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Hospice Quality Reporting Program (HQRP)

FY 2017 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements Final Rule

HQRP Overview

The Patient Protection and Affordable Care Act (ACA) mandated the initiation of a quality reporting program for hospices (HQRP). The Center for Medicare and Medicaid Services (CMS) determines the quality measures that hospices must utilize and the processes hospices must use to submit data for those measures. Hospices that fail to comply with HQRP requirements will incur a 2 percentage point reduction to the market basket percentage increase for the corresponding fiscal year.

HQRP Requirements

Hospices are required to comply with requirements for two HQRP program components that comprise the data sources for the measures:

  • Hospice Item Set (HIS)... A component of the HQRP for the FY 2016 APU and subsequent years. HIS is a patient level data collection tool developed by CMS.  Hospices are required to submit an HIS-­Admission record and an HIS­-Discharge record for each patient.

  • CAHPS® Hospice Survey... A component of the HQRP for the FY 2017 APU and subsequent years. CAHPS Hospice is a post­death family caregiver survey developed by CMS for the assessment of patient and family experiences with hospice care.

What's New

  • HQRP

    • National averages of the quality measure scores of Medicare-certified hospices will be available soon on the Hospice Data Directory on data.medicare.gov as public use files. National average data will be available for two quality of care datasets – the Hospice Item Set and the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey. The Hospice Item Set reflects provider performance on the seven National Quality Forum-endorsed quality measures from July 2015 through June 2016. The national CAHPS® Hospice Survey scores are calculated from survey responses that reflect care experiences of informal caregivers (i.e., family members or friends) of patients who died while in hospice care from April 2015 through March 2016.

    • For more information, visit the Hospice Quality Reporting webpage.

    • Hospice Quality Reporting Provider Training: Registration Open
      CMS is hosting a 1-day training event on the Hospice Quality Reporting Program in Baltimore, MD on Wednesday, January 18, 2017. This training will discuss the upcoming data collection instructions and updates associated with the changes in the Hospice Item Set which will become effective on April 1, 2017, in addition to the two new HIS-based quality measures that will be incorporated into the HQRP in 2017. Visit the Hospice Quality Reporting Training webpage for more information and to register.

    • May 2016 Webinar Slides and Question and Answer session (08/04/16)

    • Hospice Quality Reporting:  Annual Payment Update... On June 29, 2016 CMS mailed notifications to hospices that were not in compliance with Hospice Quality Reporting requirements.  If you received a notice of non-compliance you have the opportunity to submit a request for reconsideration on quality data submissions affecting your FY 2017 APU. See the instructions in your notification letter and on the Reconsideration Requests webpage. (07/25/16) 

HQRP General Information

  • Help Desks

      • For general HQRP questions.
    • Technical Help Desk: help@qtso.com Phone: 1-877-201-4721 (Monday-Friday 7:00 a.m. - 7:00 p.m. Central Time).
      • For questions related to the HART tool, QIES ASAP, or other technical assistance information, including error messages or record rejections.
    • Reconsideration Help Desk: HospiceQRPReconsiderations@cms.hhs.gov
      • To submit a reconsideration request or to ask other questions related to reconsideration.
Updated: 12/14/2016