The Centers for Medicare & Medicaid Services (CMS) has approved six measures to meet the requirements of the Affordable Care Act’s (ACA) mandate for both psychiatric hospitals and psychiatric units to begin reporting inpatient quality measures. The ACA requires that, as of rate year 2014 (starting October 1, 2013), all facilities reimbursed under the inpatient psychiatric facility prospective payment system (IPF PPS) must report data on at least six measures to CMS for the purpose of public reporting, payment updates, and pilot pay-for-performance programs.
The measures CMS selected are six of the seven Hospital-Based Inpatient Psychiatric Services (HBIPS) core measures, which are already required of psychiatric hospitals by The Joint Commission (and available for use by psychiatric units to meet ORYX reporting requirements):
- HBIPS-2 Hours of physical restraint use (patient safety);
- HBIPS-3 Hours of seclusion use (patient safety);
- HBIPS-4 Patients discharged on multiple antipsychotic medications (pharmacotherapy);
- HBIPS-5 Patients discharged on multiple antipsychotic medications with appropriate justification (pharmacotherapy);
- HBIPS-6 Post discharge continuing care plan created (care coordination); and
- HBIPS-7 Post discharge continuing care plan transmitted to next level of care provider upon discharge (care coordination).
The CMS-approved measures respond to significant concerns voiced by NAPHS members and others in the behavioral health field about the importance of keeping measures focused and actionable and not layering-on additional – and potentially contradictory – measures and definitions. NAPHS was represented on the Technical Expert Panel convened by CMS to recommend measures for this ACA-mandated Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program. The association has been actively working for many years (through a public-private partnership) with The Joint Commission on core measure development and implementation.
NAPHS members have also been in the forefront of testing, refining, and successfully reporting these HBIPS measures to The Joint Commission over a significant period of time. With more than 450 hospitals using the measures – and reporting value in having the data available to help improve patient care – we believe that these measures represent the best thinking and experience of the field. The measures evolved from a consensus-driven, evidence-based process that has been supported by both the private and public sectors.
6/13/2017 | NAPHS comment letter on CMS proposed rule on quality reporting requirements for inpatient psychiatric facilities |
5/17/2017 | CMS: New IPFQR Program Frequently Asked Questions (FAQ) |
4/28/2017 | CMS proposed rule on inpatient PPS for acute-care hospitals (including section on IPF Quality Reporting Program). See pages 20120-20127 on IPFQR. Also see CMS news release and fact sheet. |
2/10/2017 | NAPHS comments to HSAG/CMS on proposed medication reconciliation measure |
8/22/2016 | CMS final rule on inpatient PPS for acute-care hospitals (including sections on IPF Quality Reporting Program, observation status, and uncompensated care). Also see 10.5.16 correction and 10.31.16 correction. |
6/16/2016 | NAPHS comment letter on CMS proposed rule on quality reporting requirements for inpatient psychiatric facilities (for FY17) |
6/9/2016 | IMPORTANT UPDATE: CMS delays data-collection of 3 IPFQR measures (metabolic screening and 2 transition-of-care measures) until 1/1/17 |
5/23/2016 | NAPHS, AHA, FAH, NRI joint letter to CMS seeking a delay in implementation of two new IPFQR transition of care measures (#0647, #0648) and the Screening for Metabolic Disorders measure (not NQF-endorsed) |
4/27/2016 | CMS proposed rule on quality reporting requirements for inpatient psychiatric facilities (for FY19 payment determination). See pages 25238-25244 on IPFQR. |
8/5/2015 | CMS final rule: "Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System-Update for Fiscal Year Beginning October 1, 2015 (FY16)" (including IPF Quality Reporting measures) |
7/20/2015 | NAPHS Action Alert: "IPFQR Tips to Avoid Errors During Submission of Web-based Measure Data for FY2016" |
6/23/2015 | NAPHS comment letter to CMS on proposed rule: "Inpatient Psychiatric Facilities PPS-Update for Fiscal Year Beginning October 1, 2015 (FY16)" (including IPFQR quality measures) |
