Hospice Quality Reporting Program (CMS-10390)

The Hospice Item Set (HIS) is used for the collection of quality measure data related to the Hospice Quality Reporting Program (HQRP), and the HIS V1.00.0 specified the collection of data items that supported seven Consensus Based Entity (CBE) endorsed Quality Measures (QMs) for hospice. On April 1, 2017, hospices began using an updated HIS V2.00.0, which includes the same items from the HIS V1.00.0 along with the addition of several new items for use in new measures, measure refinement, patient record matching, and future public reporting. Data collected from the HIS are used to calculate the seven CBE-endorsed QMs and the CBE-endorsed Hospice and Palliative Care Composite Process Measure – Comprehensive Assessment at Admission QM. During the FY 2021 rule, the Hospice Visits when Death is Imminent measure pair was removed and replaced with the claims-based Hospice Visits in Last Days of Life (HVLDL) measure. The reduction in provider burden and costs occurred when CMS replaced the HIS-based HVWDII quality measure via the HIS-PRA package that OMB approved on February 16, 2021 (OMB Control Number: 0938-1153). CMS is requesting to extend the existing expiration date (February 29, 2024) for an additional 3 years.

The latest form for Hospice Quality Reporting Program (CMS-10390) expires 2028-03-31 and can be found here.

Submission of Hospice Quality Reporting Program Quality Data using a web based data entry form

Federal Enterprise Architecture: Health - Health Care Services

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