Home Health Quality Reporting Training

Home Health Quality Reporting Training

The Centers for Medicare & Medicaid Services (CMS) has many sources of information about Home Health Quality Reporting Program (HH QRP) for stakeholders including:

  • Training Materials
  • Training Q&As
  • Special Open Door Forum (SODF) Presentations

Updates

October 17, 2024

NOW AVAILABLE: Updated Annual DTC and MSPB Health Equity Confidential Feedback Reports for Post-Acute Care Providers with Educational and Outreach Materials 

On October 15, 2024, the Centers for Medicare & Medicaid Services (CMS) updated the two annual post-acute care (PAC) Health Equity Confidential Feedback Reports: the Discharge to Community (DTC) Health Equity Confidential Feedback Report and the Medicare Spending Per Beneficiary (MSPB) Health Equity Confidential Feedback Report. 

These reports are available through the Internet Quality Improvement & Evaluation System (iQIES) reports folders to providers in the Home Health (HH), Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) settings. The updated Fall 2024 Health Equity Confidential Reports are based on data from Calendar Year 2022-2023 for HH and from Fiscal Year 2022-2023 for IRF, LTCH, and SNF settings. 

To locate your updated Fall 2024 Health Equity Confidential Feedback Reports in iQIES, please follow the instructions listed below:

  1. Log into iQIES using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) user ID and password. If you do not have a HARP account, you may register for a HARP ID.
  2. From the Reports menu, select My Reports.
  3. From the My Reports page, locate and select the Health Equity Confidential Feedback Reports folder link.
  4. Displayed for you is a list of reports available for download.
  5. Select the report name link to view the Health Equity Confidential Feedback Report data

CMS has developed the following educational and outreach materials to support providers in accessing and understanding their updated annual DTC and MSPB Health Equity Confidential Feedback Reports that are available in the Downloads section below: 

October 15, 2024

NEW RESOURCES AVAILABLE: Educational Webinar and Fact Sheet for the Screen Positive for Health-Related Social Needs Indicator Confidential Feedback Report for HH, IRF, and LTCH

On October 15, 2024, the Centers for Medicare & Medicaid Services (CMS) released the new Screen Positive for Health-Related Social Needs (HRSN) Indicator Confidential Feedback Report to Home Health (HH), Inpatient Rehabilitation Facility (IRF), and Long-Term Care Hospital (LTCH) providers.1 This report presents summary information for your patient population on four HRSN data elements: Health Literacy, Need for Interpreter Services, Social Isolation, and Transportation. Results for this initial report are calculated using data from October 1, 2023 – September 30, 2024, and will be updated quarterly based on the most recent 12 months of available data.

This report is provider-generated in the Internet Quality Improvement & Evaluation System (iQIES). To generate your Fall 2024 Screen Positive for HRSN Indicator Confidential Feedback Report in iQIES, please follow the instructions listed below:

  1. Log into iQIES at https://iqies.cms.gov/iqies using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) user ID and password. If you do not have a HARP account, you may register for a HARP ID.
  2. From the ‘Reports’ tab, select the option for ‘Find a Report’.
  3. Select the Report Category of ‘Health Equity’ and Report Type of ‘Health-Related Social Need Indicator’. 
  4. Displayed for you is a list of reports available for download. Select the ‘Screen Positive for Health-Related Social Need Indicator Report’ link OR the ‘Run Report’ option to view the report.
  5. The reports filter page displays with the specific filter criteria required for this HRSN report: Provider and Date Range. 
    • For the Provider filter, search for up to 25 providers by Provider Name, CMS Certification Number (CCN), or Facility ID and add each provider to the filter selection. 
    • For the Date Range filter, the system defaults to the latest quarter end date available and allows users to select prior quarter end dates. Select the desired End Date Range.
  6. Select the ‘Run Report’ button at the bottom of the page. 

To support providers in accessing and understanding this new report, CMS has released an educational webinar recording and the related webinar slides and transcript. We also released a fact sheet that provides an overview of the Screen Positive for HRSN Indicator Confidential Feedback Report. To access the webinar recording video, click on the following link: Online webinar recording. The webinar slides, webinar transcript, and fact sheet are available in the Downloads section below. 

1 CMS plans to release this report to Skilled Nursing Facility providers in October 2025, when a full Fiscal Year of data (October 1, 2024 – September 30, 2025) will become available for the first time.

