RQITA Monthly – June Edition

June 26, 2024

RQITA Monthly – June Edition

RQITA Monthly is a newsletter where you will find updates on all things MBQIP.

Each issue includes a wealth of information on the MBQIP program including:

  • Questions from the field
    • Common questions and challenges are discussed
  • Resources and Tools
    • Find new resources and tools to help you navigate the MBQIP program
  • Upcoming Deadlines and Reporting Reminders
  • Upcoming Events
    • Find upcoming trainings or learning events that may be helpful to MBQIP participants

Click Here to Access RQITA Monthly

Changes to Sex Elements July 1, 2024

June 26, 2024

Changes to Sex Elements July 1, 2024

The Hospital Outpatient Quality Reporting Program specifications includes a change in Sex data elements that will impact future OP-18 data submission.

The Sex data element will be replaced by the Sex Assigned at Birth data element beginning with July 1, 2024, encounters.

  • This will impact OP-18 data abstractions.
    • The Sex data element will continue to be used for abstractions for encounter dates up to June 30, 2024.
  • The numeric allowable values will be changed for encounters beginning July 1, 2024.
    • This will impact your February 1, 2025, data submission which will need to contain this change from the Sex data element to the Sex Assigned at Birth data element.
  • You will continue to report the Sex data elements for:
    • OP-18 for the August 1, 2024, data submission (Q1 2024 encounters) and the
    • November 1, 2024, data submission (Q2 2024 encounters).
    • For CART users you will continue to report as you have using version CART version 1.24.0 until further notice.

What can hospitals do to prepare for this change?

  • Inform EMR vendors and IT teams of this change beginning with July 1, 2024, encounters.
    • It is important to align data elements with these changes for ease of abstraction of these encounters for the February 1, 2025, submission.
  • CART users can continue using CART version 1.24.0 for submissions of Q1 2024 encounters and Q2 2024 encounters.
    • The RQITA team anticipates a new version of CART will be released for encounters starting July 1, 2024, to use for submission due February 1, 2025.
  • Connect with hospital leadership and clinical teams to ensure this information is captured for patient encounters starting July 1, 2024.
  • Review the measure specifications. Page 2-48 of the Hospital Outpatient Measure Specifications version 17.0a contains detailed information regarding the changes.
  • Signup to the CART listserv to be the first to know about changes https://qualitynet.cms.gov/listserv-signup.

New MBQIP Resources Available

June 24, 2024

New MBQIP Resources Available

Data Submission Guides for the measures Screening for Social Drivers of Health, Screen Positive Rate for Social Drivers of Health, and Hospital Commitment to Health Equity are now available on the RQITA website. Data submission guides for all MBQIP core measures will be available in the future.

These guides include tips for hospitals to get started with reporting new measures, measure details, linked trainings and step-by-step data submission steps for each of the measures.

Data Submission Guide for Screening for Social Drivers of Health Version 1.0 Released June 2024

Data Submission Guide for Screen Positive Rate for Social Drivers of Health Version 1.0 Released June 2024

Data Submission Guide for Hospital Commitment to Health Equity Version 1.0 Released June 2024

MBQIP Upcoming Deadlines and Reporting Reminders

June 24, 2024

MBQIP Upcoming Deadlines and Reporting Reminders

Please see the schedule below for upcoming MBQIP deadlines and reporting:

  • July 3, 2024 – HCAHPS Q1 2024 encounters (1/1/24-3/31/24)
    • Submission is through the HQR Secure Portal-Vendor
  • July 31, 2024 – EDTC Q2 2024 encounters (4/1/24-6/30/24)
  • August 1, 2024 – OP-18 Q4 encounters (1/1/24-3/31/24)
    • Submission is through the HQR Secure Portal-Outpatient
    • CART users will use CART version 1.24.0
  • September 30, 2024 – Safe Use of Opioids – Concurrent Prescribing measure for CY 2023 encounters (1/1/23 – 12/31/23)
    • This measure is not currently being submitted for MBQIP but is available for reporting to CMS

MBQIP Data Submission deadlines can be found in the Technical Assistance & Services Center (TASC) MBQIP Toolkit

MBQIP 2025 Updated Resources

January 26, 2024

MBQIP 2025 Updated Resources

The Medicare Beneficiary Quality Improvement Program (MBQIP) has updated resources for the next phase of MBQIP.

The Health Resources and Services Administration (HRSA) is framing them as the MBQIP 2025 Core Measure set. These documents will show what measures are currently included in MBQIP, and new measures for reporting, beginning in calendar year 2025.

Upcoming MBQIP Deadlines and Reporting Reminders

December 28, 2023

Upcoming MBQIP Deadlines and Reporting Reminders

Please see the schedule below for upcoming MBQIP deadlines and reporting:

  • January 3, 2024 – HCAHPS Q3 encounters (7/1/23 – 9/30/23)
    • Submission is through the HQR Secure Portal-Vendor
  • January 31, 2024 – EDTC Q4 2023 encounters (10/1/23 – 12/31/23
  • February 1, 2024 – OP-18 Q3 encounters
    • Submission is through the HQR Secure Portal-Outpatient
  • February 29, 2024 – Safe Use of Opioids – Concurrent Prescribing measure for CY 2023 encounters (1/1/23 – 12/31/23)
    • This measure is not currently being submitted for MBQIP but is available for reporting to CMS

MBQIP Data Submission deadlines can be found in the Technical Assistance & Services Center (TASC) MBQIP Toolkit

Reminder! MBQIP Data Reporting Reminders – August 2023

August 4, 2023

Reminder! MBQIP Data Reporting Reminders – August 2023

Important Notice

Dates for measure submission and manual/CART versions are based on currently available information and may be subject to change.

August 15, 2023

CMS Inpatient Measures**:

  • Patients seen Q1 2023 (January, February, March)
  • CMS Hospital Inpatient Reporting Specifications Manual version 13
  • Submitted to HQR via CART or by vendor
  • CART version – 30.1

October 31 2023

Emergency Department Transfer Communication (EDTC)

  • Patients seen Q3 2023 (July, August, September)
  • Submission process directed by state Flex Program

November 1, 2023

CMS Population and Sampling (optional)*

  • Patients seen Q2 2023 (April, May, June)
  • Inpatient** and outpatient
  • Entered via the Hospital Quality Reporting (HQR) HARP account

November 1, 2023

CMS Outpatient Measures:

  • Patients seen Q2 2023 (April, May, June)
  • CMS Hospital Outpatient Reporting Specifications Manual version 0a
  • Submitted to HQR via CART or by vendor.
  • CART version – 22.0

*Population and sampling refers to the recording of the number of cases meeting the measure requirements and the number of cases the hospital is submitting to the CMS warehouse.

** Currently there are no inpatient chart abstracted core MBQIP measures required.