Hospital Inpatient Prospective Payment Systems, Quality Programs and Medicare Promoting Interoperability Program Requirements

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

On April 18, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1771-P) that provides updates to the fiscal year (FY) 2023 Long-Term Care Hospital Quality Reporting Program (LTCH QRP). This rule includes three Requests for Information (RFI) which include: future measure concepts for the LTCH QRP; inclusion of the new National Healthcare Safety Network (NHSN) Healthcare-associated Clostridioides difficile Infection Outcome Measure in the LTCH QRP; and Overarching Principles for Measuring Equity and Healthcare Quality Disparities across CMS Quality Programs. The proposed rule went on display at the Federal Register and will be available at: https://www.federalregister.gov/public-inspection/2022-08268/medicare-program-hospital-inpatient-prospective-payment-systems-quality-programs-and-medicare

In addition,  it would establish new requirements and revise existing requirements for eligible hospitals and critical access hospitals (CAHs) participating in the Medicare Promoting Interoperability Program; provide estimated and newly established performance standards for the Hospital Value-Based Purchasing (VBP) Program; and propose updated policies for the Hospital Readmissions Reduction Program, Hospital Inpatient Quality Reporting (IQR) Program, This document is scheduled to be published in the Federal Register on 05/10/2022 and available online at federalregister.gov/d/2022-08268, and on govinfo.gov Hospital VBP Program, Hospital-Acquired Condition (HAC) Reduction Program, PPS-Exempt Cancer Hospital Reporting (PCHQR) Program, and the Long-Term Care Hospital Quality Reporting Program (LTCH QRP). It would also revise the hospital and critical access hospital (CAH) conditions of participation (CoPs) for infection prevention and control and antibiotic stewardship programs; and codify and clarify policies related to the costs incurred for qualified and non-qualified deferred compensation plans. Lastly, this proposed rule would provide updates on the Rural Community Hospital Demonstration Program and the Frontier Community Health Integration Project.

This proposed rule is scheduled for publication in the Federal Register on May 10, 2022.

The unpublished public PDF is found here.  It’s 1,786 pages in length.

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