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.