patient report outcomes (pro) data collection and
TRANSCRIPT
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Patient Reported Outcomes (PRO) Data Collection and Submission: Updates for Performance Years 6 - 8 (PYs 6 - 8)
Comprehensive Care for Joint Replacement Model
Comprehensive Care for Joint Replacement Model
August 18, 2021
Audio is available through device speakers
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Webinar Agenda
• Welcome and Logistics • Introduction• Overview of Model Updates
– What has changed – What hasn’t changed
• PY 6 Resources • Demonstrations
– PY 5 HSR – Data Collection Template
• Announcements and Reminders
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Introduction to Adobe Connect
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Download Available Resources
Closed Captioning
To Ask Questions or Submit Comments
To View the Video
To Dial In Via
Telephone
To Enlarge the Presentation
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Introduction to Adobe Connect (Cont.)
• Use the Q&A pod to submit any questions or comments
• Please use “@” if your question/comment is directed to a specific presenter
• Submit your question/comment by clicking the chat bubble icon
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Download Resources
• To download a single file, select the file and click the downward facing arrow which will open a pop - up window that will allow you to save the document to your computer.
• To download all the files, click on the three dots and select Download All.
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Introduction
Kristina Burkholder Project Lead
Yale New Haven Health Services Corporation/Center for Outcomes Research & Evaluation (YNHHSC/CORE)
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Overview of Model Updates
• Model extended for three additional Performance Years (PYs) and will continue to December 31, 2024. – See https://innovation.cms.gov/innovation-models/cjr for
final rule. • Goals of the CJR model are unchanged. • Includes changes to several aspects of the CJR
program, including a few changes which impact PRO and risk variable data collection.
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Overview of CJR PRO Updates
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What Has Changed?
• Who is eligible to report • Procedure dates & collection periods • Post - op data collection length (extended 2
months) • Submission deadlines • Thresholds
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Who is Eligible to Report?
• Hospitals in the 34 mandatory reporting MSAs – Full list available here:
https://innovation.cms.gov/innovation-models/cjr
• Hospitals in the other 33 MSAs and rural/small hospitals who were previously voluntary participants in the CJR program are no longer eligible
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Procedure Dates & Collection Periods
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Pro Data Collections and Submission Periods
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Performance Years
Procedure Window
Pre - Op Data Collection
Post - Op Data Collection
Data Submission
PY 5 7/1/19 to 6/30/20 4/1/19 to 6/30/20 4/1/19 to 6/30/20 7/1/20 - 8/31/20
PY 6 7/1/21 to 6/30/22 4/1/21 to 6/30/22
4/1/20 to 8/31/21 (For PY 5
procedures)7/1/22-8/31/22
PY 7 7/1/22 to 6/30/23 4/1/22 to 6/30/23
4/1/22 to 8/31/23 (for PY 6
Procedures) 8/1/23 - 9/30/23
PY 8 7/1/23 to 6/30/24 4/1/23 to 6/30/24
4/1/23 to 8/31/24 (For PY 7
Procedures)8/1/24-9/30/24
NO PRO Data Submission in 2021
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Model Extension Details- Thresholds
PY Eligible THA/TKA Procedures Performed During PRO and Risk Variable Submission Requirements
6 July 1, 2019- June 30, 2020POST - operative data on THA/TKA procedures for ≥ 80% or 200 procedures (post-op data must match to pre-op PROs submitted in PY 5)
6 July 1, 2021 – June 30, 2022 PRE-operative data on THA/TKA procedures for ≥ 80% or 300 procedures
7 July 1, 2021 – June 30, 2022POST - operative data on THA/TKA procedures for ≥ 80% or 300 procedures (post-op data must match to pre-op PROs submitted in PY 6)
7 July 1, 2022 – June 30, 2023 PRE - operative data on primary elective THA/TKA procedures for ≥ 85% or 400 procedures
8 July 1, 2022 – June 30, 2023POST - operative data on primary elective THA/TKA procedures for ≥ 85% or 400 procedures (post-op data must match to pre-op PROs submitted in PY 7)
8 July 1, 2023 – June 30, 2024 PRE - operative data on primary elective THA/TKA procedures for ≥ 90% or 500 procedures
