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Acronyms in Presentation » Average daily census (ADC) » Centers for Medicare & Medicaid Services (CMS) » Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey » Electronic Health Record (EHR) » Hospice Evaluation and Assessment Reporting Tool (HEART) » Hospice Quality Reporting Program (HQRP) » Hospice Item Set (HIS) » Lengths of stay (LOS) » Special Open Door Forum (SODF) 2 Purpose of this slide deck: » The following slides provide a summary of the HEART Pilot A » The work of Pilot A was based on stakeholder input as discussed in the HEART Technical Expert Panel Report » The assessments tested were based on TEP input. 3 Section I BACKGROUND 4 HEART Background » The Centers for Medicare & Medicaid Services (CMS) is developing and testing a standardized patient assessment tool for hospices entitled the Hospice Evaluation & Assessment Reporting Tool (HEART). » As a comprehensive patient assessment tool, HEART’s goal is to understand the care needs throughout the end of life process. It will provide hospices with important information to help them understand and address patient and family needs while ensuring the delivery of high quality care throughout the patient stay. » HEART is intended to be multifunctional, such that it is used by hospices as part of their plan of care and by CMS for quality measure development. 5 HEART Intended Use To meet its goals: » HEART will include interim assessments, standard of practice checklists, and additional clinical items that can be used to develop new quality measures, in addition to admission and discharge assessments. » HEART will complement existing requirements set forth in the Medicare Hospice Conditions of Participation, such as the initial and comprehensive assessment. It would be designed to complement data collected as part of high-quality clinical care. » HEART will replace the current HIS if implemented, it will not replace other Hospice Quality Reporting Program (HQRP) data collection efforts (that is, the CAHPS® Hospice Survey). » HEART will not replace regular submission of claims data; HEART might consider future payment refinements as a secondary goal, but this is not planned at this time. 6
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