What's New
     

Quick links:  HCAHPS Quality Assurance Guidelines V13.0 Change Matrix: Updates and Emphasis Has Been Posted | NEW! HCAHPS Podcast Now Available – Improving Response Rates of HCAHPS Hospitals | Participation Form Submission Deadline has Closed | Training Slides Posted for the 2018 Introduction to HCAHPS Self-training Module | HCAHPS Quality Assurance Guidelines V13.0 Now Available Online | Patient-Mix Coefficients for April 2018 HCAHPS Results Posted | Star Ratings: April 2018 Technical Notes Have Been Posted2018 QualityNet Maintenance and Downtime ScheduleHospital Compare Has Been Refreshed | Summary Analyses Page Tables Have Been Updated | The Star Ratings Distributions Have Been Updated | V.35 MS-DRG Codes |  Updated Information: Extraordinary Circumstances Extension / Exception (ECE) due to Hurricane Nate | Updated Extraordinary Circumstances Extension / Exception (ECE) due to Hurricane Irma | Updated Information: Extraordinary Circumstances Extension / Exception (ECE) due to California Wildfires Updated Extraordinary Circumstances Extension / Exception (ECE) due to Hurricane Harvey | HCAHPS Public Reporting Periods for April 2017 Through July 2019 Have Been PostedHCAHPS Patient-Mix Adjustment for Service Line and Gender | CMS Hurricane Webpage and Open Door Forum Updated XML File Specification Version 4.0 Now Available | FY 2018 IPPS Final Rule Has Been Published | New Communication About Pain Composite Measure ReleasedMode Adjustment Table Has Been Posted | CMS Finalizing Removal of the Pain Management Dimension from Hospital Value-Based Purchasing in FY 2018


HCAHPS Quality Assurance Guidelines V13.0 Change Matrix: Updates and Emphasis Has Been Posted (04/03/2018)

The HCAHPS Quality Assurance Guidelines V13.0 Change Matrix: Updates and Emphasis is a reference tool that highlights the major changes from the HCAHPS Quality Assurance Guidelines V12.0 to V13.0. The reference tool is available on the Quality Assurance page.

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NEW! HCAHPS Podcast Now Available – Improving Response Rates of HCAHPS Hospitals (04/02/2018)

Please click here to view the Improving Response Rates of HCAHPS Hospitals on the HCAHPS Survey Podcast page.

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Participation Form Submission Deadline has Closed (03/23/2018)

The time period for submitting requests for consideration of approval to administer the HCAHPS Survey has closed.

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Training Slides Posted for the 2018 Introduction to HCAHPS Self-training Module (03/05/2018)

The 2018 Introduction to HCAHPS Training slides are available on the Training Materials page.

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HCAHPS Quality Assurance Guidelines V13.0 Now Available Online (02/21/2018)

The HCAHPS Project Team is pleased to announce the release of the HCAHPS Quality Assurance Guidelines V13.0. This manual has been revised from V12.0 and includes additional updates and enhancements that provide a comprehensive resource for hospitals and survey vendors participating in the HCAHPS initiative. This updated version is now available online to view or download on the Quality Assurance page.

In addition, the HCAHPS Quality Assurance Guidelines V13.0 manual, on CD-ROM, is in the process of being distributed to each organization’s contact person registered for the upcoming Introduction to HCAHPS or HCAHPS Update Training sessions.

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Patient-Mix Coefficients for April 2018 HCAHPS Results Have Been Posted (02/02/2018)

The Patient-Mix Coefficients for the April 2018 HCAHPS results are now available. Please click here to access the Mode & Patient-Mix Adjustment page.

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Star Ratings: April 2018 Technical Notes Have Been Posted (02/01/2018)

The Technical Notes for the April 2018 HCAHPS results are now available. The April 2018 HCAHPS Star Ratings are included in the hospital Preview Reports (available to hospitals from February 1, 2018 through March 2, 2018), and will be Publicly Reported on Hospital Compare in April 2018. Please click here  to access the HCAHPS Star Ratings page.

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2018 QualityNet Maintenance and Downtime Schedule (01/09/2018)

The HCAHPS Project Team is alerting approved HCAHPS Survey vendors and self-administering hospitals of upcoming regular QualityNet maintenance weekends. During this time organizations will not be able to upload HCAHPS data to the HCAHPS Data Warehouse. This alert is provided so that survey vendors and self-administering hospitals can plan data submission as needed.

