cms ecqm measures 2023

Consistent with Executive Order 14008 on Tackling the Climate Crisis at Home and Abroad which includes the commitment to achieve a climate resilient infrastructure and operations, build a climate- and sustainability-focused workforce, and advance environmental justice and equity, CMS believes that the health care sector could more effectively prepare for climate threats. These documents have been re-published on the eCQI Resource Center on the eCQM Resources tab for Eligible Clinician eCQMs. Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C2-21-16 Baltimore, Maryland 21244-1850 . Eligible Hospital / Critical Access Hospital eCQMs, FHIR - Fast Healthcare Interoperability Resources, QRDA - Quality Reporting Document Architecture, USCDI+ Quality - United States Core Data for Interoperability Plus Quality, Implementation Checklist eCQM Annual Update, Telehealth Guidance for eCQMs for Eligible Clinician 2023 Quality Reporting, eCQM Specifications for Eligible Clinicians, Measure Authoring Tool (MAT) Global Common Library (GCL) Technical Specifications and Technical Release Notes, Binding Parameter Specification (BPS) (ZIP), eCQM Logic and Implementation Guidance v6.0, Standards and tool versions used for performance period, 2023 CMS QRDA III Implementation Guide for Eligible Clinicians, 2023 CMS QRDA III Schematrons and Sample Files, eCQM Annual Update Pre-Publication Document, Adult Major Depressive Disorder (MDD): Suicide Risk Assessment, Appropriate Treatment for Upper Respiratory Infection (URI), Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture, Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy, Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery, Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment, Children Who Have Dental Decay or Cavities, Closing the Referral Loop: Receipt of Specialist Report, Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF less than or equal to 40%), Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%), Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care, Documentation of Current Medications in the Medical Record, Follow-Up Care for Children Prescribed ADHD Medication (ADD), Functional Status Assessment for Total Hip Replacement, Functional Status Assessments for Heart Failure, Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD), Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD), Initiation and Engagement of Substance Use Disorder Treatment, Intravesical Bacillus-Calmette-Guerin for non-muscle invasive bladder cancer, Oncology: Medical and Radiation - Pain Intensity Quantified, Pneumococcal Vaccination Status for Older Adults, Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan, Preventive Care and Screening: Influenza Immunization, Preventive Care and Screening: Screening for Depression and Follow-Up Plan, Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented, Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention, Primary Caries Prevention Intervention as Offered by Dentists, Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation, Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients, Statin Therapy for the Prevention and Treatment of Cardiovascular Disease, Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia, Use of High-Risk Medications in Older Adults, Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents, *Telehealth Guidance for eCQMs for Eligible Clinician 2023 Quality Reporting, List of eCQMs eligible clinicians can use for a telehealth visit, Assists implementers and measured entities with how to read eCQM specifications, MAT-CGL specifications and technical release notes, Value sets used with eCQMs and Hybrid Measures, eCQM Direct Reference Codes used in eCQMs, Assists implementers and measured entities with how to use eCQMs and report issues, Year over year changes to eCQM logic and terminology, Tools and standards versions measure developers used to create eCQMs and versions of standards and tools used for their reporting, Assists implementers and measured entities with steps to take to calculate an eCQM, What CMS uses to calculate MIPS measure scores, Rules to validate eCQM reports with samples, Standards and code system versions for the eCQM Annual Update. Continuing to Advance Digital Quality Measurement. Hospitals - Inpatient Hospitals - Outpatient Hospitals - Rural Emergency Ambulatory Surgical Centers PPS-Exempt Cancer Hospitals ESRD Facilities Clarified that the "Total" rate is used for the Use of Imaging Studies for Low Back Pain (LBP) measure. Similarly, we are also pausing all six measures in the HAC Reduction Program from the calculation of measure scores and Total HAC Scores, thereby not penalizing any hospital under the FY 2023 HAC Reduction Program. In the proposed rule, CMS solicited