Specifications manual for national hospital inpatient quality measures 2016

Specifications manual for national hospital inpatient quality measures. Patients discharged from a hospital based inpatient psychiatric setting on two or more antipsychotic medications with appropriate justification rationale. Proprietary and confidential page 5 page 5 second, the initial set of quality measures were then shared with the north carolina quality center and representatives of the hospital quality advisory committee, a panel of 1012 hospital chief medical or quality officers. This version of the inpatient rehabilitation facility patient assessment instrument irfpaibased users manual is effective on october 1, 2019, and provides detailed information for each quality measure, including quality measure definitions, inclusion and exclusion criteria, and measure calculation specifications. Updated ecqm specifications and ecqm materials for 2021. The specifications manual for national hospital inpatient quality measures specifications manual. Specifically, we invite feedback on the relevancy and applicability of the icd10pcs codes listed. Directly into their office of the national coordinator for health information technology onc certified electronic health. We currently support this work through a subcontract to fmqai for work under a hospital inpatient value, incentives, and quality reporting outreach and education. Prophylactic antibiotic re, in the original measure. Specifications manual for national hospital inpatient quality. Please refer to the specifications manual for national hospital inpatient quality measures for the complete and current technical. Research studies have found that 435% of outpatients and 3050% of inpatients treated with an antipsychotic.

Aug 21, 2015 therapy received by that patient if any, recentprevious culture results, the local antimicrobial flora and its resistance patterns, the patient s allergies, and organ function, among others. A subgroup of quality measures are incorporated into the fivestar quality rating system and used to determine scoring for the quality measures domain on nursing home compare. As reported in 2016, from 2010 through 2014, the rate of hospital. The information in this document is to be used as a reference and is not intended to be used to program abstraction tools. Specifications manual for national hospital inpatient quality measures discharges 1001 2016 4q16 through 123116 4q16 page 4 of 50. The required quarterly sample sizes for each subpopulation would be 79 and 5. Cms updates the specifications annually to align with current clinical guidelines and code systems so. Specifications manual for national hospital inpatient quality measures, versions 4. National provider identifier, optional for all records. A hybrid measure is a quality measure that uses both claims data and clinical data from electronic health records ehrs for calculating the measure.

For chartabstracted clinical process of care measure data submission, the hospital or the hospital s vendor abstracts data for these measures. Heart failure national hospital inpatient quality measures. Venous thromboembolism prophylaxis ecqi resource center. Hospital inpatient specifications manuals qualitynet cms. Hospital outpatient quality reporting program measures. Quality measure specifications are available in the qm users manual download file, which can be found under the download section below. Hospital oqr specifications manual encounter dates 010117 1q17.

Specifications manual for national hospital inpatient quality measures discharges 100115 4q15 through 063016 2q16 appendix a7 table 5. They contain the information necessary for abstractors to ensure data are standardized and comparable across hospitals. Specifications manual for joint commission national quality measures. Nov 15, 2018 this presentation will provide information regarding v5. Cms calculates the measure at the hospital level and calculates a weighted average based on each of the following indicators. Note that beginning with 01012020 discharges, the ed, imm, sub, tob and vte measure specifications which were previously in the aligned cmsjoint commission aligned specifications manual have been moved to the specifications manual for joint commission national quality measures for hospital use. May 23, 2019 specifications manual for joint commission national quality measures. Qualitynet is the only cmsapproved website for secure communications and healthcare quality data exchange between. Sepsis national hospital inpatient quality measure sep1. Specifications manual for hospital inpatient quality measures page 6 encounter dates 0101 1q through 0630 2q v. Measures discharges 010114 1q14 through 093014 3q14. Hospital quality program manual for hospitals and health systems.

The ecqi resource center includes information about cms hybrid measures for eligible hospitals and critical access hospitals. Please refer to the specifications manual for national hospital inpatient quality measures for the complete and current technical specifications and abstraction information. This material was produced by mountainpacific quality health, the medicare quality improvement organization for mt, wy, ak, hi. Measure specifications for measures groups reporting are included in a separate manual, 2016 physician. Patients discharged on multiple antipsychotic medications with appropriate justification description. Cms focuses on reporting measure data that have high impact and support national priorities for improved quality and efficiency of care for medicare beneficiaries. Future versions of the manual are posted six months prior to the effective date. The webinar will highlight major changes to the specifications manual for national hospital inpatient quality measures hospital based inpatient psychiatric services core measure set as well as other modifications that were made including improvements to data element definitions. Specifications manual for national hospital inpatient quality measures discharges 010118 1q18 through 063018 2q18 sep. The national hospital inpatient quality measures assess clinical effectiveness and 30day mortality associated with major health conditions. State the measures removed from the specifications manual based on final rulings.

The specifications manual can be accessed by the direct link provided on this slide or by going to. Since the total initial patient population for stk is 397, the hospital must submit patient level data. Specifications manual for national hospital inpatient quality measures discharges 010114 1q14 through 093014 3q14 version 4. Nov 15, 2018 specifications manual for national hospital inpatient quality measures, or specifications manual, was posted to. This document contains the current icd9pcs codes used in the specifications manual for national hospital outpatient quality measures crosswalked to the corresponding icd10 codes in table format. Inpatient psychiatric facility quality reporting program manual. Using the specifications manual for national hospital. Measures collected by cms andor the joint commission population and sampling measure specific data element updates general abstraction and data element guidelines. The hospital oqr program is a quality data reporting program for outpatient hospital services implemented by cms. Major hospital quality measurement sets agency for. The primary purpose of these measures is to promote high quality care for patients receiving services in hospital outpatient settings. Ahrq national scorecard on hospitalacquired conditions. Over time, it may be necessary to present more than one version of.

