United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2015_register executive 2015-08-15 article Part II Rules and Regulations D09002ee1c7f73cfe D09002ee1c7f73de0 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2016. Some of these changes implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act), the Pathway for Sustainable Growth Reform (SGR) Act of 2013, the Protecting Access to Medicare Act of 2014, the Improving Medicare Post- Acute Care Transformation Act of 2014, the Medicare Access and CHIP Reauthorization Act of 2015, and other legislation. We also are addressing the update of the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits for FY 2016. As an interim final rule with comment period, we are implementing the statutory extensions of the Medicare-dependent, small rural hospital (MDH) Program and changes to the payment adjustment for low-volume hospitals under the IPPS. We also are updating the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) for FY 2016 and implementing certain statutory changes to the LTCH PPS under the Affordable Care Act and the Pathway for Sustainable Growth Rate (SGR) Reform Act of 2013 and the Protecting Access to Medicare Act of 2014. In addition, we are establishing new requirements or revising existing requirements for quality reporting by specific providers (acute care hospitals, PPS-exempt cancer hospitals, and LTCHs) that are participating in Medicare, including related provisions for eligible hospitals and critical access hospitals participating in the Medicare Electronic Health Record (EHR) Incentive Program. We also are updating policies relating to the Hospital Value-Based Purchasing (VBP) Program, the Hospital Readmissions Reduction Program, and the Hospital-Acquired Condition (HAC) Reduction Program. 80 FR 49326 https://www.govinfo.gov/app/details/FR-2015-08-17/2015-19049 2015-19049 fr17au15-16 4120-01-P CMS-1632-F and IFC https://www.govinfo.gov/app/details/FR-2015-08-17/2015-19049 https://www.govinfo.gov/content/pkg/FR-2015-08-17/html/2015-19049.htm https://www.govinfo.gov/content/pkg/FR-2015-08-17/pdf/2015-19049.pdf Administrative Practice and Procedure Health Facilities Medicare Puerto Rico Reporting and Recordkeeping Requirements 518 p. 49326 49843 80 FR 49326 Title 42 Part 412 42 CFR Part 412 Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, Including Changes Related to the Electronic Health Record Incentive Program; Extensions of the Medicare-Dependent, Small Rural Hospital Program and the Low-Volume Payment Adjustment for Hospitals; Federal Register Vol. 80, Issue RULE 2015-19049 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2015-10-01 CMS-1632-F and IFC 4120-01-P 2015-19049 Final rule; interim final rule with comment period.

We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2016. Some of these changes implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act), the Pathway for Sustainable Growth Reform (SGR) Act of 2013, the Protecting Access to Medicare Act of 2014, the Improving Medicare Post- Acute Care Transformation Act of 2014, the Medicare Access and CHIP Reauthorization Act of 2015, and other legislation. We also are addressing the update of the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits for FY 2016. As an interim final rule with comment period, we are implementing the statutory extensions of the Medicare-dependent, small rural hospital (MDH) Program and changes to the payment adjustment for low-volume hospitals under the IPPS. We also are updating the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) for FY 2016 and implementing certain statutory changes to the LTCH PPS under the Affordable Care Act and the Pathway for Sustainable Growth Rate (SGR) Reform Act of 2013 and the Protecting Access to Medicare Act of 2014. In addition, we are establishing new requirements or revising existing requirements for quality reporting by specific providers (acute care hospitals, PPS-exempt cancer hospitals, and LTCHs) that are participating in Medicare, including related provisions for eligible hospitals and critical access hospitals participating in the Medicare Electronic Health Record (EHR) Incentive Program. We also are updating policies relating to the Hospital Value-Based Purchasing (VBP) Program, the Hospital Readmissions Reduction Program, and the Hospital-Acquired Condition (HAC) Reduction Program.