Please see the Technical Specifications page for a schedule of upcoming regular QualityNet maintenance weekends.

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Hospital Compare Has Been Refreshed (12/21/2017)

The December 2017 Hospital Compare Refresh includes HCAHPS scores from April 2016 - March 2017 data collections.

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Summary Analyses Page Tables Have Been Updated (12/21/2017)

The following tables have been added to the HCAHPS Web site Summary Analyses Page:

  • December 2017 Summary of HCAHPS Survey Results Table
  • December 2017 HCAHPS Percentiles Table

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The Star Ratings Distributions Have Been Updated (12/21/2017)

The following tables have been added to the HCAHPS Web site Star Ratings page:

  • December 2017 HCAHPS Stars Ratings Distributions
  • December 2017 HCAHPS Summary Star Distributions by US State

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V.35 MS-DRG Codes Effective October 1, 2017 (12/21/2017)

CMS has adopted V.35 MS-DRG Codes effective October 1, 2017.  Please click here for the Table of V.35 MS-DRG Codes and HCAHPS Service Line Categories.

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Updated Information: Extraordinary Circumstances Extension / Exception (ECE) due to Hurricane Nate (02/12/2018)

Key HCAHPS content is displayed below.  Please review the entire notification for additional detail.

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, renal dialysis facilities, long-term care hospitals, and ambulatory surgical centers, as well as Merit-Based Incentive Payment System (MIPS) eligible clinicians, located in areas affected by Hurricane Nate due to the devastating impact of the storm. These healthcare providers and suppliers will be granted exceptions without having to submit an extraordinary circumstances exception or an extreme and uncontrollable request a request if they are located in one of the Alabama or Mississippi counties listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county. The scope and duration of the exception under each Medicare quality reporting and value-based purchasing program is described below; however, all of the exceptions are being granted to assist these healthcare providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

To review entire Quality Reporting Notification, please click here.

NOTE: On November 16, 2017, FEMA issued a major disaster declaration (DR-4349), for eight counties in the state of Alabama for Hurricane Nate, with an incident period of October 6 – October 10, 2017. On November 22, 2017, FEMA issued a major disaster declaration (DR-4350), for six counties in the state of Mississippi. The healthcare providers and suppliers located in the designated counties will be exempted from CMS reporting program requirements and reporting periods as indicated. Please note that the October 2017, November 2017, December 2017, January 2018, and some of the February 2018 submission deadlines, and any other deadlines as indicated and/or applicable, have already passed. As a result, the exceptions will be retroactively applied where applicable. CMS is closely monitoring the situation for future potential widespread catastrophic events, and will update exception lists soon after any events occur in the future.

To review entire Quality Reporting Notification, please click here.

Since the last communication released on December 11, 2017, FEMA has designated two additional counties in the state of Mississippi as disaster areas: Hancock and Stone Counties. The healthcare providers and suppliers located in the designated counties will be exempted from CMS reporting programs and reporting periods as indicated. Please note that the October 2017, November 2017, December 2017, January 2018, some of the February 2018 submission deadlines, and any other deadlines as indicated and/or applicable, have already passed. As a result, the exceptions will be retroactively applied where applicable. CMS is closely monitoring the situation for future potential widespread catastrophic events, and will update exception lists soon after any events occur in the future.

The affected counties designated by FEMA under the Alabama Hurricane Nate (DR-4349) and the Mississippi Hurricane Nate (DR-4350) Major Disaster Declarations, as of the date of this communication, are as follows:

Alabama Counties

Mississippi Counties

  • Autauga
  • Baldwin
  • Choctaw
  • Clarke
  • Dallas
  • Macon
  • Mobile
  • Washington
  • George
  • Greene
  • Hancock
  • Harrison
  • Jackson
  • Stone

 

The following healthcare providers located outside of the counties listed above are not covered by this communication, but may request an exception to the reporting requirements under one or more Medicare quality reporting or value-based purchasing programs using the applicable extraordinary circumstances exception procedure: acute care hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, renal dialysis facilities, and ambulatory surgical centers, as well as MIPS eligible clinicians. If FEMA expands the current disaster declaration for Hurricane Nate to include additional counties, CMS will update this communication to expand the list of healthcare providers eligible to receive an exception without submitting a request to include the acute care hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, renal dialysis facilities, and ambulatory surgical centers, as well as MIPS eligible clinicians located in the additional counties. In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Hospitals – Inpatient Services

CMS is granting an exception to subsection (d) hospitals located in designated counties for the following reporting requirements under the Hospital Inpatient Quality Reporting (IQR) Program.

