CMS Developing Hospice Quality Assessment Tool

Posted on Monday, June 17, 2019 3:28 AM

CMS is developing a new mandatory hospice quality assessment tool which will replace the current Hospice Item Set.

The Hospice Evaluation and Assessment Reporting Tool (HEART) will initially be used for quality reporting, but eventually CMS will use the tool to introduce new payment models.  In keeping with the current mandatory CMS quality reporting programs, hospices could see payment reductions of up to 2% for failing to report HEART data after requirements are finalized.

“This would be completely new for providers. Ideally it would be an assessment that would be embedded in a paper system or an electronic medical record, from which the hospice would extract the data and then submit it to CMS,” said Jennifer Kennedy, senior director, regulatory and quality. “There intent would be to use the information for future quality measure development and possibly for future payment reform.”

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