Effective Date: This final rule is effective on October 1, 2015. Ing-Jye Cheng, (410) 786-4548 and Donald Thompson, (410) 786-4487, Operating Prospective Payment, MS- DRGs, Deficit Reduction Act Hospital-Acquired Acquired Conditions-- Present on Admission (DRA HAC-POA) Program, Hospital-Acquired Conditions Reduction Program, Hospital Readmission Reductions Program, Wage Index, New Medical Service and Technology Add-On Payments, Hospital Geographic Reclassifications, Graduate Medical Education, Capital Prospective Payment, Excluded Hospitals, Medicare Disproportionate Share Hospital (DSH), Medicare-dependent, small rural hospital (MDH), and Low Volume Hospital Payment Adjustment Issues. Administrative Practice and Procedure Health Facilities Medicare Puerto Rico Reporting and Recordkeeping Requirements Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, etc. , CTI@cms.hhs.gov dfp4@cdc.gov LTCHQRPReconsiderations@cms.hhs.gov LTCHQualityQuestions@cms.hhs.gov NHSN@cdc.gov PACQualityInitiative@cms.hhs.gov patricia.brooks2@cms.hhs.gov QIsupport@ahrq.hhs.gov Section3133DSH@cms.hhs.gov 3MHIS.com CMS.gov http://asq.org/healthcaresixsigma/lean-six-sigma.html http://cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Measure-Methodology.html http://cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/Downloads/CMS-Quality-Strategy-Goals.pdf http://cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c03.pdf http://cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/QRDA_2016_CMS_IG.pdf http://cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/eCQM_Library.html http://cms.gov/Regulations-and-Guidance/Review-Boards/MGCRB/index.html http://cms.hhs.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/index.html http://cms.hhs.gov/Research-Statistics-Data-and-Systems/Files-for-Order/LimitedDataSets/index.html http://dx.doi.org/10.1016/j.arth.2014.09.003 http://dx.doi.org/10.1016/j.jacc.2013.01.004 http://hcupnet.ahrq.gov/ http://healthit.gov/FACAS/sites/faca/files/HITPC_QMTF_Presentation_2015-06-3.pdf http://healthit.gov/policy-researchers-implementers/about-onc-hit-certification-program http://innovation.cms.gov/initiatives/bundled-payments/ http://innovation.cms.gov/initiatives/Bundled-Payments/index.html http://innovation.cms.gov/initiatives/partnership-for-patients/ http://iom.nationalacademies.org/Reports/2015/Vital-Signs-Core-Metrics.aspx#sthash.34FRrBZZ.pdf http://iom.nationalacademies.org/∼/media/Files/Report%20Files/2015/Vital_Signs/VitalSigns_RB.pdf http://partnershipforpatients.cms.gov/p4p_resources/organizational-assessment-tool/organizationalassessmenttool.html http://projectcypress.org/ http://qioprogram.org/qionews/articles/qin-qios-awarded-contracts-improve-immunization-rates-reduce-immunization http://qualityindicators.ahrq.gov http://qualityindicators.ahrq.gov/Modules/PSI_TechSpec.aspx http://swz.salary.com/salarywizard/Staff-Nurse-RN-Hourly-Salary-Details.aspx http://whqlibdoc.who.int/publications/2009/9789241598552_eng.pdf http://wiki.siframework.org/LCC+LTPAC+Care+Transition+SWG http://wiki.siframework.org/Longitudinal+Coordination+of+Care http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2014/hosp14summ.html http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/index.html http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/pscfaq.html http://www.ahrq.gov/professionals/systems/hospital/qitoolkit/b4_documentationcoding.pdf http://www.ahrq.gov/workingforquality/nqs/nqs2011annlrpt.html http://www.birthbythenumbers.org/wp-content/uploads/2012/12/prelim-deaths-2011.pdf http://www.bls.gov/mfp