Hospice Required Reporting: What You Need to Know

Hospice Required Reporting: What You Need to Know

September 2012

Compassion. Excellence. Reliability.

Required Reporting

Background

? 2010 health care reform legislation (ACA) stipulated that CMS initiate a quality reporting program for hospices

? CMS is required to reduce the 2014 market basket update by 2% for those hospices that do not comply with the quality reporting requirements

? BAYADA Hospice is strategically positioned to gather and report through its partnership with HCHB

Comfortable Dying Measure (NQF#0209)

? Currently, the only required reporting measure ? Outcome measure that addresses pain brought to a comfortable

level within 48 hours of initial assessment

Required Reporting

? Data Collection Period: 10/1/12 ? 12/31/12 ? Comfortable Dying Measure Reported: 4/1/13

2

Confidential and Proprietary Information

Compassion. Excellence. Reliability.

What is NQF#0209?

Comfortable Dying: Pain Brought to a Comfortable Level Within 48 Hours of Initial Assessment

% patients admitted in pain whose pain was

= brought to a comfortable level within 48 hours of admission to hospice:

# eligible patients admitted in pain whose pain was brought to a

comfortable level within 48 hours of admission to hospice

# eligible patients admitted in pain

3

Confidential and Proprietary Information

Compassion. Excellence. Reliability.

Working Together: HCHB & BAYADA

There are four (4) questions that will assist us in reporting out on the Comfortable Dying Measure:

? (HOS) Patient Response: "Are you uncomfortable

Eligibility criteria for

because of pain?"

entering study ? (HOS) Pain Reported by

(denominator)

? (HOS) Is patient under 18 or not able to answer

Outcome (numerator)

? (HOS) Patient response 48-72 hours after admission, to: "Was your pain brought to a comfortable level within 48 hours of admission?"

# eligible patients admitted in pain whose pain was brought to a

comfortable level within 48 hours of admission to hospice

# eligible patients admitted in pain

Confidential and Proprietary Information

Compassion. Excellence. Reliability.

Questions for Required Reporting

(HOS) Patient Response: "Are you uncomfortable because of pain?"

Confidential and Proprietary Information

Compassion. Excellence. Reliability.

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