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 of the rule, see the Federal Register.
Hospital Inpatient Quality Reporting (IQR) Program
CMS has proposed numerous changes related to the Hospital IQR Program including the adoption of three new measures and the refinement of three existing measures.
In this IPPS Proposed Rule, CMS proposes three new electronic clinical quality measures (eCQMs) which would be available for self-selection beginning with the CY 2025 reporting period/ FY 2027 payment determination. The table below summarizes the proposed measures.
CMS is proposing to modify three current measures and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measure. The table below summarizes the proposed measure modifications.
CMS proposes to remove three measures. The table below summarizes the proposed measure removals.
Medicare Promoting Interoperability (PI) Program
CMS is proposing that beginning with the CY 2024 reporting period, EHs and CAHs would be 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 proposes adoption of three new eCQMs to select as one of the three self-selected eCQMs beginning with CY 2025 reporting period 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 (Hospital Level — Inpatient) eCQM
If you have questions about your hospital reporting of eCQMs, Promoting Interoperability measures, or chart-abstracted measures, please contact us.