting Measure for depression screening may now be entered into crownweb The new CMS QIP Reporting Measure for Depression Screening may be entered into CROWNWeb at any time prior to February 1, 2017. Depression, underdiagnosed and undertreated in people on dialysis, can lead to skipped and shortened treatments, fluid overload, medication omission, and substance abuse, increasing the risks of hospitalization and death. Home Dialysis Central has created a concise but thorough summary of the Reporting Measure for your review.
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Learn about implementing the extraordinary circumstances exception in the esrd qip In 2014, CMS finalized (79 FR 66189) that, for PY 2017 and beyond, it would exempt a facility from all ESRD QIP requirements during the time that the facility was forced to close temporarily due to a natural disaster or other extraordinary circumstances beyond the facility's control. In order to receive consideration for such an exception, the facility would need to submit a CMS Disaster Extension/Exception Request Form through www.qualitynet.org within 90 calendar days of the date of the disaster or extraordinary circumstance. As of January 2016, the ECE request form is still under review for compliance with the Paperwork Reduction Act and until further notice it is not available for use by ESRD facilities. CMS has implemented a process for use by facilities requesting an exemption until the form is available on www.qualitynet.org. Read the CROWN memo to learn the process.
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