CAHPS® Hospice Survey

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Quick Links: TIME SENSITIVE: CAHPS Hospice Survey Quarter 2 2017 Data Submission Deadline Approaching | UPDATE: Applicability of Reporting Requirements for Hospices| CAHPS Hospice Survey Materials Submission Deadline | CAHPS Hospice Survey Quality Assurance Plan and Attestation Submission Deadline | Hurricane Maria - Disaster Exceptions/Exemptions for Medicare Certified Providers | New Update for Areas Affected by the Hurricanes | CAHPS Hospice Survey Quality Assurance Guidelines V4.0 is Now Available | Hurricane Irma - Disaster Exceptions/Exemptions for Medicare Certified Providers CMS Hurricane Webpage and Open Door Forum Information | REMINDER: CY 2017 Participation Exemption for Size Form AvailableExtraordinary Circumstances Extension / Exception (ECE) due to Hurricane Harvey | Fiscal Year 2018 Hospice Final Rule Released

TIME SENSITIVE: CAHPS Hospice Survey Quarter 2 2017 Data Submission Deadline Approaching (10/18/2017)

The deadline for survey vendors to submit CAHPS Hospice Survey Quarter 2 2017 (patient deaths in April, May and June 2017) data is November 8, 2017. Survey vendors are responsible for successfully submitting files by 11:59 PM Eastern Time on November 8, 2017.

As a reminder, hospices must have a CAHPS Hospice Survey Vendor Authorization Form on file with the RAND Corporation in order for the survey vendor to submit data on behalf of the hospice. Contact the CAHPS Hospice Survey Project Team (hospicecahpssurvey@HCQIS.org) immediately if your organization has not already submitted the CAHPS Hospice Survey Vendor Authorization Form.

The CAHPS Hospice Survey Data Coordination Team will audit the data files as they are submitted by survey vendors for compliance with the file specifications outlined in the QAG. Survey vendors and hospices will receive an automated email confirming the file submission.

Various data checks of the survey data submitted by the survey vendor will be conducted. Survey vendors and hospices will receive a second email indicating that the CAHPS Hospice Survey Data Submission Reports (containing results from the edits checks) are available for viewing in their respective folders in the CAHPS Hospice Survey Data Warehouse. Reports will be posted by 5:00 PM Eastern Time on the next business day after submission by the survey vendor.


UPDATE: Applicability of Reporting Requirements for Hospices

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, Renal Dialysis Facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Harvey due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an extraordinary circumstances exception request if they are located in one of the Texas counties or Louisiana parishes listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county or parish. The scope and duration of the exception under each Medicare quality reporting program is described below; however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

NOTE: Since the latest communication released on September 7, 2017, FEMA has identified an additional county in Texas as a disaster area; Grimes County. Hospitals located within this FEMA designated county have been granted exceptions in addition to the counties/parishes previously identified.

CMS is closely monitoring the situation for future potential widespread catastrophic events, and will update exception lists soon after any events occur in the future.

The affected counties and parishes designated by FEMA as of the date of this communication are as follows:

Texas Counties Louisiana Parishes
  • Aransas
  • Austin
  • Bastrop
  • Bee
  • Bexar
  • Brazoria
  • Calhoun
  • Chambers
  • Colorado
  • Dallas
  • DeWitt
  • Fayette
  • Fort Bend
  • Galveston
  • Goliad    
  • Gonzales
  • Grimes
  • Hardin
  • Harris
  • Jackson
  • Jasper
  • Jefferson
  • Karnes
  • Kleberg
  • Lavaca
  • Lee
  • Liberty
  • Matagorda
  • Montgomery
  • Newton
  • Nueces
  • Orange
  • Polk
  • Refugio
  • Sabine
  • San Jacinto
  • San Patricio
  • Tarrant
  • Travis
  • Tyler
  • Victoria
  • Walker
  • Waller
  • Wharton    
  • Allen
  • Acadia
  • Beauregard
  • Calcasieu
  • Cameron
  • Iberia
  • Jefferson Davis
  • Natchitoches
  • Rapides
  • Sabine
  • Vermilion
  • Vernon 

