New Hospice Quality Data Reporting Begins in July

Mark Crane

April 11, 2014

Hospices must begin reporting quality data to a new federal database run by the Centers for Medicare & Medicaid Services (CMS), starting July 1.

Hospices must document that they have inquired and addressed concerns, on admission, of each patient's pain, respiratory status, medications, patient preferences, and beliefs and values, according to a published notice.

The new database, required under the Affordable Care Act, is named the Hospice Item Set System (HIS). "HIS is a standardized, patient-level data collection vehicle consisting of data elements confirming that the appropriate assessments were made and inquiries or concerns were addressed for each patient at the time of admission," the notice states.

"The HIS is not a patient assessment instrument and will not be administered to the patient and/or family or caregivers. In contrast, HIS is a standardized mechanism for abstracting data from the medical record."

Although CMS will administer the database, information also will be collected on hospice patients who are not Medicare beneficiaries. Hospices will start using the HIS for all patients on July 1, 2014. The quality measures being collected, all related to hospice and palliative care, include pain screening, pain assessment, dyspnea screening, dyspnea treatment, patients treated with an opioid who are given a bowel regiment, treatment preferences, and beliefs/values addressed.

Hospices must submit 2 HIS records, both admission and discharge, for each admitted patient. "The HIS-Admission contains both administrative items for patient identification and clinical items for calculating the seven quality measures," according to the CMS notice. "The HIS-Discharge is a limited set of administrative items also used for patient identification, as well as discharge information, which will be used primarily to determine patient exclusions for some of the seven quality measures."

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