Prepare to Report: HBIPS Measures for IPF QRP

More documents

Recommendations

Info

Presentation Objectives• To review the CMS Requirements for InpatientPsychiatric Facility Quality Reporting Program (IPF QRP)• To review The Joint Commission (TJC) and CMS CoreMeasure definitions and implementation process• To identify challenges and learning from ongoing processchange and outcome tracking• To review criteria and operational plan for implementationof CMS measures (effective October 1, 2012)• To identify immediate next steps for hospitals• Discussion — Q and AStatutory AuthoritySection 3401 ofthe ACA requiresHHS Secretaryimplement aquality reportingprogram for IPFsfor FFY 2014• Reduce Annual PaymentUpdate (APU) by 2.0percentage points for nonreporters• Measures endorsed byconsensus based entity5Program ImplementationTimeline• 2010 — CMS established Technical Expert Panel (TEP) to reviewIPF measures• December 2011 — HHS releases measures for input prior torulemaking• April 2012 — CMS issued the FY 2012 IPPS/LTCH proposed ruleestablishing the parameters of the IPF QRP• Inpatient Psychiatric Facility Prospective Payment System(IPF PPS) — Rate Update Notice Only• August 2012 — CMS issued the final rule, making minormodifications, codifying the program in regulation Federal Register, Vol. 77 No. 170, pages 52644-53660 www.calhospital.org/regulatorytracker62
Who Must Report?• All freestanding inpatient psychiatric facilities paid under theMedicare Inpatient Psychiatric Facility Prospective PaymentSystem (IPF PPS)• All distinct part psych units paid under the IPF PPS Some units bill patients under IPPS only, best to check withyour billing department regarding billing for Medicare FFSpatients• Who Is Currently Reporting?As of October, 487 hospitals currently reporting nationwide408 of 487 are free standing79 of 487 are acute care hospitals with psyche units7Six Quality Measures Requiredfor FFY 2014 and 2015• HBIPS-2: Hours of Physical Restraint Use (NQF #0640)• HBIPS-3: Hours of Seclusion Use (NQF #0641)• HBIPS-4: Patients discharged on multiple antipsychoticmedications (NQF #0552)• HBIPS-5: Patients discharged on multiple antipsychoticmedications with justification (NQF #0560)• HBIPS-6: Patients for whom a post discharge care planwas created (NQF #0577)• HBIPS-7: Patients for whom care plan was transmitted tonext care provider (NQF #0558)8HBIPS National and CaliforniaDataMeasureNationwideAverageNationTop 10%CaliforniaAverageCaliforniaTop 10%Hours of Physical Restraint Use per 1000Patient Hours Overall Rate 0.394743 0.002179 0.426988 0.020922Hours of Seclusion Use Overall Rate 0.330995 0 0.489787 0Patients Discharged on MultipleAntipsychotic Medications Overall Rate 0.113252 0.021176 0.085501 0.038316Source: www.qualitycheck.org, Data reported from April 2011-March 2012 and updated November 2012.N= 3193
Page 1: Prepare to Report: HBIPS CoreMeasur
Page 5 and 6: Important Dates to RememberPaymentD
Page 7 and 8: HBIPS 1 — Risk Assessment(not a c
Page 9 and 10: HBIPS 4 — Number of Patients Disc
Page 11 and 12: Challenges and SolutionsChallenges
Page 13 and 14: 37383913
Page 15: Contact InformationElizabeth Stalli

Prepare to Report: HBIPS Measures for IPF QRP

Create successful ePaper yourself

Delete template?

Save as template?