http://www.bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.html http://www.caretransitions.org/documents/CTM3Specs0807.pdf http://www.cbo.gov/sites/default/files/cbofiles/attachments/43900-2014-04-ACAtables2.pdf http://www.cbo.gov/sites/default/files/cbofiles/attachments/43900-2015-03-ACAtables.pdf http://www.cbo.gov/sites/default/files/cbofiles/attachments/49973-UpdatedBudgetProjections.pdf http://www.cbo.gov/sites/default/files/cbofiles/ftpdocs/113xx/doc11379/amendreconprop.pdf http://www.cdc.gov http://www.cdc.gov/arthritis/basics/osteoarthritis.html http://www.cdc.gov/cancer/flu/ http://www.cdc.gov/flu/about/disease/us_flu-related_deaths.html http://www.cdc.gov/flu/about/qa/disease.html http://www.cdc.gov/flu/healthcareworkers.html http://www.cdc.gov/flu/professionals/infectioncontrol/ http://www.cdc.gov/flu/protect/keyfacts.htm http://www.cdc.gov/fungal/diseases/aspergillosis/treatment.html http://www.cdc.gov/HAI/organisms/cdiff/Cdiff_infect.html http://www.cdc.gov/HAI/surveillance/index.html http://www.cdc.gov/HAI/surveillance/QA_stateSummary.html http://www.cdc.gov/HAI/surveillance/QA_stateSummary.html#b6 http://www.cdc.gov/mmwr/PDF/wk/mm6140.pdf http://www.cdc.gov/mmwr/pdf/wk/mm6337.pdf http://www.cdc.gov/mrsa/healthcare/index.html http://www.cdc.gov/nchs/fastats/copd.htm http://www.cdc.gov/nchs/icd/icd10cm.htm http://www.cdc.gov/nchs/icd/icd9cm-maintenance.html http://www.cdc.gov/nchs/index.html http://www.cdc.gov/nhsn/acute-care-hospital/CAUTI/ http://www.cdc.gov/nhsn/acute-care-hospital/cdiff-mrsa/index.html http://www.cdc.gov/nhsn/acute-care-hospital/clabsi/ http://www.cdc.gov/nhsn/acute-care-hospital/clabsi/index.html http://www.cdc.gov/nhsn/acute-care-hospital/hcp-vaccination/index.html http://www.cdc.gov/nhsn/acute-care-hospital/index.html http://www.cdc.gov/nhsn/cms/index.html http://www.cdc.gov/nhsn/PDFs/HPS-manual/vaccination/HPS-flu-vaccine-protocol.pdf http://www.cdc.gov/nhsn/PDFs/Newsletters/NHSN_NL_OCT_2010SE_final.pdf http://www.cdc.gov/nhsn/PDFs/pscManual/12pscMDRO_CDADcurrent.pdf http://www.cdc.gov/nhsn/pdfs/pscManual/7pscCAUTIcurrent.pdf http://www.cdc.gov/pneumococcal/about/prevention.html http://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/pneumo.html http://www.cdc.gov/vitalsigns/pdf/2012-03-vitalsigns.pdf http://www.cms.gov http://www.cms.gov/CouncilonTechInnov/Downloads/InnovatorsGuide5_10_10.pdf http://www.cms.gov/HospitalAcqCond/01_Overview.asp http://www.cms.gov/ICD10/ http://www.cms.gov/manuals/downloads/Pub100_20.pdf http://www.cms.gov/medicare-coverage-database/details/nca-details.aspx?NCAId=281 http://www.cms.gov/medicare-coverage-database/details/nca-tracking-sheet.aspx?NCAId=273 http://www.cms.gov/Medicare/Coding/ICD10/2015-ICD-10-CM-and-GEMs.html http://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-PCS-and-GEMs.html http://www.cms.gov/Medicare/Coding/ICD10/ICD-10-MS-DRG-Conversion-Project.html http://www.cms.gov/Medicare/Coding/ICD10/ICD-9-CM-Coordination-and-Maintenance-Committee-Meetings.html http://www.cms.gov/Medicare/Coding/ICD10/index.html http://www.cms.gov/Medicare/Coding/ICD10/Statute_Regulations.html http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/codes.html http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/ICD-9-CM-C-and-M-Meeting-Materials-Items/2012-09-19-MeetingMaterials.html http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/ICD-9-CM-C-and-M-Meeting-Materials.html http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/index.html http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/index.html?redirect=/icd9ProviderDiagnosticCodes/01overview.asp#TopofPage http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/index.html?redirect=/icd9ProviderDiagnosticCodes/03_meetings.asp http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/meetings.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Downloads/FY2016-WI-Time-Table-Final.pdf http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Downloads/wage-index-occupational-mix-survey2013.pdf http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Dsh.