The following providers located outside of the counties and parishes listed above are not covered by this communication, but may request an exception to the reporting requirements under one or more Medicare quality reporting or value-based purchasing programs using the applicable extraordinary circumstances exception procedure: acute care hospitals, Prospective Payment System (PPS)-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, Renal Dialysis Facilities, and ambulatory surgical centers. If FEMA expands the current disaster declaration for Hurricane Harvey to include additional counties or parishes, CMS will update this communication to expand the list of providers eligible to receive an exception without submitting a request to include the hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, and ambulatory surgical centers located in the additional counties and parishes. In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Hospices

CMS is granting an exception to all Quality Reporting Program (QRP) reporting requirements, including the reporting of data on measures and any other data requested by CMS for the post-acute care (PAC) quality reporting programs for calendar year 2017 quarters 2 and 3:

  • Hospices – Hospice QRP

CMS will provide additional information about the extension and exceptions related to the PAC QRP submission requirements in subsequent announcements.

For further information about extensions and exemptions, view the program-specific webpages:


CAHPS Hospice Survey Materials Submission Deadline (10/04/2017)

CAHPS Hospice Survey vendors approved to administer the CAHPS Hospice Survey are required to submit samples of their CAHPS Hospice Survey materials in English, that will be used beginning with survey administration in January 2018, for review. CAHPS Hospice Survey mailing materials (e.g., questionnaires, cover letters and outgoing envelopes) and/or telephone script and interviewer CATI screenshots (including skip pattern logic) must be submitted to the CAHPS Hospice Survey Project Team via hospicecahpssurvey@HCQIS.org by November 1, 2017.


CAHPS Hospice Survey Quality Assurance Plan and Attestation Submission Deadline (10/04/2017)

CAHPS Hospice Survey vendors approved to administer the CAHPS Hospice Survey must submit an updated Quality Assurance Plan (QAP) and CAHPS Hospice Survey Attestation Statement. The CAHPS Hospice Survey QAP must be complete, comprehensive and accurate in reflecting updates made to the CAHPS Hospice Survey Quality Assurance Guidelines V4.0, as well as any changes in key personnel, resources and processes.

Please click here to view and print the CAHPS Hospice Survey Attestation Statement form. The executed form and the CAHPS Hospice Survey QAP must be submitted to the CAHPS Hospice Survey Project Team via hospicecahpssurvey@HCQIS.org by December 13, 2017.


Hurricane Maria - Disaster Exceptions/Exemptions for Medicare Certified Providers Affected by Severe Storms and Flooding (09/29/2017)

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, renal dialysis facilities, and ambulatory surgical centers located in areas affected by Hurricane Maria due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an Extraordinary Circumstances Exceptions (ECE) request if they are located in one of the Puerto Rico municipios or U.S. Virgin Islands county-equivalents listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster municipio or county-equivalent. 

The scope and duration of the exception under each Medicare quality reporting program is described in the memo posted on 9-25-17, however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Additional details and materials are available on the CMS Hurricane page webpage.

For further information about extensions and exemptions for PAC QRPs, view the program-specific webpages: 


New Update for Areas Affected by the Hurricanes (09/22/2017)

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, renal dialysis facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Irma due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an Extraordinary Circumstances Exceptions (ECE) request if they are located in one of the Florida  counties, Georgia counties, Puerto Rico municipios, or U.S. Virgin Islands county-equivalents listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county, municipio, or county-equivalent. The scope and duration of the exception under each Medicare quality reporting program is described below; however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

CMS is closely monitoring the situation for future potential widespread catastrophic events, and will update exception lists soon after any events occur in the future.

The affected counties, municipios, and county-equivalents designated by FEMA as of the date of this communication are as follows:  

Florida Counties

Georgia Counties

Puerto Rico Municipios

U.S. Virgin Islands
County-Equivalents

  • All 67 counties in Florida are within the FEMA designated areas.  
  • All 159 counties in Georgia are within the FEMA designated areas.
  • Adjuntas
  • Aguas Buenas
  • Barranquitas
  • Camuy
  • Canovanas
  • Carolina
  • Catano
  • Ciales
  • Culebra
  • Guaynabo
  • Jayuya
  • Juncos
  • Las Piedras
  • Loiza
  • Luquillo
  • Orocovis
  • Patillas
  • Quebradillas
  • San Juan
  • Utuado
  • Vega Baja
  • Vieques
  • St. Croix (Island) (County-equivalent)
  • St. John (Island) (County-equivalent)
  • St. Thomas (Island) (County-equivalent)
  • Statewide