September 4, 2024

UPDATED RESOURCE AVAILABLE: From Data Elements to Quality Measures Cross-Setting Web-Based Training

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course that provides a high-level overview of how data elements within CMS patient/resident assessment instruments are used to construct quality measures (QMs) across post-acute care (PAC) settings. The course also discusses the relationship between these data elements and Quality Reporting Program (QRP) QMs, QM calculation, and how to access reports and use QM data for quality improvement. To access the training, click on the following link: From Data Elements to Quality Measures: Cross-Setting Web-Based Training

If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.

August 26, 2024

UPDATED RESOURCE AVAILABLE: Section GG Web-Based Training Series

The Centers for Medicare & Medicaid Services (CMS) is offering an updated series of web-based training courses that provide an overview of the assessment and guidance to promote accurate coding of the post-acute care (PAC) cross-setting Section GG data elements. Each course contains interactive exercises to test your understanding. To access the courses, click on the links below:

If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.

August 14, 2024

NOW AVAILABLE: CMS National Summary Report, Executive Summary, and National Summary Results workbook for the 2023 Post-Acute Care Health Equity Confidential Feedback Reports 

In October 2023, the Centers for Medicare & Medicaid Services (CMS) released two Health Equity Confidential Feedback Reports to post-acute care (PAC) providers: the Discharge to Community (DTC) Health Equity Confidential Feedback Report and the Medicare Spending Per Beneficiary (MSPB) Health Equity Confidential Feedback Report.

To help expand access to aggregate stratified results, the National Summary Report provides insights on aggregate (e.g., national-level) differences in quality by dual-enrollment status and race/ethnicity in the PAC settings. This report can be used as a reference by PAC providers who received the 2023 Health Equity Confidential Feedback Reports. In addition, this report can help other stakeholders understand aggregate variations in the stratified DTC and MSPB measure outcomes. The Executive Summary of the National Summary Report serves as a quick summary of the main findings from the National Summary Report. The National Summary Results workbook includes the full set of results that were included in the National Summary Report. 

The National Summary Report, Executive Summary, and National Summary Results workbook can be found in the Downloads section of the PAC QRP Training webpage for HH, IRF, LTCH, and SNF.

July 24, 2024

NEW RESOURCE AVAILABLE:  Patient Mood Interview (Patient Health Questionnaire PHQ-2 to 9©) Video Tutorial

  • The Centers for Medicare & Medicaid Services (CMS) is offering a video tutorial for completing D0150, Patient Mood Interview (PHQ-2 to 9) and D0160, Total Severity Score. This video depicts two scenarios that demonstrate the coding of the PHQ-2 to 9 for the purposes of completing D0150, Patient Mood Interview (PHQ-2 to 9) and D0160, Total Severity Score. Two patient vignettes are depicted, one in which the PHQ-2 is demonstrated and one in which the entire PHQ-2 to 9 is completed. This video can be viewed through the following https://youtu.be/_JU7ABmbBGA

If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.

July 19, 2024

NEW RESOURCE AVAILABLE: What You Need to Know: PAC QRP Key Program Updates – FY/CY 2025 Web-Based Training

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course that provides an overview of key updates to the Home Health (HH) Quality Reporting Program (QRP) for Calendar Year (CY) 2025. This targeted training discusses new, removed, and revised quality measures, timelines for public reporting, and measure specifications. In addition, assessment guidelines and coding instructions are presented for a new data element: O0350. Patient’s COVID-19 vaccination is up to date. To access the training, click on the following link: FY/CY 2025 Web-Based Training.

If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.

June 12, 2024

Invitation to join a CMS Health Equity Confidential Feedback Report Listening Session on July 31, 2024

The Centers for Medicare & Medicaid Services (CMS) would like to invite providers to an upcoming listening session on July 31, 2024 from 2:00 – 3:00 p.m. ET. to discuss the 2023 Health Equity Confidential Feedback Reports, which were released to Post-Acute Care (PAC) providers in the Home Health (HH), Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) settings. 

In October 2023, CMS released two separate Health Equity Confidential Feedback Reports that show provider performance on the Discharge to Community (DTC-PAC) and Medicare Spending per Beneficiary (MSPB-PAC) measures. The reports showed performance on these measures stratified by beneficiaries’ Medicare-Medicaid dual-enrollment status and beneficiaries’ race/ethnicity.