comment, via a request for information (RFI), on how hospitals, nursing homes, hospices, home health agencies, and other providers can better prepare for the harmful impacts of climate change on beneficiaries and consumers, and how we can support them in doing so. This measure may be submitted by Merit-based Incentive Payment System (MIPS) eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding. CMS is also applying this wage index cap policy in a budget neutral manner through a national adjustment to the standardized amount. The HRRP is a Medicare value-based purchasing program that reduces payments to hospitals with excess readmissions. website belongs to an official government organization in the United States. Medicare Parts A & B Share On August 1, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) final rule. or Note that an ONC Project Tracking System (Jira) account is required to ask a question or comment. ONC Project Tracking System (Jira) account, Now Available: 2024 CMS QRDA III Implementation Guide, Schematron, and Sample Files for Eligible Clinician Programs, Closing Soon: Review and Comment on PQM's Guidebook of Policies and Procedures for PRMR and MSR, 2024 Physician Fee Schedule Proposed Rule Includes Draft Policy Changes for Quality Payment Program, CMS Announces the CY 2024 OPPS Proposed Rule, Save the Date: July 20 CMS Medicare Promoting Interoperability Program 101 Webinar, Guidebook of Policies and Procedures for Pre-Rulemaking Measure Review (PRMR) and Measure Set Review (MSR) Public Comment Period Open Until July 21, The Hospital Quality Reporting System Now Accepting Voluntary Hybrid Measures for the 2024 Reporting Period, New eCQM Annual Update Implementation User Guide. March 2023 Posting The Measures Management System (MMS) is a standardized system for developing and maintaining the quality measures used in various CMS initiatives and programs. CMS will take these comments into consideration for future rulemaking. 2023 Program Requirements In the fall of 2022, CMS finalized changes to the Medicare Promoting Interoperability Program for eligible hospitals and critical access hospitals (CAHs) for calendar year (CY) 2023. Where to Find the 2023 eCQM Value Sets, Direct Reference Codes, and Terminology. This toolkit focuses on 2023 participation rules, performance categories, and scoring approaches for traditional MIPS reporting. However, we also believe it is reasonable to assume, based on the information available at this time, that there will be fewer COVID19 hospitalizations in FY 2023 than are reflected in the FY 2021 data. CMS requested comment on the potential future inclusion of two digital NHSN measures: Healthcare-Associated. Value set guidance can be viewed under the Resources menu of the, For calendar year (CY) 2022, Medicare Promoting Interoperability Program participants are, Safe Use of Opioids Concurrent Prescribing. CMS requires the use of the most current version of the eCQMs as specified and intended for the applicable performance periods for all quality reporting programs. Medicare Spending Per Beneficiary Hospital measure beginning with the FY 2024 payment determination. Consistent with Executive Order 13985 on Advancing Racial Equity and Support for Underserved Communities through the federal government. In total, 25 technologies are eligible to receive add-on payments for FY 2023. Clarifying the removal of the no mapped location policy beginning with the FY 2023 program year. The in-home additional payment amount is $36.85 in 2023, and CMS has previously finalized that it will be updated annually by the percentage increase in MEI, which is projected . This includes three technologies submitted under the traditional new technology add-on payment pathway and five technologies submitted under the alternative pathway for new medical devices that are part of the FDA Breakthrough Devices Program. The new technology add-on payment is not budget neutral and is generally limited to the two to three -year period following the date the product begins to become available. Where to Find the Updated eCQM Specifications and Implementation Resources. Second, the law requires caps on the number of FTE residents that each teaching hospital may include in its indirect medical education (IME) adjustment and direct GME payment formulas. Sign up to get the latest information about your choice of CMS topics. We expect to revisit the treatment of section 1115 demonstration days for purposes of the DSH adjustment in future rulemaking, and we encourage interested parties to review any future proposal on this issue and to submit their comments at that time. Add to Calendar 2023-07-26 14:30:00 2023-07-26 16:00:00 America/New_York Public Webinar for an Overview of the 2024 Proposed Rule for the Quality Payment