The following providers located outside of the counties, municipios, and county-equivalents listed above are not covered by this communication, but may request an exception to the reporting requirements under one or more Medicare quality reporting or value-based purchasing programs using the applicable extraordinary circumstances exception procedure: acute care hospitals, Prospective Payment System (PPS)-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, renal dialysis facilities, and ambulatory surgical centers. If FEMA expands the current disaster declaration for Hurricane Irma to include additional counties, municipios, and/or county-equivalents, CMS will update this communication to expand the list of providers eligible to receive an exception without submitting a request to include the hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, and ambulatory surgical centers located in the additional counties, municipios, and/or county-equivalents. In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Hospices

CMS is granting an exception to all Quality Reporting Program (QRP) reporting requirements, including the reporting of data on measures and any other data requested by CMS for the post-acute care (PAC) quality reporting programs for calendar year 2017 quarters 2 and 3:

  • Hospices – Hospice QRP

CMS will provide additional information about the extension and exceptions related to the PAC QRP submission requirements in subsequent announcements.

For further information about extensions and exemptions, view the program-specific webpages:


 CAHPS Hospice Survey Quality Assurance Guidelines Version 4.0 is Now Available (09/20/2017)

The CAHPS Hospice Survey administration protocols are contained in the CAHPS Hospice Survey Quality Assurance Guidelines Version 4.0 (QAG V4.0). To view or download the QAG V4.0, please click on the left hand Quality Assurance Guidelines navigation button.


Hurricane Irma - Disaster Exceptions/Exemptions for Medicare Certified Providers Affected by Severe Storms and Flooding  (09/14/2017)

To review entire Quality Reporting Notification, please click here.

Key Hospice content is displayed below. Please review the entire notification for additional detail.

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, renal dialysis facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Irma due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an Extraordinary Circumstances Exceptions (ECE) request if they are located in one of the Florida  counties, Puerto Rico municipios, or U.S. Virgin Islands county-equivalents listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county, municipio, or county-equivalent. The scope and duration of the exception under each Medicare quality reporting program is described below; however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

CMS is closely monitoring the situation for future potential widespread catastrophic events, and will update exception lists soon after any events occur in the future.

The affected counties, municipios, and county-equivalents designated by FEMA as of the date of this communication are as follows:

Florida Counties

Puerto Rico Municipios

U.S. Virgin Islands
County-Equivalents

  • All 67 counties in Florida are within the FEMA designated areas.
  •  Adjuntas
  • Canovanas
  • Carolina
  • Culebra
  • Guaynabo
  • Juncos
  • Loiza
  • Luquillo
  • Orocovis
  • Patillas
  • Utuado
  • Vieques
  •  St. Croix (Island) (County-equivalent)
  • St. John (Island) (County-equivalent)
  • St. Thomas (Island) (County-equivalent)
  • Statewide


The following providers located outside of the counties and parishes listed above are not covered by this communication, but may request an exception to the reporting requirements under one or more Medicare quality reporting or value-based purchasing programs using the applicable extraordinary circumstances exception procedure: acute care hospitals, Prospective Payment System (PPS)-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, Renal Dialysis Facilities, and ambulatory surgical centers. If FEMA expands the current disaster declaration for Hurricane Harvey to include additional counties or parishes, CMS will update this communication to expand the list of providers eligible to receive an exception without submitting a request to include the hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, and ambulatory surgical centers located in the additional counties and parishes. In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Hospices

CMS is granting an exception to all Quality Reporting Program (QRP) reporting requirements, including the reporting of data on measures and any other data requested by CMS for the post-acute care (PAC) quality reporting programs for calendar year 2017 quarters 2 and 3:

  • Hospices – Hospice QRP

CMS will provide additional information about the extension and exceptions related to the PAC QRP submission requirements in subsequent announcements.

For further information about extensions and exemptions, view the program-specific webpages:


CMS Hurricane Webpage and Open Door Forum Information (09/06/2017)

Open Door Forum

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, outpatient dialysis facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Harvey due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an extraordinary circumstances exception request if they are located in one of the Texas counties or Louisiana parishes, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county.