The goal of this listening session is to gather feedback from providers and stakeholders on the PAC Health Equity Confidential Feedback Reports to guide the development of future PAC Health Equity Confidential Feedback Reports.

If you would like to attend, please register at the following link: https://us06web.zoom.us/webinar/register/WN_y4vy8QZrQhuCU1lr3rZopA 

We look forward to hearing your questions on the Health Equity Confidential Feedback Reports prior to this session. Please submit your questions or comments to: cmshealthequitycfrsession@ketchum.com by June 26 and we will incorporate them into the session discussion.

January 19, 2024

NOW AVAILABLE: CMS Frequently Asked Questions (FAQ) Document and Methodology Report for the Post-Acute Care Health Equity Confidential Feedback Reports 

In October 2023, the Centers for Medicare & Medicaid Services (CMS) released two Health Equity Confidential Feedback Reports to post-acute care (PAC) providers: the Discharge to Community (DTC) Health Equity Confidential Feedback Report and the Medicare Spending Per Beneficiary (MSPB) Health Equity Confidential Feedback Report.

To answer frequently asked questions and to provide methodological information about these reports, CMS released the Frequently Asked Questions (FAQ) Document and the Methodology Report. The materials can be access through these links: 

December 15, 2023

NOW AVAILABLE: CMS Health Equity Confidential Feedback Reports Live Q&A Materials

On November 16, 2023, the Centers for Medicare & Medicaid Services (CMS) hosted a live Q&A session about the CMS Health Equity Confidential Feedback Reports for post-acute care (PAC) providers in the Home Health (HH), Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) settings, which were released in October 2023. The PAC Health Equity Confidential Feedback Reports stratified the Discharge to Community and Medicare Spending Per Beneficiary measures by dual-enrollment status and race/ethnicity.

The live Q&A session gave participants an opportunity to ask CMS subject matter experts about the report’s methodologies and interpretations can be found in these links:

If you would like to submit feedback to CMS on the PAC Health Equity Confidential Feedback Reports, please submit it to your provider-specific helpdesk. Please include “Health Equity Feedback” in the subject line of your email.

December 13, 2023

NEW RESOURCE AVAILABLE: Confusion Assessment Method (CAM©) Video Tutorial

The Centers for Medicare & Medicaid Services (CMS) is offering a video tutorial to assist providers with guidance application and assessment strategies for C1310. Signs and Symptoms of Delirium taken from the Confusion Assessment Method (CAM©) found in the OASIS-E. This video tutorial is approximately 14 minutes in length and is designed to provide targeted guidance for accurate coding using a live-action patient scenario. To access the video, click on the following link: CAM Video Tutorial.

If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.

More Information

For more information about the PAC Health Equity Confidential Feedback Reports, please watch CMS’ overview webinar recording, and view the recently published fact sheet. The webinar recording can be found here. The webinar’s slides, a transcript of the webinar, and the fact sheet are all available as downloadable PDFs in the Downloads section near the bottom of this page.

CMS asks that all providers who wish to submit a question for the upcoming webinar review these materials before submitting.

October 16, 2023

NEW RESOURCES AVAILABLE: Educational webinar recording and fact sheet providing an overview of the Health Equity Confidential Feedback Reports

CMS has released an educational webinar recording and fact sheet providing an overview of the Health Equity Confidential Feedback Reports. The webinar slides, webinar transcript, and fact sheet are available in the Downloads section below. To access the webinar recording video, click on the following link: Online webinar recording.

September 26, 2023

NEW RESOURCE AVAILABLE: BIMS and BIMS Summary Score Explainer Video

The Centers for Medicare & Medicaid Services is offering a 3-minute, animated explainer video, BIMS and BIMS Summary Score: Stopping and Coding an Incomplete Interview for HH Providers. This video was developed to assist providers in accurately determining when the Brief Interview for Mental Status (BIMS) should be stopped, and how to code the remaining items in this situation. The video is now available through the following link: BIMS and BIMS Summary Score: Stopping and Coding an Incomplete Interview Explainer Video.

If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. If you would like to receive email notifications related to future training resources or events, please register to be added to our Notification List. Content-related questions should be submitted to the HH QRP Help Desk.

