CMS shares proposed star ratings changes: 4 takeaways

The agency shared the changes in its Outpatient Prospective Payment System proposed rule launched Aug. 4..

Four takeaways:.

CMS has actually detailed proposed modifications to the Overall Hospital Quality Star Rating method, which would occur next year.

Mackenzie Bean –
Thursday, August 6th, 2020
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1. CMS sorts star ranking quality determines into seven groups and utilizes an analytical modeling approach called latent variable modeling to develop a composite rating for each group. The proposed methodology would ditch hidden variable modeling and rather utilize a simple average of measure scores to determine the group score.

2. CMS proposed integrating three process measure groups– effectiveness of care, timeliness of care and efficient use of medical imaging– into a single procedure group labeled “prompt and reliable care.” This debt consolidation would result in 5 step groups rather of seven. The proposition lines up with the CMS Meaningful Measure Initiative, which intends to decrease the regulatory difficulties associated with quality reporting. Star rankings currently consist of 51 quality steps, down from 64 when they released in 2016..

3. To receive a star ranking, healthcare facilities must share data on at least 3 procedures in a minimum of 3 step groups, among which need to be the death or safety of care outcome group. CMS stated the proposed combination of procedure groups would assist 157 morel important access hospitals meet this limit to get a ranking. At present, these centers serve too few patients to report measures for each group..

4. Hospital groups and market leaders have long required modifications to the star rankings system, saying the approach is flawed and produces misleading results. Healthcare facility groups reacted fairly positively to the proposed modifications this week.

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” In light of the substantial defects with CMSs current method to healthcare facility star rankings, we value that the agency is checking out ways of enhancing the approach,” Tom Nickels, executive vice president of the American Hospital Association, stated in a declaration. “We look forward to examining the proposed approach modifications in depth.”.

CMS sorts star score quality measures into seven groups and utilizes an analytical modeling approach called hidden variable modeling to create a composite score for each group. The proposed approach would ditch hidden variable modeling and rather utilize an easy average of step ratings to determine the group score.

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To receive a star ranking, medical facilities should share information on at least 3 steps in at least 3 procedure groups, one of which need to be the mortality or security of care outcome group. CMS stated the proposed consolidation of step groups would assist 157 morel important gain access to healthcare facilities meet this threshold to receive a ranking. Medical facility groups and market leaders have long called for modifications to the star scores system, saying the methodology is flawed and produces misleading results.