The scope and duration of the exception under each Medicare quality reporting program is described in the memo posted on 08/31/2017, however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

If FEMA expands the current disaster declaration for Hurricane Harvey to include additional counties or parishes, CMS will update this memo to expand the list of providers eligible to receive an exception without submitting a request to include the hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, and ambulatory surgical centers located in the additional counties and parishes.

In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Additional details and materials are available on the CMS Hurricane webpage. Please check back frequently for updates.


REMINDER: CY 2017 Participation Exemption for Size Form Available (09/05/2017)

As a reminder, the Participation Exemption for Size Form for the calendar year (CY) 2017 CAHPS Hospice Survey data collection and reporting requirements is available to complete and submit on the CAHPS Hospice Survey Web site (www.hospicecahpssurvey.org). Hospices that served fewer than 50 survey-eligible decedents/caregivers in CY 2016 (January 1, 2016 through December 31, 2016 [or from assignment of CCN]) can apply for an exemption from participation in the CAHPS Hospice Survey for CY 2017. The Participation Exemption for Size Form will be available to complete and submit online until December 31, 2017.

Please note, exemptions on the basis of size are active for one year only. If a hospice continues to meet the eligibility requirements for this exemption in subsequent years, the organization will need to again request the exemption.

If a hospice has questions regarding the Participation Exemption for Size process or how to complete the Participation Exemption for Size Form, please contact the CAHPS Hospice Survey Project Team: hospicecahpssurvey@HCQIS.org or 1-844-472-4621.

To view or complete the Participation Exemption for Size Form, please click on the left hand Participation Exemption for Size navigation button.


Extraordinary Circumstances Extension / Exception (ECE) due to Hurricane Harvey (08/31/2017)

To review entire Quality Reporting Notification, please click here.

Key Hospice content is displayed below. Please review the entire notification for additional detail.

CMS is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, Renal Dialysis Facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Harvey due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an extraordinary circumstances exception request if they are located in one of the Texas counties or Louisiana parishes listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county. The scope and duration of the exception under each Medicare quality reporting program is described below; however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.

The affected counties and parishes designated by FEMA as of the date of this communication are as follows:

Texas Counties 

Louisiana Parishes

  • Aransas
  • Bee
  • Bexar
  • Brazoria
  • Calhoun
  • Chambers   
  • Colorado
  • Dallas
  • Fayette
  • Fort Bend
  • Galveston
  • Goliad
  • Hardin
  • Harris
  • Jackson
  • Jasper
  • Kleberg
  • Liberty
  • Matagorda
  • Montgomery  
  • Newton
  • Nueces
  • Orange
  • Refugio
  • Sabine
  • San Jacinto
  • San Patricio
  • Tarrant
  • Travis
  • Victoria
  • Waller
  • Wharton
  • Beauregard
  • Calcasieu
  • Cameron
  • Jefferson Davis 
  • Vermilion                

The following providers located outside of the counties and parishes listed above are not covered by this communication, but may request an exception to the reporting requirements under one or more Medicare quality reporting or value-based purchasing programs using the applicable extraordinary circumstances exception procedure: acute care hospitals, Prospective Payment System (PPS)-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, Renal Dialysis Facilities, and ambulatory surgical centers. If FEMA expands the current disaster declaration for Hurricane Harvey to include additional counties or parishes, CMS will update this communication to expand the list of providers eligible to receive an exception without submitting a request to include the hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, and ambulatory surgical centers located in the additional counties and parishes. In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.

Hospices

CMS is granting an exception to all Quality Reporting Program (QRP) reporting requirements, including the reporting of data on measures and any other data requested by CMS for the post-acute care (PAC) quality reporting programs for calendar year 2017 quarters 2 and 3:

  • Hospices – Hospice QRP

CMS will provide additional information about the extension and exceptions related to the PAC QRP submission requirements in subsequent announcements.

For further information about extensions and exemptions, view the program-specific webpages:


Fiscal Year 2018 Hospice Final Rule Released (08/07/2017)

CMS released the final rule for the fiscal year (FY) 2018 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements on August 4, 2017. The FY 2018 hospice final rule can be accessed by clicking here: https://www.federalregister.gov/documents/2017/08/04/2017-16294/medicare-program-fy-2018-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting.

 

  

This page was last modified on 10/18/2017