4/8/2015 | Joint association letter to CMS raises concerns about two measures supported by NQF for the IPFQR Program |
11/14/2014 | NAPHS Action Alert: "New Resources Now Available for the IPFQR Program; Next Webinar is November 20, 2014 at 2pm Eastern" |
10/28/2014 | NAPHS Action Alert: October 29 Inpatient Psychiatric Facility Quality Reporting Program National Provider webinar on "A Closer Look at the Measures for Collection CY 2015" at 2pm Eastern. Download slides. |
9/15/2014 | NAPHS Action Alert: Sept. 24 IPFQR National Provider Call at 2pm Eastern on “IPFQR Program Requirements: FY2015 IPF PPS Final Rule.” Download slides. |
8/20/2014 | NAPHS Action Alert: "IPFQR QualityNet Data Submission Update on HBIPS 2 and 3" |
8/19/2014 | NAPHS Action Alert: August 21 Inpatient Psychiatric Facility Quality Reporting Program National Provider Call at 2pm Eastern. Download slides. |
8/6/2014 | CMS final rule: "Medicare Program: Inpatient Psychiatric Facilities Prospective Payment System - Update for Fiscal Year Beginning October 1, 2014 (FY15).” |
7/24/2014 | NAPHS Action Alert: "QualityNet’s Secure Portal Now Available for IPF Quality Reporting" |
7/24/2014 | Notice of Participation form for IPF Quality Reporting program |
6/24/2014 | NAPHS comment letter to CMS on "Medicare Program: Inpatient Psychiatric Facilities Prospective Payment System Update for FY2015 (beginning 10/1/14)." Includes comments on 1) IPF PPS and 2) proposed IPF Quality Reporting Program measures for future years. |
5/6/2014 | CMS proposed rule: "Medicare Program: Inpatient Psychiatric Facilities Prospective Payment System - Update for Fiscal Year Beginning October 1, 2014 (FY15).” Also see CMS fact sheet. |
4/17/2014 | CMS release: First public reporting of quality measures from inpatient psychiatric facilities launched on Hospital Compare |
2/7/2014 | IPFQR webinar February 13 on “FY15 Measure Review” for those new to IPFQR |
12/2/2013 | Order a recording of a special training call on "Reporting SUB-1 (Alcohol Use Screening) in the IPFQR." Also download materials (files are large; please allow time for each to open): 1) Joint Commission PowerPoint; 2) Michael Miller, M.D., PowerPoint; 3) Eric Goplerud PowerPoint; 4) SBIRT Mentor brochure. Also see 5) the Telligen IPFQR newsletter. After the training, please complete 6) an online evaluation. |
11/19/2013 | CMS: Inpatient Psychiatric Facility Quality Reporting (IPFQR) Quarterly Newsletter (Vol.1.No.1) |
8/22/2013 | NAPHS Alert: "Paper forms available to assist those having difficulty with data submission for the IPF Quality Reporting program." See forms for 1) Notice of Participation; 2) IPF Data Collection paper form; and 3) IPF DACA paper form. |
8/19/2013 | CMS final rules: "Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals...and FY2014 Rates; Quality Reporting Requirements for Specific Providers; ....etc." (See pages 50887-50901 for IPF quality reporting section.) Also see 7.30.14 correcting amendment. |
8/15/2013 | CMS extends the IPFQR Notice of Participation submission deadline to August 23, 2013 |
7/11/2013 | Behavioral Briefing: IPFQR Structural/Web-Based Measures Application Now Available |
6/24/2013 | NAPHS comment letter to CMS: "Medicare: ....Quality Reporting Requirements for Specific Providers (CMS-1599-P)" |
5/10/2013 | CMS proposed rule on quality reporting requirements for inpatient psychiatric facilities (for FY15 payment determination). See page 27734. |
1/28/2013 | NAPHS comment letter on Measure Applications Partnership Pre-Rulemaking Draft Report |
8/31/2012 | CMS final rule on quality reporting requirements for inpatient psychiatric facilities (see pages 53644-53680). [View] |
6/25/2012 | NAPHS comment letter to CMS on psychiatric inpatient quality reporting measures [View] |
5/11/2012 | CMS proposed rule on psychiatric inpatient quality reporting measures. See pages 28105-28116 in "Medicare Program: Hospital Inpatient PPS for Acute Care Hospitals and Long-Term Care Hospital PPS and FY13 Rates; Hospitals' Resident Caps for Graduate Medical Education Payment Purposes; Quality Reporting Requirements for Specific Providers and for Ambulatory Surgical Centers" [View] |
12/7/2011 | CMS final rule: "Medicare Program; Availability of Medicare data for performance measurement" [View] |
8/25/2011 | NAPHS comments on CMS proposed inpatient psychiatric facilities performance measures required by the Affordable Care Act [View] |
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