ACAP Comments on HEDIS 2018 Ad-Hoc Changes

Date Time: 07/27/2017 20:13
Product: HEDIS 2018 Ad-Hoc Public Comment
Topic: Proposed Changes to Existing Measures
Element: Hospitalization for Potentially Preventable Complications
Support Type: Do not support
Comment: • Hospitalization for Potentially Preventable Complications (Medicare) • Inpatient Hospital Utilization -renamed Acute Hospital Utilization (Medicare and Commercial)

While ACAP supports the ongoing use of this measure, we do not support the inclusion of observation stays in the calculation of the measure. We recognize the concern that observation status may be used in some cases to game the system in terms of reimbursement and potentially quality measurement. However, we also recognize that there are legitimate uses of the observation status that are very different and not comparable to an inpatient hospital stay. Corrupting the measure to deter some bad actors is not appropriate in our view. Therefore, we do not support this change. In addition, if this change does move forward, at a minimum, we believe there should be efforts taken to stratify observation and inpatient stays.

Date Time: 07/27/2017 20:13
Product: HEDIS 2018 Ad-Hoc Public Comment
Topic: Proposed Changes to Existing Measures
Element: Inpatient Hospital Utilization
Support Type: Do not support
Comment: • Hospitalization for Potentially Preventable Complications (Medicare) • Inpatient Hospital Utilization -renamed Acute Hospital Utilization (Medicare and Commercial)

While ACAP supports the ongoing use of this measure, we do not support the inclusion of observation stays in the calculation of the measure. We recognize the concern that observation status may be used in some cases to game the system in terms of reimbursement and potentially quality measurement. However, we also recognize that there are legitimate uses of the observation status that are very different and not comparable to an inpatient hospital stay. Corrupting the measure to deter some bad actors is not appropriate in our view. Therefore, we do not support this change. In addition, if this change does move forward, at a minimum, we believe there should be efforts taken to stratify observation and inpatient stays.

Date Time: 07/27/2017 20:14
Product: HEDIS 2018 Ad-Hoc Public Comment
Topic: Proposed Measures to Retire
Element: Annual Monitoring for Patients on Persistent Medications
Support Type: Support
Comment: null

Date Time: 07/27/2017 20:20
Product: HEDIS 2018 Ad-Hoc Public Comment
Topic: Proposed Measures to Retire
Element: Frequency of Ongoing Prenatal Care
Support Type: Support
Comment: null