Medicare will add four quality measures for hospitals to report under a final rule establishing the fiscal year 2010 prospective payment systems for inpatient acute care and long-term care hospitals.
The measures are added to data already collected and reported under the Reporting Hospital Quality Data for Annual Payment Update initiative. Nearly all hospitals participate, as those who do not get lower Medicare reimbursements.
Two new quality measures relate to surgery. They cover urinary catheter removal and perioperative temperature management. Two other new "structural" measures cover participation in a systematic clinical database registry for nursing sensitive care or stroke care.
"The new Surgical Care Improvement Project measures are additions to the existing SCIP measure set for which data elements are already being collected and submitted to CMS," according to the final rule. "Therefore, the additional chart abstraction burden for hospitals will be minimal. CMS believes that the two structural measures will promote hospital participation in nursing-sensitive care and stroke care registries that collect quality data."
The final rule is on display at archives.gov/federal-register/public-inspection/index.html, under Special Filing Documents, and will be published Aug. 27 in the Federal Register.
--Joseph Goedert
AUG 3, 2009 11:48am ET
Medicare IPPS Adds Quality Measures
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