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What Has Not Changed
• Required PRO and risk variable data • Eligible procedures • 2 bonus points for Quality Composite
Score
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Required PRO and Risk Variable Data Required pre - and post - operative PRO instruments
•VR - 12 OR PROMIS Global PROMs; AND • HOOS/KOOS JR . OR HOOS/KOOS subscales • HOOS subscales: pain and function, daily living •KOOS subscales: stiffness, pain, and function, daily living
Required identifiers with all (pre - and post - operative) submitted data
•Medicare Health Insurance Claim Number [HICN], Railroad Retirement Board Medicare Number, or Medicare BeneficiaryIdentifier [MBI])•Date of Birth
Required risk variables with pre - operative submitted data only
•Race and Ethnicity•Body mass index (BMI) or Height (cm) and Weight (kg)•Patient-reported Health Literacy Screening (SILS2) Questionnaire
•Pre-operative Use of Narcotics• Patient - reported Pain in Non-operativeLower Extremity Joint •Patient-reported Back Pain (Oswestry Index Question)
Required identifiers with post - operative submitted data only
•Date of Admission •Date of Procedure
Requested variables with pre - and post - operative submitted data
•Medicare Provider Number (CMS Certification Number, or CCN)•Performance Year
•Survey Respondent (if not patient)•Date of Collection•Mode of Collection
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Pre-Operative Collection
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Post-Operative Collection
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Eligible Procedures
• Patient is receiving inpatient care at participating CJR hospital
• Undergoing elective primary THA/TKA procedure (includes bilaterals )
• Procedure is not a revision • Patient does not have femur, hip, or pelvis
fractures • Patient does not have cancer • Patient not undergoing simultaneous removal of
implanted devices/prostheses • Not a mechanical complication of prior THA/TKA • Aged 65 or older and enrolled in Medicare FFS
See Patient Selection Flowchart for Determining Eligible Elective Primary THA/TKA Procedures figure
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PY 6 Resources
Overview • PY 6 CJR PRO Data Collection Overview • PY 6 CJR PRO Performance Year 6 Overview
Data collection • PY 6 CJR PRO Data Collection Template **New Location**
• Download from CJR Model Site: https://innovation.cms.gov/innovation-models/cjr• PY 6 CJR PRO Data Collection Template User Guide • PY 6 CJR PRO Data Dictionary • PY 6 CJR PRO Data Dictionary User Guide
Data Submission • PY 6 CJR HARP Registration Instructions • PY 6 CJR PRO Guidance for Managed File Transfer • PY 6 CJR PRO Managed File Transfer Instructions
PY 6 CJR PRO Data Collection FAQSPY 6 PRO resources (except template) can continue to be found on CMMI Connect: https://app.innovation.cms.gov/CMMIConnect/
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Demonstration – HSR
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Resources - HSR
READ ME PAGE
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Resources - HSR
PRO SUBMISSION PERFORMANCE PAGE
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Resources - HSR
PY 4 PRE-OP PAGE
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Resources - HSR
PY 5 POST-OP FOR PY4 PROCEDURES PAGE
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Resources - HSR
PY5 PRE-OP PAGE
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Demo Data Collection Template
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Data Collection Template
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Questions
• Use the Q&A pod to submit any questions
• Please use “@” if question is directed to one presenter
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Announcements and Reminders
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Reminders
• Send any follow - up or unanswered questions from this event to [email protected].
• If your organization has made any changes to your points of contact for the CJR model, please email [email protected] to request a Data Request and Attestation (DRA) form which should be submitted through the Data Portal (preferred) or through encrypted email.
• To request a CJR Connect account, go to: https://app.innovation.cms.gov/CMMIConnect/IDMLogin and click “New User Registration”.
• Please take a few minutes to complete the Post - Event Survey.
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