CMS Proposes to Introduce Pay Penalties, Add 10 More Measures to Quality Reporting Program
April 22, 2010
In a proposed rule, CMS wants to introduce financial penalties and add 10 more measures to its Reporting Hospital Quality Data for Annual Payment Update (RHQDAPU) program, according to a release from CMS.
Starting in fiscal year 2011, hospitals not successfully participating in RHQDAPU would lose 2 percentage points in their marketbasket adjustment.
CMS said this won't be a problem for most hospitals, since 99 percent of hospitals already participate in the voluntary RHQDAPU program and 96 percent of them are receiving the full update in FY 2010.
Meanwhile, CMS proposes to revise its current list of 46 RHQDAPU measures to be reported in FY 2011 by removing one – mortality for selected surgical procedures (composite) – and adding 10 new ones:
- Foreign object retained after surgery
- Air embolism
- Blood incompatibility
- Pressure ulcer stages III and IV
- Falls and trauma (including fracture, dislocation, intracranial injury, crushing injury, burn, and electric shock)
- Vascular catheter-associated infection
- Catheter-associated urinary tract infection (UTI)
- Manifestations of poor glycemic control
- Post-operative respiratory failure
- Post-operative pulmonary embolism or deep-vein thrombosis
CMS seeks to collect 35 further measures for the FY 2013 market basket update.
Read CMS' release on Reporting Hospital Quality Data for Annual Payment Update (pdf).
Read CMS' final rule in the April 19 Federal Register, under Special Filings.
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