For the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey:

  • October 2017* and January 2018* HCAHPS submission deadlines for discharge periods:
    • April 1, 2017 – June 30, 2017 (2nd Quarter 2017)
    • July 1, 2017 – September 30, 2017 (3rd Quarter 2017)

*Please note that the October 2017 and January 2018 submission deadlines have already passed and the exemptions for these deadlines will be applied retroactively where applicable.

The National Support Team for the Hospital IQR Program is available to answer questions or supply any additional information you may need. Please contact the team at InpatientSupport@viqrc1.hcqis.org or call toll-free at (844) 472-4477.

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Updated Extraordinary Circumstances Extension / Exception (ECE) due to Hurricane Irma (12/13/2017)

To review entire Quality Reporting Notification, please click here.

Key HCAHPS content is displayed below. Please review the entire notification for additional detail.

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, Prospective Payment System (PPS)-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, renal dialysis facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Irma due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an Extraordinary Circumstances Exceptions (ECE) request if they are located in one of the Florida counties, Georgia counties, Puerto Rico municipios, South Carolina counties/Indian reservations, or United States Virgin Islands (USVI) county-equivalents listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county, municipio, or county-equivalent. The scope and duration of the exception under each Medicare quality reporting program is described below; however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

NOTE: Since the latest communication released on October 30, 2017, FEMA has designated an additional 31 counties/Indian reservations in the state of South Carolina as disaster areas: Abbeville, Aiken, Calhoun, Catawba Indian Reservation, Cherokee, Chester, Chesterfield, Clarendon, Darlington, Dillon, Fairfield, Florence, Greenville, Greenwood, Horry, Kershaw, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, Newberry, Orangeburg, Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, and York, as well as eight additional municipios in Puerto Rico: Bayamon, Comerio, Dorado, Guarbo, Hatillo, Naguabo, Salinas, and Yauco. Hospitals located within these FEMA designated counties/Indian reservations and municipios have been granted exceptions in addition to the counties, Indian reservations, municipios, and county-equivalents previously identified. Please note that the October 2017 and November 2017 submission deadlines, and any other deadlines as indicated and/or applicable, have already passed and the exemption for these deadlines will be applied retroactively where applicable.

CMS is closely monitoring the situation for future potential widespread catastrophic events, and will update exception lists soon after any events occur in the future.

The affected counties, Indian reservations, municipios, and county-equivalents designated by FEMA as of the date of this communication are as follows:

Florida Counties  

Georgia Counties

Puerto Rico Municipios U.S. Virgin Islands County-Equivalents      

South Carolina Counties/Indian Reservation  

  • All 67 counties in Florida are within the FEMA   designated areas.
  • All 159 counties in Georgia are within the FEMA designated areas.
  • Adjuntas
  • Aguas Buenas
  • Bayamon
  • Barranquitas
  • Camuy
  • Canovanas
  • Carolina
  • Catano
  • Comerio
  • Ciales
  • Culebra
  • Dorado
  • Guaynabo
  • Gurabo
  • Hatillo
  • Jayuya
  • Juncos
  • Las Piedras
  • Loiza
  • Luquillo
  • Naguabo
  • Orocovis
  • Patillas
  • Quebradillas
  • Salinas
  • San Juan
  • Utuado
  • Vega Baja
  • Vieques
  • Yauco
  • St. Croix (Island) (County-equivalent)
  • St. John (Island) (County-equivalent)
  • St. Thomas (Island) (County-equivalent)
  • Statewide
  • All 46 counties in South Carolina, as well as the Catawba Indian Reservation are within FEMA designated areas.

