CMS Issues Third Edition of the QRP COVID-19 Public Reporting Tip Sheet

COVID-19; Programs and Resources

The Centers for Medicare and Medicaid Services (CMS) announced an updated third edition of the SNF QRP Public Reporting (PR) Tip Sheet

The tip sheet provides the following updates on SNF QRP PR:  

  • Adoption of a new Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) measure, Influenza Vaccination Coverage among Healthcare Personnel (National Quality Forum (NQF) #0431), beginning with the Fiscal Year (FY) 2024 SNF QRP.  

  • Inaugural reporting of the COVID-19 Vaccination Coverage among Healthcare Personnel (HCP), reported through CDC NHSN, and SNF Healthcare Associated-Infections (HAI) Requiring Hospitalization claims-based quality measures (QMs).  

  • Definition of the quarters for reporting of claims-based QMs displayed on Care Compare and the Provider Data Catalog (PDC).  

The tip sheet also discusses the revised data submission threshold related to the SNF QRP annual payment update. 

The purpose of the tip sheet is to help providers understand CMS’ public reporting approach to the SNF QRP to account for CMS quality data submissions that were either optional or excepted from public reporting due to the COVID-19 public health emergency. The impacts on CMS’ Care Compare website refreshes are also outlined. This tip sheets serves as companion documents to the first and second edition QRP COVID-19 PR Tip Sheets published in 2020 and 2022. 

Content-related questions about the tip sheet should be submitted to the SNF QRP Help Desk

Additional background and training resources are available on the SNF QRP Training page. Providers with questions about accessing the resources or feedback regarding the trainings can email PAC Training