Program The Centers for Medicare & Medicaid Services (CMS) is hosting a public webinar on Wednesday, July 26 at 2:30 p.m. In the FY 2023 IPPS/LTCH PPS final rule, CMS is: Additionally, CMS sought and received public comment on promoting health equity through possible future incorporation of hospital performance for socially at-risk populations into the Hospital Readmissions Reduction Program, which will be used to inform future policy development. The Centers for Medicare & Medicaid Services (CMS) has posted the electronic clinical quality measure (eCQM) specifications for the 2023 reporting/performance period for: Eligible Hospitals (EH) and Critical Access Hospitals (CAHs), Hospital Hybrid, Outpatient Quality Reporting (OQR), and Eligible Clinician programs. You can decide how often to receive updates. Measures will not be eligible for 2023 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program. Value sets contain lists of codes and corresponding terms used by developers and implementers to accurately capture patient data in the EHR system. Rather, CMS is finalizing a policy that calculates the rural floor as it was calculated before FY 2020. As required under law, this amount is equal to an estimate of 75% of what otherwise would have been paid as Medicare DSH payments, adjusted for the change in the rate of uninsured individuals. Based on the district courts decision in Citrus HMA, LLC, d/b/a Seven Rivers Regional Medical Center v. Becerra, No. The Core Quality Measures Collaborative (CQMC) core measure sets (core sets) are intended for use in value-based payment (VBP) programs and may also be used to drive improvement in high-priority areas. This total uncompensated care payment amount reflects CMS Office of the Actuarys projections that incorporate the estimated impact of the COVID-19 pandemic. We finalized the reclassification of laser interstitial thermal therapy (LITT) procedures under the MS-DRGs in connection with the creation of new procedure codes to describe LITT. Quality Performance Standard eCQM value sets specify terminology codes required for eCQM measurement and are updated by CMS one or more times each year. For calendar year (CY) 2022, Medicare Promoting Interoperability Program participants are required to report onthree self-selected eCQMs and the Safe Use of Opioids Concurrent Prescribing eCQM from the set of nineavailable. CMS will also update the baseline periods for certain measures for the FY 2025 program year. Finalizing that it will begin public display ofthe 30-Day Unplanned Readmissions for Cancer Patients Measure (PCH-36) and the four end-of-life measures (PCH-32, PCH-33, PCH-34, and PCH-35); Adopting and codifying a patient safety exception into the measure removal policy; and, Acknowledging comments received from stakeholders on the request for information in the proposed rule regarding the potential future adoption of two digital National Healthcare Safety Network (NHSN) measures: the NHSN Healthcare-associated, or Refinement Policies in Response to COVID-19 PHE in Certain Value-Based Purchasing Programs. The Joint Commission has not adopted the following CMS measures for 2023: SEP-1, Hospital Commitment to Health Equity, Screening for Social Drivers of Health, Screen Positive Rate for Social Drivers of Health. First, after reviewing the statutory language regarding the direct GME full-time equivalent (FTE) cap and the courts opinion in Milton S. Hershey Medical Center, et al. CMS is not finalizing its proposal to use only National Drug Codes (NDCs) to identify claims involving the administration of therapeutic agents approved for NTAP, rather than ICD-10-PCS codes, after consideration of the concerns raised in public comments. We are continuing our review of diagnosis codes along with a comprehensive review of the procedure code list, including when a procedure should affect MS-DRG assignment. *Note: There is a known issue on CMS156v11. These measures will not be eligible for CMS quality reporting until they are proposed and finalized through notice-and-comment rulemaking for each applicable program. Subject to certain adjustments, a hospital receives a single payment for the services provided based on the payment classification assigned at discharge. In the past, these payments have been extended by legislation, but if they were to expire, CMS estimates that payments to these hospitals would decrease by $0.6 billion. Because we recognize that this policy could result in a significant financial disruption for these hospitals, we are also establishing a new supplemental payment for IHS/Tribal hospitals and hospitals located in Puerto Rico beginning in FY 2023. The eCQI RC includes information about a CMS OQR eCQM; a quality measure that is developed for use in the CMS Outpatient Quality