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2024 IPPS Final Rule

Finalized IQR measure changes, eCQM additions, and mandatory SAFER Guides attestation

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The FY 2024 IPPS Final Rule confirms changes to the Hospital IQR and Medicare PI programs for eligible hospitals and CAHs.

  • Three new eCQMs finalized for self-selection starting CY 2025: Hospital Harm Pressure Injury, Acute Kidney Injury, and Excessive Radiation Dose CT
  • Three measures modified and three removed from the IQR Program
  • SAFER Guides attestation is now mandatory starting CY 2024, requiring annual self-assessment of all nine guides

CMS finalized three new eCQMs, measure modifications and removals, and mandatory SAFER Guides attestation in the FY 2024 IPPS Final Rule.

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CMS recently published the FY 2024 Inpatient Prospective Payment System (IPPS) Final Rule which includes several changes to the Hospital Inpatient Quality Reporting (IQR) Program and Medicare Promoting Interoperability (PI) Program for eligible hospitals (EHs) and critical access hospitals (CAHs). For the full text, see the Federal Register.

Hospital Inpatient Quality Reporting (IQR) Program

CMS finalized numerous changes including the adoption of three new measures, the refinement of three existing measures and the removal of three measures.

New Measures

CMS finalized three new eCQMs available for self-selection beginning with CY 2025 reporting period/ FY 2027 payment determination.

Finalized new eCQMs

Measure Modifications

CMS finalized modifications to three existing measures and the HCAHPS survey measure.

Finalized measure modifications

Removed Measures

CMS finalized the removal of three measures.

Finalized removed measures

Medicare Promoting Interoperability (PI) Program

CMS finalized that beginning with CY 2024 reporting period, EHs and CAHs are required to attest "yes" to having conducted an annual self-assessment of all nine SAFER Guides at any point during the calendar year in which the EHR reporting period occurs.

CMS also finalized adoption of three new eCQMs for self-selection beginning with CY 2025 in alignment with IQR:

  • Hospital Harm, Pressure Injury eCQM
  • Hospital Harm, Acute Kidney Injury eCQM
  • Excessive Radiation Dose or Inadequate Image Quality for Diagnostic CT in Adults eCQM

For questions about hospital reporting, please contact us.