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY-2014-IPPS-Final-Rule-Home-Page-Items/FY-2014-IPPS-Final-Rule-CMS-1599-F-Regulations.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY-2014-IPPS-Final-Rule-Home-Page-Items/FY-2014-IPPS-Final-Rule-CMS-1599-F-Tables.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY2015-IPPS-Final-Rule-Home-Page-Items/FY2015-Final-Rule-Tables.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY2016-IPPS-Final-Rule-Home-Page.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY2016-IPPS-Proposed-Rule-Home-Page-Items/FY2016-IPPS-Proposed-Rule-Tables.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/index.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/newtech.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/outlier.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Wage-Index-Files-Items/FY-2016-Wage-Index-Home-Page.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Wage-Index-Files-Items/FY2017-Wage-Index-Home-Page.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Wage-Index-Files-Items/Medicare-Wage-Index-Occupational-Mix-Survey2013.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Downloads/Evidence-Based-Guidelines.pdf http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Hospital-Acquired_Conditions.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/icd10_hacs.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/index.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/index.html?redirect=/HospitalAcqCond/ http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/LongTermCareHospitalPPS/index.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Episode-Costs-and-Medicare-Episode-Grouper.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/hospital-value-based-purchasing/index.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Downloads/-Medicare-Hospital-Quality-Chartbook-2013.pdf http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Downloads/Medicare-Hospital-Quality-Chartbook-2014.pdf http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Measure-Methodology.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/OutcomeMeasures.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/ http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/index.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/index.html?redirect=/LTCH-Quality-Reporting/ http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/LTCH-Quality-Reporting-Measures-Information.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/LTCH-Quality-Reporting-Reconsideration-and-Disaster-Waiver-Requests.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/LTCH-Quality-Reporting-Reconsideration-and-Exception-and-Extension.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/LTCH-Technical-Information.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/LTCHTechnicalInformation.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/CallforPublicComment.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/index.html?redirect=/MMS/19_MeasuresManagementSystemBlueprint.asp http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/Skilled-Nursing-Facility-Quality-Reporting-Program-Quality-Measure-Specifications-for-FY-2016-Notice-of-Proposed-Rule-Making-report.pdf http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/CARE-Item-Set-and-B-CARE.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/Downloads/ASPE-Report-Analysis-of-Crosscutting-Medicare-Functional-Status-Quality-Metrics-Using-the-Continuity-and-Assessment-Record-and-Evaluation-CARE-Item-Set-Final-Report.pdf http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/Downloads/Development-of-a-Cross-Setting-Quality-Measure-for-Pressure-Ulcers-Information-Gathering-Final-Report.pdf http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/Downloads/SUMMARY-OF-FEEDBACK-FROM-THE-TECHNICAL-EXPERT-PANEL-TEP-REGARDING-CROSS-SETTING-MEASURES-ALIGNED-WITH-THE-IMPACT-ACT-OF-2014-Report.pdf http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/Downloads/The-Development-and-Testing-of-the-Continuity-Assessment-Record-and-Evaluation-CARE-Item-Set-Final-Report-on-Reliability-Testing-Volume-2-of-3.pdf http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/IMPACT-Act-of-2014-and-Cross-Setting-Measures.