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2024 IPPS Proposed Rule

Proposed changes to Hospital IQR measures, eCQMs, and SAFER Guides requirements

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TL/DR

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

  • Three new eCQMs proposed for self-selection starting CY 2025: Hospital Harm Pressure Injury, Hospital Harm Acute Kidney Injury, and Excessive Radiation Dose for CT
  • Three existing measures proposed for modification and three for removal
  • SAFER Guides attestation proposed as mandatory for CY 2024, requiring self-assessment of all nine guides

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

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CMS recently published the FY 2024 Inpatient Prospective Payment System (IPPS) Proposed Rule which includes several proposed 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 proposed numerous changes including the adoption of three new measures and the refinement of three existing measures.

New Measures

CMS proposes three new electronic clinical quality measures (eCQMs) available for self-selection beginning with the CY 2025 reporting period/ FY 2027 payment determination.

Proposed new eCQMs

Measure Modifications

CMS proposes to modify three current measures and the HCAHPS survey measure.

Proposed measure modifications

Removed Measures

CMS proposes to remove three measures.

Proposed removed measures

Medicare Promoting Interoperability (PI) Program

CMS proposes that beginning with CY 2024, EHs and CAHs would be required to attest "yes" to having conducted an annual self-assessment of all nine SAFER Guides during the applicable calendar year.

CMS also proposes adoption of three new eCQMs for self-selection starting CY 2025: Hospital Harm, Pressure Injury eCQM; Hospital Harm, Acute Kidney Injury eCQM; and Excessive Radiation Dose or Inadequate Image Quality for Diagnostic CT in Adults eCQM.

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