Reporting program. CMS will continue policies finalized in the FY 2020 IPPS/LTCH PPS final rule to address wage index disparities affecting low wage index hospitals. CMS also announced in the final rule technical administrative updates to the measures included in the Clinical Outcomes Domain. In addition, as we expect that FY 2024 will be the first year that three years of audited data will be available at the time of rulemaking, for FY2024 and subsequent fiscal years, CMS will use a three-year average of the uncompensated care data from the three most recent fiscal years for which audited data are available. This is known as the hospital market basket. The IPPS pays hospitals for services provided to Medicare beneficiaries using a national base payment rate, adjusted for a number of factors that affect hospitals costs, including the patients condition and the cost of hospital labor in the hospitals geographic area. This document describes the versions of the standards and code systems used in conjunction with the updated eCQMs for potential use in the Centers for Medicare & Medicaid Services (CMS) programs for the 2023 reporting/performance period. This fact sheet discusses major provisions of the final rule, which can be downloaded from the Federal Register at: https://www.federalregister.gov/public-inspection/current. Extenuating Circumstances: Additionally, CMS is updating two policies related to eCQMs. We calculated the relative weights for FY 2023 by first calculating two sets of weights, one including and one excluding COVID-19 claims, and then averaging the two sets of relative weights to determine the FY 2023 relative weight values. ICD-10 codes are modified by the National Center for Health Statistics (NCHS) and the Centers for Medicare & Medicaid Services (CMS). ( File Name. CMS goal is to use the best available data overall when setting inpatient hospital payment rates for the upcoming fiscal year. 202-690-6145. In the past, these payments have been extended by legislation, but if they were to expire, CMS estimates that payments to these hospitals would decrease by $0.6 billion. In the FY 2023 IPPS/LTCH PPS final rule, CMS is adopting ten measures, refining two current measures, making changes to the existing electronic clinical quality measure (eCQM) reporting and submission requirements, removing the zero-denominator declaration and case threshold exemptions for hybrid measures, updating our eCQM validation requirements for medical record requests, and establishing reporting and submission requirements for patient-reported outcome-based performance measures. Quality measures are tools that help improve the quality of healthcare through an approach that is consistent and accountable. Principles for Measuring Health Care Quality Disparities. CMS did not extend the deadline for transitioning away from CMS Web Interface measures. Federal government websites often end in .gov or .mil. At this time, CMS is not finalizing any changes in regard to the treatment of section 1115 demonstration days. Value set guidance can be viewed under the Resources menu of theElectronic Clinical Quality Improvement (eCQI) Resource Center. Therefore, i. n this rule we discuss our analysis of the best available data for use in the development of the FY 2023 IPPS/LTCH PPS rule, given the potential impact of COVID19 on hospitalizations. First, we are modifying the eCQM validation policy to increase the submission requirement from 75% to 100% of the requested medical records to successfully complete eCQM validation beginning with the FY 2025 payment determination. To report eCQMs successfully, health care providers must adhere to the requirements identified by the CMS quality program in which they intend to participate. In the most recent Medicare Program, Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) rule, CMS focuses on Glycemic Control with two new electronic clinical quality measures (eCQMs) for 2023. CMS has revised the electronic clinical quality measure (eCQM) specification for CMS156v11, Use of High-Risk Medications in Older Adults, for the 2023 reporting/performance period for Eligible Clinician programs. Treatment of Medicaid Section 1115 Demonstrations for Purposes of Medicare Disproportionate Share Hospital (DSH) Payments. In addition to these measure pauses for the Hospital VBP Program, we are implementing a special scoring methodology for FY 2023 that results in each hospital receiving a value-based incentive payment amount that matches their 2% reduction to the base operating MS-DRG payment amount. These revisions. measurement period. beginning with the FY 2024 program year (confidential hospital feedback reports for this measure will include this modification for the FY 2023 program year; paused from being used for payment