2017 OPPS Final Rule: CMS Updates Quality Measures
As part of the 2017 OPPS final rule, CMS’ quality measure updates will lead to no changes for 2017, but the agency did finalize proposals that will impact future years.
CMS made no changes for measures related to 2019 payment determinations that require reporting in 2017, but for payment determinations in 2020 and subsequent years, CMS is finalizing proposals on seven quality measures.
The two claims-based measures are:
- OP-35, Admissions and Emergency Department Visits for Patients Receiving Outpatient Chemotherapy
- OP-36, Hospital Visits after Hospital Outpatient Surgery (NQF 2687)
The five finalized Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey-based measures are:
- OP-37a, OAS CAHPS - About Facilities and Staff
- OP-37b, OAS CAHPS - Communication About Procedure
- OP-37c, OAS CAHPS - Preparation for Discharge and Recovery
- OP-37d, OAS CAHPS - Overall Rating of Facility
- OP-37e, OAS CAHPS - Recommendation of Facility
Beginning with the 2018 program year, CMS is removing the three-question Hospital Consumer Assessment of Healthcare Providers and Systems pain management dimension from the Hospital Value-Based Program due to provider concerns about the phrasing and impact of the questions.
To learn more about the changes and prepare for 2017, listen to an on-demand version of HCPro’s annual OPPS final rule webinar with Jugna Shah, MPH, president and founder of Nimitt Consulting, Inc., and Valerie Rinkle, MPA, lead regulatory specialist and instructor for HCPro, a division of BLR, in Middleton, Massachusetts.