 

The following providers located outside of the counties, Indian reservations, municipios, and county-equivalents listed above are not covered by this communication, but may request an exception to the reporting requirements under one or more Medicare quality reporting or value-based purchasing programs using the applicable extraordinary circumstances exception procedure: acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, renal dialysis facilities, and ambulatory surgical centers. If FEMA expands the current disaster declaration for Hurricane Irma to include additional counties, Indian reservations, municipios, and/or county-equivalents, CMS will update this communication to expand the list of providers eligible to receive an exception without submitting a request to include the acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, renal dialysis facilities, long-term care hospitals, and ambulatory surgical centers located in the additional counties, Indian reservations, municipios, and/or county-equivalents. In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

CMS is granting an exception to subsection (d) hospitals located in designated counties for the following reporting requirements under the Hospital Inpatient Quality Reporting (IQR) Program.

For the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey:

  • October 2017* and January 2018 HCAHPS submission deadlines for discharge periods:

                April 1, 2017 – June 30, 2017 (2nd Quarter 2017)

                July 1, 2017 – September 30, 2017 (3rd Quarter 2017)

*Please note that the October 2017 submission deadline has already passed and the exemption for this deadline will be applied retroactively where applicable.

The National Support Team for the Hospital IQR Program is available to answer questions or supply any additional information you may need. Please contact the team at InpatientSupport@viqrc1.hcqis.org or call toll-free at (844) 472-4477.

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Updated Information: Extraordinary Circumstances Extension / Exception (ECE) due to California Wildfires (2/12/2018)

 To review entire Quality Reporting Notification, please click here.

 Key HCAHPS content is displayed below. Please review the entire notification for additional detail.

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, renal dialysis facilities, ambulatory surgical centers as well as Merit-Based Incentive Payment System (MIPS) eligible clinicians located in areas affected by the devastating impacts of the California wildfires since December 4, 2017, in designated counties in California. These healthcare providers and suppliers will be granted exceptions without having to submit a request if they are located in one of the California counties listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county. The scope and duration of the exception under each Medicare quality reporting and value-based purchasing program is described below; however, all of the exceptions are being granted to assist these healthcare providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

NOTE: On January 2, 2018, FEMA issued a major disaster declaration (DR-4353) for two counties, Santa Barbara and Ventura Countries, in the state of California for the Wildfires, with an incident period of December 4, 2017.  The healthcare providers and suppliers located in the counties will be exempt from CMS reporting program requirements and reporting periods as indicated. Please note that the January 2018 and some of the February 2018 submission deadlines, as well as any other deadlines as indicated and/or applicable, have already passed.  As a result, the exemptions will be retroactively applied where applicable. CMS is closely monitoring the situation for future potential widespread catastrophic events, and will update exception lists soon after any events occur in the future.

 The affected counties designated by FEMA as of the date of this communication are as follows:

 California Counties (DR-4353) 

  • Butte
  • Lake
  • Mendocino
  • Napa
  • Nevada
  • Orange
  • Solano
  • Sonoma
  • Yuba
  • Santa Barbara
  • Ventura

The following healthcare providers located outside of the counties listed above are not covered by this communication, but may request an exception to the reporting requirements under one or more Medicare quality reporting or value-based purchasing programs using the applicable extraordinary circumstances exception procedure: acute care hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, renal dialysis facilities, and ambulatory surgical centers, as well as MIPS eligible clinicians. If FEMA expands the current disaster declaration for the California wildfires to include additional counties, CMS will update this communication to expand the list of healthcare providers eligible to receive an exception without submitting a request to include the acute care hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, renal dialysis facilities, and ambulatory surgical centers, as well as MIPS eligible clinicians located in the additional counties. In addition, CMS will continue to monitor the situation and adjust excepted reporting periods and submission deadlines accordingly. 

Hospitals - Inpatient Services 

CMS is granting an exception to subsection (d) hospitals located in designated counties for the following reporting requirements under the Hospital Inpatient Quality Reporting (IQR) Program.

For the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey: 

  • January* and April 2018 HCAHPS submission deadlines for discharge periods:
    • July 1, 2017 – September 30, 2017 (3rd Quarter 2017)
    • October 1, 2017 – December 31, 2017 (4th Quarter 2017)

 *Please note that the January 2018 submission deadline has already passed and the exemption for this deadline will be applied retroactively where applicable.