Hedis for the quality rating system value set directory. I am looking for quality information associated with. These specifications manuals contain detailed specifications for quality measures used in joint commission accreditation and certification programs. Pioneers in quality is a joint commission program started in 2016 to. Inpatient quality reporting sampling requirement tables. Inpatient psychiatric facility quality reporting program. The specifications manual for national hospital inpatient quality measures is periodically updated for a specific data collection time period i. Hospital quality program policy manual visit us at. Individual measure specifications for claims and registry reporting as well as other measure specifications outlined below. National hospital inpatient quality reporting measures.

They contain the information necessary for abstractors to ensure data are standardized and comparable. The inpatient quality indicators iqis are a set of 28 providerlevel measures developed by the agency for healthcare research and quality ahrq that use hospital administrative data to provide a perspective on hospital quality of care for patients 18 years and older. Hospital based inpatient psychiatric services hbips core measure. Specifications manual for national hospital inpatient quality measures discharges 100115 4q15 through 063016 2q16 appendix c9 table 8. Specifications manual for joint commission national. Taken from specifications manual for national hospital inpatient quality measures discharges 010114 1q14 through 093014 3q14. Global national hospital inpatient quality measures initial patient. Patient experience of care is measures by a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay. This material was produced by mountainpacific quality health, the medicare quality improvement organization for mt, wy, ak, hi and the pacific territories. Specifications manual for joint commission national quality measures v2016a print this page home hospital based inpatient psychiatric services hbips hbips5. Nov 15, 2018 specifications manual for national hospital inpatient quality measures specifications manual to the addendum v5.

Mar 08, 2021 cms uses a variety of measures to determine the quality of care provided during inpatient hospital stays. Discharges 100116 4q16 through 123116 4q16 impacts. Performing the care process is closely connected to the patient outcome. Specifications manual for national hospital inpatient quality measures, version 5.

Hospital oqr specifications manual encounter dates. For imm2 measure information, including a list of exclusions, please refer to. In the final rule, it was stated that the centers for. Over time, it may be necessary to present more than one version of a specific data collection time period due to corrections or clarifications based on ongoing. Specifications manual for national hospital inpatient quality measures, version 3. For claimsbased measures, cms uses medicare enrollment data and part a and part b claims data. The stk initial patient population sizes for a hospital are 392 and 5 patients respectively per the subpopulations for the quarter. This version of the manual covers discharges from january 1 through june 30 of 2019.

Hospitals inpatient hospitals outpatient ambulatory surgical centers ppsexempt cancer hospitals. Hospital outpatient quality reporting stroke measure set. Ahrq national scorecard on hospitalacquired conditions updated baseline rates and preliminary results 2014 2016. Specifications manual for joint commission national quality. Mar 08, 2021 qualitynet is the only cmsapproved website for secure communications and healthcare quality data exchange between. New patient safety data for 2014 through 2016 continue to show a downward trend previously reported for 2010 to 2014. Describe how these changes will impact abstracting and reporting for this program. Feb 18, 2021 outcome measures are measures designed to reflect the results of care, rather than whether or not a specific treatment or intervention was performed. Outcome measures are measures designed to reflect the results of care, rather than whether or not a specific treatment or intervention was performed. Specifications manual for hospital inpatient quality measures page 1 encounter dates 0101 1q through 0630 2q v. Dec 18, 2020 updated denominator statement to begin with inpatient hospitalizations for patients instead of patient with to align with measure intent since measure is encounterbased not patient based. Certified programs must use the current version of the manual which is updated twice yearly around january and july.

Specifications manual for national hospital inpatient quality measures discharges 070119 3q19 through 123119 4q19 vi proximity. Hospital outpatient quality measures pain management. Please refer to the specifications manual for national hospital inpatient quality measures for the complete and current technical specifications and. Compliance with updated sepsis bundles to meet new sepsis core. Hedis measures included in the 2020 quality rating system qrs quality rating system measure technical specifications are unique to the issuers offering plans on the exchange and participating in the cms quality rating system qrs. Cms hospital inpatient quality reporting program measures. This material was produced by mountainpacific quality health, the medicare quality improvement organization for mt, wy, ak, hi and the pacific territories of guam. Ofmq has been a successful measure developer for 15 years with expertise and experience in developing measures for the inpatient, outpatient and ambulatory surgical center settings. The mats wg recommendations are provided next to the sep1 antibiotic specifications detailed in the specifications manual for national hospital inpatient quality measures discharges 1 july 2016 3q16 through 31 december 2016 4q16 version 5. Specifications manual for national hospital inpatient. Specifications manual for national hospital inpatient quality measures discharges 0101 1q through 0630 2q appendix h1 appendix h miscellaneous tables last updated. Identify changes to the specifications manual through version 12.

These specifications manuals contain detailed specifications for quality measures used in joint commission. Sep 25, 2020 specifications manual for joint commission national quality measures v2021a1 discharges 010121 1q21 through 063021 2q21 license for use of current procedural terminology, fourth edition cpt. Inpatient and outpatient quality reporting specifications. The quality reporting specifications manuals are uniform guidelines defining hospital inpatient and outpatient data to be collected and how data is to be reported. Psi 03 pressure ulcer rate psi 06 iatrogenic pneumothorax rate. The primary purpose of these measures is to promote high quality care for patients receiving services in hospital. Measure specifications for measures groups reporting are included in a separate manual, 2016 physician quality reporting system measures groups specifications manual, which can be accessed at.