September 22, 2023

NEW RESOURCE AVAILABLE: Understanding Coding for N0415 Explainer Video

The Centers for Medicare & Medicaid Services is offering a 4-minute, animated explainer video, Understanding Coding for N0415. High-Risk Drug Classes: Use and Indication for HH Providers. This video was developed to assist providers in accurately determining whether a patient is taking any prescribed medications in the specified drug classes and whether the patient-specific indication was noted for all medications in the drug class. The video is now available through the following link: Understanding Coding for N0415. High-Risk Drug Classes: Use and Indication Explainer Video.

If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. If you would like to receive email notifications related to future training resources or events, please register to be added to our Notification List. Content-related questions should be submitted to the HH QRP Help Desk.

August 8, 2023

NEW RESOURCE AVAILABLE: Social Determinants of Health Items Explainer Video

The Centers for Medicare & Medicaid Services is offering a 4-minute, animated explainer video, Social Determinants of Health Items: Determining When a Proxy Response is Allowed for HH Providers. This video was developed to assist providers in accurately determining when the use of a proxy response is allowed for Social Determinants of Health items: A1005. Ethnicity, A1010. Race, A1110. Language, A1250. Transportation, B1300. Health Literacy, and D0700. Social Isolation. The video is now available through the following link: Social Determinants of Health Explainer Video.

If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. If you would like to receive email notifications related to future training resources or events, please register to be added to our Notification List. Content-related questions should be submitted to the HH QRP Help Desk.

July 14, 2023

NEW RESOURCE AVAILABLE: BIMS Video Tutorial

The Centers for Medicare & Medicaid Services (CMS) is offering a video tutorial to assist providers with guidance application and interview strategies for the cognitive assessment known as the Brief Interview for Mental Status (BIMS) found in the OASIS-E. This video tutorial is approximately 20 minutes in length and is designed to provide targeted guidance for accurate coding using live-action patient scenarios. To access the video, click on the following link: BIMS Video Tutorial.

If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.

March 21, 2023

NEW RESOURCE AVAILABLE: BIMS, PHQ-2 to 9, and Pain Interview Cue Cards

CMS is offering a set of cue cards to assist providers in conducting the Brief Interview for Mental Status (BIMS), the Patient Health Questionnaire (PHQ-2 to 9), and the Pain Interview, as referenced in the OASIS-E coding guidance. This resource is intended to be utilized as a supplemental patient communication tool that provides a visual reference for the coding of response options. More detailed instructions regarding the use of cue cards and the administration of the BIMS in writing can be found in the OASIS-E Manual.

The cue cards are available in the Downloads section below.

If you have questions about accessing the resources or feedback regarding the trainings, please email PAC Training. Content-related questions should be submitted to the HH QRP Help Desk.

March 20, 2023

UPDATED RESOURCE AVAILABLE: Video Tutorial: GG0170C. Lying to Sitting on Side of Bed

The Centers for Medicare & Medicaid Services is releasing a short video tutorial to assist providers with coding GG0170C. Lying to Sitting on Side of Bed. This 5-minute video is designed to provide targeted guidance using simulated patient scenarios. To access the video, click on the following link: GG0170C. Lying to Sitting on Side of Bed.

If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.

January 11, 2023

NEW RESOURCE AVAILABLE: Third Edition HH QRP COVID-19 Public Reporting Tip Sheet

The purpose of the Third Edition Home Health (HH) Quality Reporting Program (QRP) COVID-19 Public Reporting (PR) Tip Sheet is to help providers understand CMS’ public reporting approach to the HH QRP to account for CMS quality data submissions that were either optional or excepted from public reporting due to the COVID-19 public health emergency. The impacts on CMS’ Care Compare website refreshes are also outlined. This tip sheet serves as a companion document to the first and second edition HH QRP COVID-19 PR Tip Sheets published in July 2020 and February 2022.

The tip sheet is available in the Downloads section below.

If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the HH QRP Help Desk.

December 7, 2022

NEW RESOURCE AVAILABLE: PHQ-2 to 9 Cue Card

CMS is offering a cue card to assist providers in coding the Patient Health Questionnaire (PHQ-2 to 9) as referenced in the coding guidance for D0150. This resource is intended to be utilized during the Patient Mood Interview as a supplemental communication tool that provides a visual reference to assist patient selection of symptom frequency.

The cue card is offered in two sizes which can be viewed or printed and is available in the Downloads section below.

If you have questions about accessing the resources or feedback regarding the trainings, please email PAC Training. Content-related questions should be submitted to the HH QRP Help Desk.

Home Health Quality Reporting Archives

Downloads

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10/30/2024 05:02 PM
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