Final Rules for Hospital Inpatient Prospective Payment Systems
Information regarding the PCHQR Program can be found in the following Inpatient Prospective Payment System and Long Term Care Hospitals Prospective Payment System (IPPS/LTCH) Final Rule (FR) publications.
FY 2017 IPPS/LTCH Final Rule (81 FR pages 57182 through 57193) CMS hereby finalized one new Claims-Based Outcome Measure, “Admissions and Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy.” Additionally, an existing OCM, “Oncology Radiation Dose Limits to Normal Tissues” (National Quality Forum, [NQF] #0382), was updated to expand the patient cohort to include patients receiving 3D conformal radiation for breast and rectal cancer. This applies to patients being treated in calendar year 2017 and applies to the FY 2019 Program and subsequent years.
FY 2016 IPPS/LTCH Final Rule (80 FR pages 49713 through 49723)
CMS hereby finalized two new outcome measures, Methicillin-resistant Staphylococcus aureus (MRSA) and Clostridium difficile infection (CDI), as well as one process measure, Healthcare Personnel Vaccination (HCP), for the FY 2018 program and subsequent years. SCIP measures were removed as of October 1, 2016, with the last data reported being from Quarter 3, 2015.
FY 2015 IPPS/LTCH PPS Final Rule (79 FR pages 50277 through 50286)
CMS hereby finalized one new Clinical Effectiveness measure (External Beam Radiotherapy for Bone Metastases [EBRT]) for the FY 2017 program and subsequent years. CMS did not remove or replace any of the previously finalized measures from the PCHQR Program for the FY 2017 program and subsequent years.
FY 2014 IPPS/LTCH PPS Final Rule (78 FR pages 50837 through 50853)
CMS hereby finalized one additional new HAI quality measure (Surgical Site Infection, [SSI]) for the FY 2015 program and subsequent years. In addition, CMS finalized 12 new quality measures, including five Clinical Process Oncology Care Measures (OCM), six Surgical Care Improvement Project (SCIP) measures, and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) for the FY 2016 program and subsequent years. CMS did not remove or replace any of the previously finalized measures from the PCHQR Program for FY 2015 and FY 2016.