calculation, CMS will still be calculating and publicly reporting this measure. CMS updates the specifications annually to align with current clinical guidelines and code systems so they remain relevant and actionable within the clinical care setting. Revisions to the potential future definition of digital quality measures; Data standardization activities to leverage and advance standards for digital data; and. As discussed above, CMS is not using its exceptions and adjustments authority under section 1886(d)(5)(I) of the Social Security Act to provide for a one-year extension of new technology add-on payments for the remaining technologies no longer within their newness period in FY 2023, in light of its return to using the latest available data (e.g., FY 2020 MedPAR claims) to recalibrate the FY 2023 MS-DRG relative weights. This proposal was made in conjunction with Vice President Harris nationwide call to action to reduce maternal mortality and morbidity, which included CMS intention to establish this proposed hospital designation. While we are not responding to comments in the final rule, we will continue to take all concerns, comments, and suggestions into consideration as we continue work to address and develop policies on these important topics. In addition, CMS projects Medicare disproportionate share hospital (DSH) payments and Medicare uncompensated care payments combined will decrease in FY 2023 by approximately $0.3 billion. This reflects a FY2023 hospital market basket update of 4.1% reduced by a 0.3 percentage point productivity adjustment and increased by a 0.5 percentage point adjustment required by statute. The increase in operating payment rates for general acute care hospitals paid under the IPPS, that successfully participate in the Hospital IQR Program and are meaningful electronic health record (EHR) users, is 4.3%. CMS provided a summary of comments received in the final rule and will use that input to inform potential future policy development. The direct reference codes specified within the eCQM HQMF files are also available in a separate file for download. eCQMs . A number of technical refinements to MS-DRG assignments are included. This document describes the versions of the standards and code systems used in conjunction with the updated eCQMs for potential use in the Centers for Medicare & Medicaid Services (CMS) programs for the 2024 reporting/performance period. CPC+ Electronic Clinical Quality Measure Reporting Requirements Page 1 of 2 Overview for the 2020 Measurement Period . Now Available: Revised eCQM Measure Files and Measures Table for 2023 Reporting Period for Eligible Hospitals (EH) and Critical Access Hospitals (CAH), Eligible Hospital / Critical Access Hospital eCQMs, FHIR - Fast Healthcare Interoperability Resources, QRDA - Quality Reporting Document Architecture, USCDI+ Quality - United States Core Data for Interoperability Plus Quality, ONC Project Tracking System (Jira) account, Now Available: 2024 CMS QRDA III Implementation Guide, Schematron, and Sample Files for Eligible Clinician Programs, Closing Soon: Review and Comment on PQM's Guidebook of Policies and Procedures for PRMR and MSR, 2024 Physician Fee Schedule Proposed Rule Includes Draft Policy Changes for Quality Payment Program, CMS Announces the CY 2024 OPPS Proposed Rule, Save the Date: July 20 CMS Medicare Promoting Interoperability Program 101 Webinar, Guidebook of Policies and Procedures for Pre-Rulemaking Measure Review (PRMR) and Measure Set Review (MSR) Public Comment Period Open Until July 21, The Hospital Quality Reporting System Now Accepting Voluntary Hybrid Measures for the 2024 Reporting Period, New eCQM Annual Update Implementation User Guide. measures that are developed, but not yet finalized for reporting in a CMS program. These policies are intended to ensure that these programs do not reward or penalize hospitals based on circumstances caused by the PHE for COVID-19 that the measures were not designed to accommodate. We also modified the IPPS outlier fixed-loss amount calculation to factor in certain payment increases for COVID-19 cases provided by the CARES Act. For more information, the CMIT User Guide contains details concerning the use of the system. Second, CMS modified its methodologies for determining the FY 2023 outlier fixed-loss amount for IPPS cases and LTCH PPS standard federal payment rate cases. CMS updates the specifications annually to align with current clinical guidelines and code systems so they remain relevant and actionable within the clinical care setting. CMS has finalized the Electronic clinical quality measure (eCQM) definition: eCQMs are measures specified in a standard electronic format that use data electronically extracted from electronic health records (EHR) and/or health information