Hospital Quality Incentive Payment (HQIP) Program 2021 Proposed - - PowerPoint PPT Presentation
Hospital Quality Incentive Payment (HQIP) Program 2021 Proposed Measures- Community Advisory Council Presentation June 26, 2020 Department of Health Care Policy & Financing Agenda 1. Program Background Recap 2. Impacts of COVID-19 3.
2021 Proposed Measures- Community Advisory Council Presentation
Department of Health Care Policy & Financing
June 26, 2020
coring Rubrics
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ection 25.5- 4-402.3, Colorado Revised S tatute authorizes HCPF pay an additional amount based upon performance to those hospitals that provide services that improve health care outcomes for their patients.
based on each hospital’s performance on the measures recommended by the HQIP S ubcommittee and approved by the CHAS E Board.
scoring.
E Board, the Department would like to include the Community Advisory Council in the development and review of HQIP measures in 2021 and future program years.
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Multiple CAC “touchpoints” have been built into the HQIP measures development cycle:
recommendations are presented to CAC. CAC feedback will be collected and reported back to the subcommittee.
with incorporated CAC feedback will be used to develop detailed measure specifications and presented to CAC. Any additional feedback will be collected and relayed back to subcommittee.
ubcommittee will consider CAC feedback and finalize measure specifications. The final measures will be presented to the CAC with opportunity for feedback prior to submission to the CHAS E board.
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approval of 2021 HQIP measures from the CHAS E board.
measures were modified to accommodate hospital reporting during this crisis.
modificat ions is required to account for the changes made for 2020.
S ubcommittee’s recommendations for 2021 in light of COVID-19.
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Measure 2021 2020 Exclusive Breast-feeding (PC-05) X Cesarean S ection (PC-02) X X Perinatal Depression and Anxiety X X Maternal Emergencies X X Reduction of Peripartum Racial and Ethnic Disparities* X X Reproductive Life/ Family Planning X X Incidence of Episiotomy X X
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*Postponed in 2020
Measure 2021 2020 Zero Suicide X Clostridium difficile (C. Diff) X X S epsis* X X Antibiotics S tewardship* X X Adverse Event X X Culture of S afety S urvey X X Handoffs and S ignouts* X X
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*Postponed in 2020
Measure 2021 2020 HCAHPS Communications about Medicines Composite 5 X X HCAHPS Discharge Information Composite 6 X X HCAHPS Care Transition Composite 7 X X Advance Care Planning X X
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In developing these updated recommendations, the following key considerations were made:
E board.
implemented in 2020.
uicide measure.
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The 2021 program year will include new measures that were
uicide measure.
afety Bundle (Originally t o be int roduced in 2020)
epsis (Originally t o be int roduced in 2020)
tewardship (Originally t o be int roduced in 2020)
ignouts (Originally t o be int roduced in 2020)
uicide (Int roduced in 2021)
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coring Modificat ion: Hospitals must earn 3 “ Rs” to earn points in 2021.
coring Modificat ion: Hospitals must answer all S tructure and Process measures to earn points in 2021.
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hospital-wide processes.
coring Modificat ion: Hospitals will earn 5 points if they have the elements of Readiness in place. Additional points, up to 5 for elements of the remaining “ Rs” .
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coring Modificat ion: Hospitals earn partial points for reporting, additional points for documented improvements.
10 to 5 in 2021.
awarded all or nothing, given this will be the first year that hospitals report on this measure.
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coring Modificat ion: Hospitals can earn Level 4 points by reporting measurement results from previous year.
10 to 5 in 2021.
for the successful completion of three steps. No reporting on measurement results.
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Measure 2020 Points 2021 Points
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5 5
5 5
5 5
Ethnic Disparities 5 10
5 5
5 5 Total 35 35 Modified 2020 Total 30
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Measure 2020 Points 2021 Points
uicide N/ A 10
5 5
epsis 10 5
tewardship 10 10
5 5
afety S urvey 5 5
ign-outs 10 5 Total 45 45 Modified 2020 Total 15
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Measure 2020 Points 2021 Points
composite 5 5 5
composite 6 5 5
composite 7 5 5
5 5 Total 20 20
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Measure Group Originally Planned Modified Maternal Health and Perinatal Care Measure Group 35 30 Patient S afety 45 15 Patient Experience 20 20 Total 100 65
Points will be normalized to 100 based on the hospital’s score on available measures in 2020.
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Matt Haynes
S pecial Finance Proj ects Manager Email: matt.haynes@ state.co.us
Joe Sekiya
Hospital Transformation Proj ect Manager Email: j oe.sekiya@ state.co.us
Matt Haynes Special Finance Projects Manager Department of Health Care Policy & Financing Matt.Haynes@state.co.us