NHPCO NewsLine Fall 2019 - 11

is to identify hospices that have
notably higher rates of live
discharges followed shortly by
death or acute care utilization,
when compared to their peers.
CMS is considering stakeholder
and MAP feedback and is
looking at multiple ways to
measure this construct,
including separating out the
components to reduce the
measure's complexity.
■ After further analyses, CMS
determined that the access to
levels of hospice care measure
concept as currently specified
could result in hospices providing
higher levels of care when it is
not required by the plan of care
or expected by CMS.
■ CMS appreciates the comments
and the support for continuing to
refine efforts to measure these
two high priority concepts
identified by the OIG in its 2018
report, entitled "Vulnerabilities in
the Medicare Hospice Program
Affect Quality Care and Program
Integrity," and will take these
comments under advisement as
they continue exploring options
for measuring these constructs.

Hospice Assessment Tool
■ CMS's goal for a hospice
assessment tool is to be more
comprehensive than the HIS by
capturing care needs in realtime and throughout the end of
life, not just at admission and
discharge. In addition, a
comprehensive assessment tool
will provide standardized data

as all Medicare-certified
hospices will be collecting the
same data in standardized
manner. A new hospice
assessment tool is intended to
support quality measure
development and care planning.
■ CMS intends to offer training
and other supports as the new
tool is being prepared for
implementation; the timeline
and process for implementation
of the final tested tool will be
established through rulemaking.
■ CMS continues the process of
developing a new hospice
assessment that meets the
objectives of patient-centered
care. This process includes
additional information
gathering, including review of
feedback on the HEART tool,
and stakeholder engagement to
develop a draft instrument for
alpha testing that will ultimately
support a national beta test.

CMS continues
the process of
developing a new
hospice assessment
that meets the
objectives of
patient-centered care.

■ After considering the comments
received in response to the
proposed rule and for the
reasons discussed above, CMS
will call the hospice assessment
tool the Hospice Outcomes &
Patient Evaluation (HOPE).

Update on the CMS System
for Reporting Quality
Measures and Standardized
Patient Assessment Data and
Associated Procedural Issue
■ CMS will be migrating to the
iQIES system as soon as FY
2020 and will provide further

Newsline / Fall 2019

11



NHPCO NewsLine Fall 2019

Table of Contents for the Digital Edition of NHPCO NewsLine Fall 2019

Interdisciplinary Conference (display ad)
Table of Contents
Message from Edo
FY2020 Hospice Wage Index Rule
Quality Reporting Updates
Q&A New Requirements: Addendum
Co-creating Resilience
Marketplace (display ad)
2019 IDC - Developing the Skills
NHPCO Edge Can Help
There's More to Death
Hospice Compliance-Quality Connection
My Hospice Ambassadors
We Honor Veterans Update
National Hospice Month Outreach
Resources for Pediatric Care
Programs Honored for Innovation
Become More Involved with NHPCO
Online Career Center
In Memoria: Kathy Brandt
Care Notes (display ad)
UW-Madison Grief Support (display ad)
Death by Design (display ad)
ACHC (display ad)
Lighthouse of Hope Fund (display ad)
back cover
NHPCO NewsLine Fall 2019 - intro
NHPCO NewsLine Fall 2019 - 1
NHPCO NewsLine Fall 2019 - Interdisciplinary Conference (display ad)
NHPCO NewsLine Fall 2019 - Table of Contents
NHPCO NewsLine Fall 2019 - Message from Edo
NHPCO NewsLine Fall 2019 - 5
NHPCO NewsLine Fall 2019 - FY2020 Hospice Wage Index Rule
NHPCO NewsLine Fall 2019 - 7
NHPCO NewsLine Fall 2019 - 8
NHPCO NewsLine Fall 2019 - 9
NHPCO NewsLine Fall 2019 - Quality Reporting Updates
NHPCO NewsLine Fall 2019 - 11
NHPCO NewsLine Fall 2019 - 12
NHPCO NewsLine Fall 2019 - Q&A New Requirements: Addendum
NHPCO NewsLine Fall 2019 - 14
NHPCO NewsLine Fall 2019 - 15
NHPCO NewsLine Fall 2019 - 16
NHPCO NewsLine Fall 2019 - 17
NHPCO NewsLine Fall 2019 - Co-creating Resilience
NHPCO NewsLine Fall 2019 - 19
NHPCO NewsLine Fall 2019 - 20
NHPCO NewsLine Fall 2019 - 21
NHPCO NewsLine Fall 2019 - 22
NHPCO NewsLine Fall 2019 - Marketplace (display ad)
NHPCO NewsLine Fall 2019 - There's More to Death
NHPCO NewsLine Fall 2019 - 25
NHPCO NewsLine Fall 2019 - 26
NHPCO NewsLine Fall 2019 - 27
NHPCO NewsLine Fall 2019 - NHPCO Edge Can Help
NHPCO NewsLine Fall 2019 - 29
NHPCO NewsLine Fall 2019 - 30
NHPCO NewsLine Fall 2019 - 31
NHPCO NewsLine Fall 2019 - Hospice Compliance-Quality Connection
NHPCO NewsLine Fall 2019 - My Hospice Ambassadors
NHPCO NewsLine Fall 2019 - We Honor Veterans Update
NHPCO NewsLine Fall 2019 - 35
NHPCO NewsLine Fall 2019 - National Hospice Month Outreach
NHPCO NewsLine Fall 2019 - 37
NHPCO NewsLine Fall 2019 - Resources for Pediatric Care
NHPCO NewsLine Fall 2019 - Programs Honored for Innovation
NHPCO NewsLine Fall 2019 - Online Career Center
NHPCO NewsLine Fall 2019 - In Memoria: Kathy Brandt
NHPCO NewsLine Fall 2019 - Death by Design (display ad)
NHPCO NewsLine Fall 2019 - Lighthouse of Hope Fund (display ad)
NHPCO NewsLine Fall 2019 - back cover
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