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/CMS-Quality-Strategy.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/Downloads/CMS-Quality-Strategy.pdf http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/index.html http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/MCRP_Booklet.pdf http://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events-Items/2015-06-18-ICD10.html?DLPage=1&DLSort=0&DLSortDir=descending http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/index.html http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c03.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2014-Transmittals-Items/R5P240.html http://www.cms.gov/Regulations-and-Guidance/HIPAA-Administrative-Simplification/HIPAAGenInfo/PrivacyandSecurityStandards.html http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/CEHRT2014_FinalRule_QuickGuide.pdf http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/QRDA_EP_HQR_Guide_2015.pdf http://www.cms.gov/regulations-and-guidance/legislation/ehrincentiveprograms/ecqm_library.html http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/EducationalMaterials.html http://www.cms.gov/Regulations-andGuidance/Legislation/EHRIncentivePrograms/eCQM_Library.html http://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/Cost-Reports/Hospital-2010-form.html http://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/LimitedDataSets/ http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/CMS-Statistics-Reference-Booklet/Downloads/CMS_Stats_2013_final.pdf http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MedicareProgramRatesStats/MarketBasketResearch.html http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Reports/Research-Reports-Items/PAC_Payment_Reform_Demo_Final.html http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/ReportsTrustFunds/downloads/tr2014.pdf http://www.cms.hhs.gov/AcuteInpatientPPS/01_overview.asp http://www.cms.hhs.gov/HospitalQualityInits/ http://www.cms.hhs.gov/LimitedDataSets/ http://www.cms.hhs.gov/manuals/downloads/clm104c03.pdf http://www.cms.hhs.gov/Medicare/Coding/ICD10/ICD-10-MS-DRG-Conversion-Project.html http://www.cms.hhs.gov/Medicare/medicare-Fee-for-Service-Payment/AcuteInpatientPPS/index.html http://www.CodingClinicAdvisor.com http://www.coli.org http://www.coms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/CMS-Quality-Strategy.html http://www.effectivehealthcare.ahrq.gov/reports/final http://www.euroqol.org/ http://www.gpo.gov/fdsys http://www.gpo.gov/fdsys/pkg/FR-2012-09-05/pdf/2012-21238.pdf http://www.gpo.gov/fdsys/pkg/FR-2014-08-04/pdf/2014-18347.pdf http://www.guideline.gov/content.aspx?id=43918 http://www.guideline.gov/content.aspx?id=43919 http://www.hcahpsonline.org http://www.hcahpsonline.org/qaguidelines.aspx http://www.hcup-us.ahrq.gov/reports/statbriefs/sb160.jsp http://www.health.gov/hai/pdfs/HAI-Targets.pdf http://www.health.gov/hai/prevent_hai.asp#hai http://www.health.gov/hcq/prevent_hai.asp#CDI http://www.health.gov/hcq/prevent_hai.asp#MRSAp http://www.healthit.gov/ecqi-resource-center/ http://www.healthit.gov/facas/FACAS/health-it-policy-committee/hitpc-workgroups/certificationadoption http://www.healthit.gov/sites/default/files/generalcertexchangeguidance_final_9-9-13.pdf http://www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases/objectives http://www.hl7.org/implement/standards/product_brief.cfm?product_id=35 http://www.hl7.org/implement/standards/product_brief.cfm?product_id=379 http://www.hl7.org/implement/standards/product_brief.cfm?product_id=7 http://www.hospitalcompare.hhs.gov http://www.hospitalcompare.hhs.gov/ http://www.hrsa.gov/healthit/meaningfuluse/MU%20Stage1%20CQM/index.html http://www.jointcommission.org/specifications_manual_for_national_hospital_inpatient_quality_measures.aspx http://www.medicare.gov/hospitalcompare http://www.medicare.gov/hospitalcompare/Data/Footnotes.html http://www.medicare.gov/hospitalcompare/Data/spending-per-hospital-patient.html http://www.medicare.gov/hospitalcompare/search.html http://www.medicare.gov/hospitalcompareand/ http://www.medicare.gov/nursinghomecompare/search.html http://www.medpac.gov http://www.meeting-support.com/downloads/703163/4524/PACLTC%20Ad%20Hoc%20Slides.pdf http://www.midss.org/content/patient-safety-climate-healthcare-organizations-pscho http://www.nejm.org/doi/full/10.1056/NEJMsa0911535 http://www.nhlbi.nih.gov/resources/docs/2009_ChartBook.pdf http://www.nice.org.uk/guidance/CG83 http://www.nrls.npsa.nhs.uk/resources/?entryid45=59796 http://www.pascalmetrics.com/solutions/survey/ http://www.qualityforum.org/docs/measure_evaluation_criteria.aspx http://www.qualityforum.org/map/ http://www.qualityforum.org/Measuring_Performance/Measuring_Performance.aspx http://www.qualityforum.org/ProjectMeasures.aspx?projectID=73701 http://www.qualityforum.org/ProjectMeasures.aspx?projectID=73867 http://www.qualityforum.org/Projects/Pressure_Ulcers.aspx http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=1285 http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=1286 http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=1550 http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=2512 http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=448 http://www.qualityforum.org/Publications/2012/12/Neurology_Endorsement_Maintenance_-_Phase_I_Technical_Report.aspx http://www.qualityforum.org/Publications/2013/02/MAP_Pre-Rulemaking_Report_-_February_2013.aspx http://www.qualityforum.org/Publications/2013/02/Patient_Safety_Measures_Complications_-_Phase_2.aspx http://www.qualityforum.org/Publications/2014/09/Evaluating_Episode_Groupers__A_Report_from_the_National_Quality_Forum.aspx http://www.qualityforum.org/Publications/2015/01/Process_and_Approach_for_MAP_Pre-Rulemaking_Deliberations_2015.aspx http://www.qualityforum.org/QPS/0300 http://www.qualityforum.org/Qps/0431 http://www.qualityforum.org/QPS/0674 http://www.qualityforum.org/QPS/0678 http://www.qualityforum.org/QPS/2158 http://www.qualityforum.org/QPS/2512 http://www.qualityforum.org/QPS/MeasureDetails.aspx?standardID=1121&print=0&entityTypeID=1 http://www.qualityforum.org/QPS/MeasureDetails.aspx?standardID=1122&print=0&entityTypeID=1 http://www.qualityforum.org/Qps/MeasureDetails.aspx?standardID=1716&print=0&entityTypeID=1 http://www.qualityforum.org/Qps/MeasureDetails.aspx?standardID=1717&print=0&entityTypeID=1 http://www.qualityforum.org/Setting_Priorities/Partnership/MAP_Final_Reports.aspx http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=70455 http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=71272 http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=78318 http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=78711/ http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=78853 http://www.qualityforum/QPS/0674 http://www.qualityindicators.ahrq.gov/Downloads/Modules/PSI/PSI_Composite_Development.pdf http://www.qualityindicators.ahrq.gov/icd10/default.aspx http://www.QualityNet.org http://www.qualitynet.org/ http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228772053996 http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228772412995 http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228772864228 http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier4&cid=1228772057350 http://www.qualityreportingcenter.com/inpatient/iqr/events/ http://www.reginfo.gov/public/do/PRAOMBHistory?ombControlNumber=0920-0666 http://www.regulations.gov http://www.researchgate.net/publication/7826004_Elective_induction_vs._spontaneous_labor_associations_and_outcomes http://www.rti.org/reports/cms/ http://www.rti.org/reports/cms/HHSM-500-2005-0029I/PDF/Refining_Cost_to_Charge_Ratios_200807_Final.pdf http://www.sba.gov/sites/default/files/files/Size_Standards_Table.pdf http://www.ssa.gov/OACT/ProgData/newIssueRates.html http://www.whitehouse.gov/omb http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf http://www.whitehouse.gov/omb/circulars_a076_a76_incl_tech_correction http://www.whitehouse.gov/sites/default/files/omb/bulletins/2013/b-13-01.pdf http://www.youtube.com/user/CMSHHSgov https://data.medicare.gov https://data.medicare.gov/data/archives/hospital-compare https://ecqi.healthit.gov/ https://ecqi.healthit.gov/ecqm https://ecqi.healthit.gov/eh https://manual.jointcommission.org/releases/TJC2015A1/MIF0166.html https://qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier2&cid=1228774479863 https://share.cms.gov/center/CCSQ/QMHAG/DHMM/Measures%20Development%20and%20Maintenance/map/MAP%202014/MAP%202015/map_pre-rulemaking_final_report_2015.pdf https://www.cbo.gov/sites/default/files/cbofiles/attachments/43900-2015-03-ACAtables.pdf https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/ https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/Downloads/Long-Term-Care-Hospital-Quality-Reporting-Program-Specifications-for-the-Quality-Measures-Proposed-through-the-Fiscal-Year-2016-Notice-of-Proposed-Rule-Making-report.pdf https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/LTCH-Quality-Reporting-Measures-Information.html https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data https://www.qtso.com/LTCH.html https://www.qualityforum.org/Publications/2014/01/MAP_Pre-Rulemaking_Report__2014_Recommendations_on_Measures_for_More_than_20_Federal_Programs.aspx https://www.qualityforum.org/Publications/2015/02/MAP_PAC-LTC_Programmatic_Deliverable_-_Final_Report.aspx https://www.qualityforum.org/Setting_Priorities/Partnership/MAP_Final_Reports.aspx https://www.qualitynet.org/ https://www.qualitynet.org/dcs/BlobServer?blobkey=id&blobnocache=true&blobwhere=1228890396823&blobheader=multipart%2Foctet-stream&blobheadername1=Content-Disposition&blobheadervalue1=attachment%3Bfilename%3DExtrdnryCircumForm_121714.pdf&blobcol=urldata&blobtable=MungoBlobs https://www.qualitynet.org/dcs/BlobServer?blobkey=id&blobnocache=true&blobwhere=1228890406532&blobheader=multipart%2Foctet-stream&blobheadername1=Content-Disposition&blobheadervalue1=attachment%3Bfilename%3D2015-02-IP.pdf&blobcol=urldata&blobtable=MungoBlobs https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetBasic&cid=1228773343598 https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier2&cid=1138900279093 https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier2&cid=1228760487021 https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier2&cid=1228772864236 https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier2&cid=1228774479863 https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228773795707 https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228774625060 https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublicpercent2FPage https://www.qualitynet.org/dcs/ContentServer?pagename=QnetPublic/ListServe/Register https://www.whitehouse.gov/omb/budget https://www.whitehouse.gov/sites/default/files/omb/budget/fy2016/assets/16msr.pdf https://www.youtube.com/watch?v=dn-R5KGQu-M IT.gov www.caretransitions.org www.CMS.gov/ehrincentiveprograms Vol. 80, no. 158 Office of the Federal Register, National Archives and Records Administration 2015-08-17 continuing daily deposited born digital 778 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2015-08-17 P0b002ee18d437d7a 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr17au15 https://www.govinfo.gov/app/details/FR-2015-08-17 https://www.govinfo.gov/content/pkg/FR-2015-08-17/pdf/FR-2015-08-17.pdf https://www.govinfo.gov/content/pkg/FR-2015-08-17/xml/FR-2015-08-17.xml fdlp 49117 49886 DGPO 2015-08-15 2024-06-02 FR-2015-08-17 machine generated eng FR FR-2015-08-17 80 158