Category: Pain Assessment

QIP News: PSSRs, NHSN Deadline, Pain Assessment

PSSRs: CMS has announced that PY2019 Performance Score Summary Reports or PSSRs are now available. The PSSR is a spreadsheet containing the performance values of each facility for PY2019. It provides information about facility performance on each ESRD QIP measure as well as the Total Performance Score. Find the PSSRs at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/PY2019-Performance-Score-Summary-Report-.XLSX. It’s a 12+ megabyte file, so it may take several minutes to download and open.

NHSN: CMS has also announced an extension to the NHSN data entry deadline for the ESRD QIP fourth reporting quarter of 2018 (data for October 1 – December 31, 2018) from March 31, 2019 to April 1, 2019.

Assistance regarding PSSRs or the NHSN deadline can be obtained by contacting the ESRD QIP Support Team using the ESRD QIP Q&A Tool at https://cms-ocsq.custhelp.com/app/homeesrdqip/p/960. For questions or concerns regarding use of the ESRD QIP system, contact the QualityNet Help Desk at qnetsupport-esrd@hcqis.org or 866-288-8912 between 5am and 7pm PT Monday-Friday.

Pain Assessment data submission into CROWNWeb will no longer be required by CMS starting March 1, 2019. The Pain Assessment screen will remain active for facilities to review previously reported data. For details see http://mycrownweb.org/2019/02/pain-assessment-submission/.

Don’t Miss Out on QIP Points

The timely completion and reporting of Quality Incentive Performance (QIP) measures ensures that a facility has the maximum opportunity for Medicare reimbursement. Facility staff members need to make sure they are aware of all the deadlines associated with each reporting measure. QIP scores are not only valuable for the facility; they are also beneficial for the patients.

Effective in Calendar Year 2016, Payment Year 2018, CMS expanded the non-laboratory-based area of the ESRD QIP by adding several additional measures. Two examples of these reporting measures are “Pain Assessment and Follow-Up” and “Clinical Depression Screening and Follow-Up.” Both of these measures were designed to determine whether facilities regularly assess their patients’ pain and depression, and whether they develop follow-up plans as necessary.