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Quality Reporting

What you’ll find on this page: 

  • a concise overview of the CMS quality reporting program - present and future
  • links to quality reporting resources developed by NHPCO
  • links to quality reporting resources developed by CMS 

Announcements

V1.02 of the HIS Manual now available for provider download.  Access the manual on the CMS website or the NHPCO HIS webpage.

General Information

The Patient Protection and Affordable Care Act (ACA) mandated the initiation of a quality reporting program for hospices. The Center for Medicare and Medicaid (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 submit required quality data in a given year will incur a 2 percentage point reduction to the market basket percentage increase for the subsequent fiscal year.

CMS maintains a Hospice Quality Reporting website with information on all aspects of the hospice quality reporting program. Be sure to check the CMS Hospice Quality Reporting website regularly for updated information and new resources.

NHPCO Quality Reporting General Resources

CMS Quality Reporting General Resources

Quality Reporting Requirements

  • Hospice Item Set (HIS)
    • A patient-level data collection tool developed by CMS.  Hospices are required to submit a HIS-Admission record and a HIS-Discharge record for each patient.  Information collected through the HIS will be used to calculate hospices’ scores for 7 quality measures.  
  • CAHPS® HOSPICE 
    • A post-death family caregiver survey developed by CMS for the assessment of patient and family experiences with hospice care.
      • Data collection:  Begin dry run 1/1/15 – 3/31/15  
      • Ongoing 4/1/15 – 12/31/15
      • Data submission: quarterly starting 8/12/15
      • Penalty for failure to participate: FY 2017 (starting 10/1/16)
Updated: 6/17/2015