continued information regarding the migration and any future system of record changes via sub-regulatory mechanisms to make this transition as smooth as possible. CAHPS Survey The CAHPS® Hospice Survey is a component of the CMS HQRP which is used to collect data on the experiences of hospice patients and the primary caregivers listed in their hospice records. CMS solicited comments in the proposed rule regarding suggested changes, additions or deletions to the instrument that would improve its value to hospices for quality improvement and consumers for selecting a hospice. Highlights of impact of stakeholder comments includes the following: ■ Length and availability of survey: CMS is currently exploring ways to simplify and CMS is examining the feasibility of using web-based data collection in conjunction with traditional survey methods. 12 Newsline / Fall 2019 shorten the survey and examining the feasibility of using web-based data collection in conjunction with traditional survey methods. ■ Health literacy: CMS had a literacy-level review of the questionnaire and are reviewing what changes may be feasible to make. ■ Sending the survey sooner to caregivers: CMS will think about sending the survey sooner as they consider potential changes to the survey. ■ Hospice staff v. facility staff for patient residing in a facility: To help the respondent make these distinctions, CMS includes specific references to the hospice involved as part of the mail questionnaire and the telephone questionnaire script. ■ Wording changes to the questionnaire, response scales and hospice provider logos: During survey development, extensive cognitive interviews were conducted with potential respondents to see if they could understand the response scales. CMS does not allow hospice logos to be placed on the questionnaire for mail surveys. ■ CMS will take comments into consideration as they consider changes. Any potential changes will be proposed through future rulemaking. Update to "Hospice Visits when Death is Imminent" Measure ■ Measure #1 in the measure pair will be reported and publicly displayed in August 2019 on Hospice Compare. ■ CMS is finalizing their proposal to continue collection of Measure #2 to complete additional testing and to make a determination about the public reporting of Measure 2 of the "Hospice Visits when Death is Imminent" measure pair. ■ They expect to complete analysis by the end of FY 2020 and determine next steps for public reporting based on meeting established standards for reliability, validity, and reportability. ■ CMS will continue to use a variety of sub-regulatory channels and regular HQRP communication strategies to provide ongoing updates of testing results and plans for modifying and reporting this measure. Posting Information from Government Data Sources as Information for Public Reporting ■ CMS stated that they will provide mock-ups of the data from government data sources for stakeholder feedback and show the relationship between