The National Support Team for the IQR Program is available to answer questions or supply any additional information you may need. Please contact the team at InpatientSupport@viqrc1.hcqis.org or call toll-free at (844) 472-4477.

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 Updated Extraordinary Circumstances Extension / Exception (ECE) due to Hurricane Harvey (11/02/2017)

To review entire Quality Reporting Notification, please click here.

K
ey HCAHPS content is displayed below. Please review the entire notification for additional detail.

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, Prospective Payment System (PPS)-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, renal dialysis facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Harvey due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an extraordinary circumstances exception request if they are located in one of the Texas counties or Louisiana parishes listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county or parish. The scope and duration of the exception under each Medicare quality reporting program is described below; however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

NOTE: Since the latest communication released on October 12, 2017, FEMA has identified eight additional parishes in Louisiana as disaster areas: Assumption, De Soto, Lafayette, Lafourche, Plaquemines, Red River, St. Charles, and St. Mary. FEMA has also identified nine additional counties in Texas as disaster areas: Burleson, Caldwell, Comal, Guadalupe, Jim Wells, Madison, Milam, San Augustine, and Washington. The additional parishes and counties located within these FEMA designated areas have been granted exceptions in addition to the counties/parishes previously identified.

CMS is closely monitoring the situation for future potential widespread catastrophic events, and will update exception lists soon after any events occur in the future.

The affected counties and parishes designated by FEMA as of the date of this communication are as follows:

 

Texas Counties Louisiana Parishes
  • Aransas                        
  • Austin
  • Bastrop
  • Bee
  • Bexar
  • Brazoria
  • Burleson
  • Caldwell
  • Calhoun
  • Chambers
  • Colorado
  • Comal
  • Dallas
  • DeWitt
  • Fayette
  • Fort Bend
  • Galveston
  • Goliad
  • Gonzales                        
  • Grimes
  • Guadalupe
  • Hardin
  • Harris
  • Jackson
  • Jasper
  • Jefferson
  • Jim Wells
  • Karnes
  • Kleberg
  • Lavaca
  • Lee
  • Liberty
  • Madison
  • Matagorda
  • Milam
  • Montgomery
  • Newton                        
  • Nueces
  • Orange
  • Polk
  • Refugio
  • Sabine
  • San Augustine 
  • San Jacinto
  • San Patricio
  • Tarrant
  • Travis
  • Tyler
  • Victoria
  • Walker
  • Waller
  • Washington
  • Wharton
       
  • Acadia                        
  • Allen
  • Assumption
  • Beauregard
  • Calcasieu
  • Cameron
  • De Soto
  • Iberia
  • Jefferson Davis
  • Lafayette
  • Lafourche
  • Natchitoches
  • Plaquemines
  • Rapides
  • Red River
  • Sabine
  • St. Charles
  • St. Mary
  • Vermilion
  • Vernon
       

 

The following providers located outside of the counties and parishes listed above are not covered by this communication, but may request an exception to the reporting requirements under one or more Medicare quality reporting or value-based purchasing programs using the applicable extraordinary circumstances exception procedure: acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, renal dialysis facilities, and ambulatory surgical centers. If FEMA expands the current disaster declaration for Hurricane Harvey to include additional counties or parishes, CMS will update this communication to expand the list of providers eligible to receive an exception without submitting a request to include the acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, and ambulatory surgical centers located in the additional counties and parishes. In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

CMS is granting an exception to subsection (d) hospitals located in designated counties and parishes for the following reporting requirements under the Hospital Inpatient Quality Reporting (IQR) Program.

For the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey:

  • October 2017 and January 2018 HCAHPS submission deadlines for discharge periods:

                April 1, 2017 – June 30, 2017 (2nd Quarter 2017)

                July 1, 2017 – September 30, 2017 (3rd Quarter 2017)

The National Support Team for the IQR Program is available to answer questions or supply any additional information you may need. Please contact the team at InpatientSupport@viqrc1.hcqis.org or call toll-free at 844.472.4477.

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HCAHPS Public Reporting Periods for April 2017 Through July 2019 Have Been Posted (11/02/2017)

Click here to view the HCAHPS Public Reporting Periods document. This document indicates which calendar quarters of HCAHPS results will be publicly reported on the Hospital Compare Web site through July 2019.