technology (IT) systems to measure the quality of health care provided. The CMS Measure Inventory Tool (CMIT) is the repository of record for information about the measures which CMS uses to promote healthcare quality and quality improvement. CMS is also continuing new technology add-on payments for 15 technologies currently receiving the add-on payment that will remain within their newness period for FY 2023. CMS is revising the hospital and CAH infection prevention and control CoP requirements that require hospitals and CAHs, after the conclusion of the current COVID-19 PHE, to continue reporting on a reduced number of COVID-19 data elements. The Centers for Medicare and Medicaid Services (CMS) released an Informational Bulletin that describes the 2023 and 2024 updates to the Core Set of children's healthcare quality measures for Medicaid and the Children's Health Insurance Program (CHIP) and the Core Set of health care quality measures for adults enrolled in Medicaid (the Adult Core. In addition, we are providing estimated and newly established performance standards for the Hospital Value-Based Purchasing (VBP) Program and updated policies for the Hospital Readmissions Reduction Program (HRRP), Hospital Inpatient Quality Reporting (IQR) Program, Hospital VBP Program, Hospital-Acquired Condition (HAC) Reduction Program, PPS-Exempt Cancer Hospital Reporting Program, and LTCH Quality Reporting Program. To build on the White House Blueprint for Addressing the Maternal Health Crisis, CMS will establish a Birthing-Friendly hospital designation a publicly-reported, public-facing hospital designation on the quality and safety of maternity care. Share sensitive information only on official, secure websites. The Hospital VBP Program is a budget-neutral program funded by reducing participating hospitals base operating MS-DRG payments each fiscal year by 2% and redistributing the entire amount back to the hospitals as value-based incentive payments. CMS is implementing these extensions in the FY 2023 IPPS/LTCH PPS final rule. LTCHs that do not meet reporting requirements are subject to a two-percentage point reduction in their Annual Payment Update. CMS will continue policies finalized in the FY 2020 IPPS/LTCH PPS final rule to address wage index disparities affecting low wage index hospitals. QualityNet is the only CMS-approved website for secure communications and healthcare quality data exchange between: quality improvement organizations (QIOs), hospitals, physician offices, nursing homes, end stage renal disease (ESRD) networks and facilities, and data vendors. To supplement CMS RFI in the FY 2022 IPPS/LTCH PPS final rule, and as part of CMS modernization of our digital quality measurement enterprise, we issued an RFI to gather comment on continued advancements to digital quality measurement and the use of the Fast Healthcare Interoperability Resources (FHIR) standard for electronic clinical quality measures (eCQMs). Fiscal Year 2024 Hospice Payment Rate Update Final Rule (CMS-1787-F), Fiscal Year 2024 Inpatient Rehabilitation Facility Prospective Payment System Final Rule (CMS-1781-F), Calendar Year (CY) 2024 Medicare Physician Fee Schedule Proposed Rule, Calendar Year (CY) 2024 Medicare Physician Fee Schedule Proposed Rule Medicare Shared Savings Program Proposals, CMS Physician Payment Rule Advances Health Equity. CMS updates LTCHs payment rates annually according to a separate market basket based on LTCH-specific goods and services. The PCHQR Program is a voluntary quality reporting program for the eleven cancer hospitals that are statutorily exempt from the IPPS. CMS also sought comments in the proposed rule on additional disparity measurement or stratification guidelines suitable for overarching consideration across quality programs. Applications for NTAP Approved for FY 2023. The Measure Information Section also refers to the codes or tables provided in this section. The value sets are available as a complete set, as well as value sets per eCQM, on the VSAC Downloadable Resources page. Establishment of a Birthing-Friendly Hospital Designation. CMS solicited public comments on how the reporting of social determinants of health (SDOH) diagnosis codes may improve our ability to recognize severity of illness, complexity of service, and/or utilization of resources under the MS-DRGs. For the FY 2023 HAC Reduction Program, participating hospitals will not be given a measure score, a Total HAC score, nor a payment adjustment. The modified policy addresses situations for applying the FTE cap when a hospitals weighted FTE count is greater than its FTE cap, but would not reduce the weighting factor of residents that are beyond their initial residency period to an amount less than 0.5.
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