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CMS IPF Quality Reporting
Background
News

The Centers for Medicare & Medicaid Services (CMS) has approved six measures to meet the requirements of the Affordable Care Act’s (ACA) mandate for both psychiatric hospitals and psychiatric units to begin reporting inpatient quality measures. The ACA requires that, as of rate year 2014 (starting October 1, 2013), all facilities reimbursed under the inpatient psychiatric facility prospective payment system (IPF PPS) must report data on at least six measures to CMS for the purpose of public reporting, payment updates, and pilot pay-for-performance programs.

 

The measures CMS selected are six of the seven Hospital-Based Inpatient Psychiatric Services (HBIPS) core measures, which are already required of psychiatric hospitals by The Joint Commission (and available for use by psychiatric units to meet ORYX reporting requirements):

  • HBIPS-2 Hours of physical restraint use (patient safety);
  • HBIPS-3 Hours of seclusion use (patient safety);
  • HBIPS-4 Patients discharged on multiple antipsychotic medications (pharmacotherapy);
  • HBIPS-5 Patients discharged on multiple antipsychotic medications with appropriate justification (pharmacotherapy);
  • HBIPS-6 Post discharge continuing care plan created (care coordination); and
  • HBIPS-7 Post discharge continuing care plan transmitted to next level of care provider upon discharge (care coordination).

 

The CMS-approved measures respond to significant concerns voiced by NAPHS members and others in the behavioral health field about the importance of keeping measures focused and actionable and not layering-on additional – and potentially contradictory – measures and definitions. NAPHS was represented on the Technical Expert Panel convened by CMS to recommend measures for this ACA-mandated Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program. The association has been actively working for many years (through a public-private partnership) with The Joint Commission on core measure development and implementation.

 

NAPHS members have also been in the forefront of testing, refining, and successfully reporting these HBIPS measures to The Joint Commission over a significant period of time. With more than 450 hospitals using the measures – and reporting value in having the data available to help improve patient care – we believe that these measures represent the best thinking and experience of the field. The measures evolved from a consensus-driven, evidence-based process that has been supported by both the private and public sectors.

4/17/2014

CMS release: First public reporting of quality measures from inpatient psychiatric facilities launched on Hospital Compare

2/7/2014

IPFQR webinar February 13 on “FY15 Measure Review” for those new to IPFQR

12/2/2013

Order a recording of a special training call on "Reporting SUB-1 (Alcohol Use Screening) in the IPFQR." Also download materials (files are large; please allow time for each to open): 1) Joint Commission PowerPoint; 2) Michael Miller, M.D., PowerPoint; 3) Eric Goplerud PowerPoint; 4) SBIRT Mentor brochure. Also see 5) the Telligen IPFQR newsletterAfter the training, please complete 6) an online evaluation.

11/19/2013

CMS: Inpatient Psychiatric Facility Quality Reporting (IPFQR) Quarterly Newsletter (Vol.1.No.1)

8/22/2013

NAPHS Alert: "Paper forms available to assist those having difficulty with data submission for the IPF Quality Reporting program." See forms for 1) Notice of Participation; 2) IPF Data Collection paper form; and 3) IPF DACA paper form.

8/19/2013

CMS final rules: "Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals...and FY2014 Rates; Quality Reporting Requirements for Specific Providers; ....etc."  (See pages 50887-50901 for IPF quality reporting section.)

8/15/2013

CMS extends the IPFQR Notice of Participation submission deadline to August 23, 2013

7/11/2013

Behavioral Briefing: IPFQR Structural/Web-Based Measures Application Now Available

6/24/2013

NAPHS comment letter to CMS: "Medicare: ....Quality Reporting Requirements for Specific Providers (CMS-1599-P)"

5/10/2013

CMS proposed rule on quality reporting requirements for inpatient psychiatric facilities (for FY15 payment determination). See page 27734.

1/28/2013

NAPHS comment letter on Measure Applications Partnership Pre-Rulemaking Draft Report

8/31/2012

CMS final rule on quality reporting requirements for inpatient psychiatric facilities (see pages 53644-53680). [View]

6/25/2012

NAPHS comment letter to CMS on psychiatric inpatient quality reporting measures [View]

5/11/2012

CMS proposed rule on psychiatric inpatient quality reporting measures. See pages 28105-28116 in "Medicare Program: Hospital Inpatient PPS for Acute Care Hospitals and Long-Term Care Hospital PPS and FY13 Rates; Hospitals' Resident Caps for Graduate Medical Education Payment Purposes; Quality Reporting Requirements for Specific Providers and for Ambulatory Surgical Centers" [View]

12/7/2011

CMS final rule: "Medicare Program; Availability of Medicare data for performance measurement" [View]

8/25/2011

NAPHS comments on CMS proposed inpatient psychiatric facilities performance measures required by the Affordable Care Act [View]

Show Archived List Items

8/19/13 -- CMS final rule on quality reporting requirements for inpatient psychiatric facilities (see pages 50887-50901).


IMPORTANT RESOURCE: www.qualitynet.org (for the latest updates from CMS)