Please Note: The dates of future preview periods and public reporting are estimates based on current timetables and are subject to change.

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HCAHPS Patient-Mix Adjustment for Service Line and Gender Have Been Posted (09/29/17)

The HCAHPS Patient-Mix Adjustment (PMA) model has been updated to incorporate more detailed information about patient Service Line and Gender.

The Mode & Patient-Mix Adjustment page can be found by clicking here.

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CMS Hurricane Webpage and Open Door Forum Information (09/06/2017)

Open Door Forum

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, outpatient dialysis facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Harvey due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an extraordinary circumstances exception request if they are located in one of the Texas counties or Louisiana parishes, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county.

The scope and duration of the exception under each Medicare quality reporting program is described in the memo posted on 8-31-17, however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

If FEMA expands the current disaster declaration for Hurricane Harvey to include additional counties or parishes, CMS will update this memo to expand the list of providers eligible to receive an exception without submitting a request to include the hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, and ambulatory surgical centers located in the additional counties and parishes.

In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Additional details and materials are available on the CMS Hurricane webpage. Please check back frequently for updates.

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Updated XML File Specification Version 4.0 Now Available (08/21/2017)

The updated XML File Specifications Version 4.0, which includes the new Communication About Pain questions (Q12, Q13, Q14), is now available on the HCAHPS Technical Specifications page. The updated XML File Specifications Version 4.0 must be used for all patients discharged from January 1, 2018 and forward.

 Please click here to access the Technical Specifications page.

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 FY 2018 IPPS Final Rule Has Been Published (08/21/2017)

The FY 2018 IPPS Final Rule, establishing the Hospital Inpatient Prospective Payment System (IPPS), is now available on the Federal Register.

The Final Rule and related tables are available at the following URL:  https://www.gpo.gov/fdsys/pkg/FR-2017-08-14/pdf/2017-16434.pdf

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New Communication About Pain Composite Measure Released (08/04/2017)

On August 2, 2017, in the FY 2018 IPPS Final Rule, CMS announced plans to replace the current Pain Management questions (items 12, 13 and 14 on the HCAHPS Survey) with three new questions that focus on communication about pain. The new pain items will be required on all surveys administered to patients discharged from January 1, 2018 and forward. The new Pain Management items will comprise a new composite measure, “Communication About Pain.” This change will affect all survey translations and all survey modes. The Mail Mode version of the new Pain Management items can be found below.                      

In the coming months, the HCAHPS Project Team will post official versions of the new Pain Management items for all survey modes and in all language translations on the HCAHPS Web site (www.hcahpsonline.org) on the “Survey Instruments” page. The HPT will also provide more information to approved HCAHPS Survey vendors and self-administering hospitals about the transition to the new Pain Management items.

 Please note that the current pain questions must be used for all patients discharged before January 1, 2018                    

 12.  During this hospital stay, did you have any pain?

        Yes
        No  -> If No, Go to Question 15

13.  During this hospital stay, how often did hospital staff talk with you about how much pain you had?

        Never
        Sometimes
        Usually
        Always

14.  During this hospital stay, how often did hospital staff talk with you about how to treat your pain?

        Never
        Sometimes
        Usually
        Always

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Mode Adjustment Table Has Been Posted (04/12/2017)

An updated Mode Adjustments of Top Box and Bottom Box Percentages (after PMA) table is now available. Please click here to access the Mode & Patient-Mix Adjustment page.

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CMS Finalizing Removal of the Pain Management Dimension from Hospital Value-Based Purchasing in FY 2018 (11/15/2016)

The CY 2017 OPPS Final Rule has been published and is now available on the Federal Register.

The Final Rule is available at the following URL: https://federalregister.gov/d/2016-26515

CMS is finalizing the removal of the Pain Management dimension from the scoring formula used in the Hospital Value-Based Purchasing Program (Hospital VBP), beginning with the FY 2018 payment adjustments. The Pain Management dimension is derived from Questions 12, 13 and 14 on the HCAHPS Survey.

Please note that the Pain Management questions will remain on the HCAHPS Survey and the Pain Management measure will continue to be publicly reported on Hospital Compare.

Please monitor the HCAHPS Web site for future announcements about the Pain Management measure.

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This page was last modified on (4/19/18)