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Hospital Inpatient Quality Reporting
The Hospital Inpatient Quality Reporting program was developed as a result of the Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003, and is intended to equip consumers with quality of care information to make more informed decisions about healthcare options, as well as to encourage hospitals and clinicians to improve the quality of care delivery. Under the IQR program, hospitals must meet administrative, data collection and submission, and data validation requirements in order to qualify for the Annual Payment Update (APU). Eligible hospitals that do not participate in the Hospital IQR program will receive an annual market basket update with a 2.0 percentage point reduction. Participating hospitals agree to make their quality measure data available to consumers on the Hospital Compare website. This includes data for quality measures for health conditions common among people with Medicare, and which typically result in hospitalization.
The resources provided below may aid hospitals in meeting IQR program requirements.
Overview
CMS Abstraction & Reporting Tool (CART)
Data Submission
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
Hospital Quality Alliance (HQA)
Medicare Hospital Compare
Mortality Measures
Provider Contact Updates
Quality Measures
QualityNet
Specifications Manual for National Hospital Inpatient Quality Measures
Data Validation
HCAHPS hcahps@azqio.sdps.org
(888) 884-4007
The Hospital Consumer Assessment of Healthcare Providers and Systems initiative is intended to provide a standardized survey instrument and data collection methodology for measuring patients’ perspectives on hospital care. HCAHPS can be viewed as a core set of questions that can be combined with a customized set of hospital-specific items. HCAHPS is meant to complement the data hospitals currently collect to support improvements in internal customer services and quality related activities.
Read more about Quality Reporting and Improvement:
The Hospital Inpatient Quality Reporting program was developed as a result of the Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003, and is intended to equip consumers with quality of care information to make more informed decisions about healthcare options, as well as to encourage hospitals and clinicians to improve the quality of care delivery. Under the IQR program, hospitals must meet administrative, data collection and submission, and data validation requirements in order to qualify for the Annual Payment Update (APU). Eligible hospitals that do not participate in the Hospital IQR program will receive an annual market basket update with a 2.0 percentage point reduction. Participating hospitals agree to make their quality measure data available to consumers on the Hospital Compare website. This includes data for quality measures for health conditions common among people with Medicare, and which typically result in hospitalization.
The resources provided below may aid hospitals in meeting IQR program requirements.
Overview
- Quality Connections chart – relationship between providers, Ohio KePRO, the Centers for Medicare & Medicaid Services, and other key organizations
CMS Abstraction & Reporting Tool (CART)
Data Submission
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
- HCAHPS Overview and Data Submission
Hospital Quality Alliance (HQA)
Medicare Hospital Compare
Mortality Measures
Provider Contact Updates
Quality Measures
QualityNet
- QualityNet Overview
- QualityNet User’s Guide
- QualityNet Reports User’s Guide
- Hospital Inpatient Questions and Answers
Specifications Manual for National Hospital Inpatient Quality Measures
Data Validation
- Data Validation Overview
- Data Validation Process for Hospitals – Flow Chart
- Data Validation Results Appeal Form
- Specifications for Calculating Data Validation Results
HCAHPS hcahps@azqio.sdps.org
(888) 884-4007
The Hospital Consumer Assessment of Healthcare Providers and Systems initiative is intended to provide a standardized survey instrument and data collection methodology for measuring patients’ perspectives on hospital care. HCAHPS can be viewed as a core set of questions that can be combined with a customized set of hospital-specific items. HCAHPS is meant to complement the data hospitals currently collect to support improvements in internal customer services and quality related activities.
Read more about Quality Reporting and Improvement:
- Hospital Outpatient Quality Reporting
- Other Data Reporting Resources
- Quality Reporting and Improvement
