NQF

Version Number: 11.9
Meeting Date: December 3, 2019

Measure Applications Partnership
PAC/LTC Workgroup Discussion Guide

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Agenda

Agenda Synopsis

Time Session
December 3, 2019  
8:30 AM   Breakfast
9:00 AM   Welcome, Introductions, Disclosures of Interest, and Review of Meeting Objectives
9:15 AM   CMS Opening Remarks and Meaningful Measures Update
10:15 AM   Overview of Pre-Rulemaking Approach
10:45 AM   Break
11:00 AM   Home Health Quality Reporting Program (HHQRP)
12:00 PM   Lunch
12:30 PM   Hospice Quality Reporting Program (HQRP)
1:30 pm   Break
1:45 pm   Strategic Considerations
4:30 PM   Opportunity for Public Comment
4:45 PM   Summary of Day and Next Steps
5:00 PM   Adjourn for the Day


Full Agenda

December 3, 2019  
8:30 AM   Breakfast
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9:00 AM   Welcome, Introductions, Disclosures of Interest, and Review of Meeting Objectives
Gerri Lamb, MAP PAC-LTC Workgroup Co-chair
Kurt Merkelz, MAP PAC-LTC Workgroup Co-chair
Elisa Munthali, Senior Vice President, Quality Measurement, NQF
Amy Moyer, Senior Director, NQF


9:15 AM   CMS Opening Remarks and Meaningful Measures Update
Michelle Schreiber, QMVIG Group Director, CMS


10:15 AM   Overview of Pre-Rulemaking Approach
Amy Moyer
Janacki Panchal, Project Manager, NQF

10:45 AM   Break
11:00 AM   Home Health Quality Reporting Program (HHQRP)
Measures under consideration:
  1. Home Health Within-Stay Potentially Preventable Hospitalization Measure (MUC ID: MUC2019-34)
    • Description: This measure reports a home health agency (HHA)-level rate of risk-adjusted potentially preventable hospitalizations or observation stays that occur within a home health (HH) stay for all eligible stays at each agency. A HH stay is a sequence of HH payment episodes separated from other HH payment episodes by at least two days. (Measure Specifications)
    • Public comments received:
    • Preliminary analysis summary (Full Preliminary Analysis)
      • Contribution to program measure set:This measure adds value to the program measure set by adding measurement of potentially preventable hospitalizations that occur at any point in the home health stay. There is not a measure in the program currently that provides this information. There is variation in performance on this measure and home health agencies have the ability to implement processes and interventions that can positively influence the measure results.
      • Impact on quality of care for patients:Collecting information on potentially preventable hospitalizations and providing home health agencies with information and feedback will encourage agencies to assess for factors that influence these hospitalizations and perform interventions to reduce patient’s risk for a hospitalization. Patients will be able to spend more time in their home and stay out of the hospital.
    • Preliminary analysis result: Conditional Support pending NQF review and endorsement


12:00 PM   Lunch
12:30 PM   Hospice Quality Reporting Program (HQRP)
Measures under consideration:
  1. Hospice Visits in the Last Days of Life (MUC ID: MUC2019-33)
    • Description: The proportion of hospice patients who have received visits from a Registered Nurse or Medical Social Worker (non-telephonically) on at least two out of the final three days of the patient's life. (Measure Specifications)
    • Public comments received: 2
    • Preliminary analysis summary (Full Preliminary Analysis)
      • Contribution to program measure set:The value to the program measure set would come from replacing existing measures with a lower-burden measure with higher validity and reliability testing results.
      • Impact on quality of care for patients:Collecting information about hospice staff visits for measuring quality of care will encourage hospices to visit patients and caregivers and provide services that will address their care needs and improve quality of life during the patients' last days of life.
    • Preliminary analysis result: Conditional Support for Rulemaking with condition of removal of competing measures


1:30 pm   Break
1:45 pm   Strategic Considerations
Gerri Lamb
Kurt Merkelz
Amy Moyer

4:30 PM   Opportunity for Public Comment
4:45 PM   Summary of Day and Next Steps
Gerri Lamb
Kurt Merkelz
Jordan Hirsch, Project Analyst, NQF

5:00 PM   Adjourn for the Day

Appendix A: Measure Information

Measure Index

Home Health Quality Reporting Program

Hospice Quality Reporting Program


Full Measure Information

Home Health Within-Stay Potentially Preventable Hospitalization Measure (Program: Home Health Quality Reporting Program; MUC ID: MUC2019-34)

Measure Specifications