Merit-Based Incentive Payment System (MIPS): Participating in the Improvement Activities Performance Category in the 2021 Performance Year - Traditional MIPS
Provides details on how to participate in the performance improvement part of the Merit-based Incentive Payment System (MIPS), one of two payment options under the Medicare Quality Payment Program. Identifies differences for small practices and clinicians located in a rural or Health Professional Shortage Area.
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Long-Term Care Facility (LTCF) COVID-19 Module
Provides information on the Centers for Disease Control and Prevention's LTCF COVID-19 Module for the National Healthcare Safety Network. Includes a variety of resources and training focused on data collection, resident and facility impact, staff and personnel impact, supplies and personal protective equipment (PPE), and ventilator capacity and supplies. Offers LTCFs a customized system to track COVID-19 infections and prevention process measures.
Date: 04/2021
Type: Website
Sponsoring organizations: Centers for Disease Control and Prevention, National Healthcare Safety Network
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Interpreting MBQIP Hospital Data Reports for Quality Improvement
Designed to help Critical Access Hospital (CAH) staff use Medicare Beneficiary Quality Improvement Project (MBQIP) Hospital Data Reports to support quality improvement efforts and improve patient care in their facility. Includes examples of how to interpret MBQIP reports, links to additional resources, and a glossary of keywords.
Date: 03/2021
Type: Document
Sponsoring organization: Stratis Health
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Evaluation of the Use of CAH Cohorts for Quality Improvement Activities
Describes how State Flex Programs (SFPs) use cohorts of Critical Access Hospitals (CAHs) in quality improvement initiatives. Discusses the benefits and challenges of CAH cohorts, how SFPs are evaluating the impact of these initiatives, and opportunities to enhance the use of cohorts in Flex Program activities. Includes findings from interviews with six SFPs.
Author(s): John Gale, Celia Jewell, Sara Kahn-Troster, Nathan First
Date: 03/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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Measure Applications Partnership 2020-2021 Considerations for Implementing Measures in Federal Programs: Clinician, Hospital & PAC/LTC
Reviews the 20 pre-rulemaking quality measures the National Quality Forum's Measure Applications Partnership (MAP) considered during the 2020-2021 cycle. Discusses measures for clinician programs, hospital and setting-specific programs, and post-acute care/long-term care programs. Highlights the MAP Rural Health Workgroup's support or determination of the suitability of each measure for rural providers.
Date: 03/2021
Type: Document
Sponsoring organization: National Quality Forum
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NQF 2020 Activities: Report to Congress and the Secretary of the Department of Health and Human Services
Summarizes the 2020 work of the National Quality Forum to measure healthcare quality. Includes a section on rural healthcare quality initiatives highlighting the work of the Measure Applications Partnership (MAP) Rural Health Workgroup.
Date: 03/2021
Type: Document
Sponsoring organization: National Quality Forum
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Catalog of Value-Based Initiatives for Rural Providers
Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare and Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation (CMMI). Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 02/2021
Type: Document
Sponsoring organization: Rural Health Value
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MBQIP Quality Measures National Annual Report - 2019
Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2019. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Madeleine Pick, Tongtan Chantarat, Nathan Bean, Ira Moscovice
Date: 02/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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Quality Time: Sharing PIE - Involving Board and Leadership to Drive Quality Outcomes
Podcast recording exploring how a Critical Access Hospital (CAH) board and leadership are engaged with and support quality improvement work. Features quality, clinical, and board representatives from Paris Community Hospital, a CAH in Paris, Illinois.
Date: 02/2021
Type: Audio
Sponsoring organization: Stratis Health
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Merit-Based Incentive Payment System (MIPS): Scoring Guide for the 2020 Performance Year
Provides details on how scores are calculated for the Merit-based Incentive Payment System (MIPS), one of two payment options under the Medicare Quality Payment Program. Explains the four performance categories that affect Medicare Physician Fee Schedule payments: quality, cost, improvement activities, and promoting interoperability. Includes specifics for small and rural practices.
Date: 02/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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