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CMS proposed rule would increase quality measures to 32

Quality Improvement Monitor, April 20, 2007

CMS last week announced a proposed new inpatient prospective payment system rule that would add five new quality measures, bringing to 32 the number of measures hospitals would need to report in FY 2008 to qualify for the full market basket update in FY 2009. 

 The five proposed measures include 30-day mortality for Medicare patients with pneumonia and four additional measures relating to surgical care improvement, according to a press release from CMS.

 In addition, the proposed rule seeks input concerning other measures that could be added for FY 2009 and beyond.

In the rule, CMS announced the mandated full market basket update of 3.3% for hospitals that report quality data.

The proposal would also implement a provision of the Deficit Reduction Act of 2005 (DRA) that takes the first steps toward preventing Medicare from paying hospitals more for the additional costs of treating a patient that acquires a condition--including an infection--during a hospital stay. 

The DRA requires hospitals to begin reporting secondary diagnoses that are present on the admission of patients, beginning for discharges on or after October 1, 2007. (For more on the proposed rule, read the May issue of Quality Improvement Report).

For more information, go to http://tinyurl.com/2fdsyh

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