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Alignment of Person Centered Service Plan (PCSP) with Functional Assessment Standardized items (FASI) needs

CBE ID
3734
Endorsed
New or Maintenance
Is Under Review
No
E&M Cycle Comments

Effective March 27, 2023, the National Quality Forum (NQF) is no longer the consensus-based entity (CBE) funded through the Centers for Medicare & Medicaid Services (CMS) National Consensus Development and Strategic Planning for Health Care Quality Measurement Contract. Battelle has been selected to oversee the endorsement & maintenance (E&M) of clinical quality and cost/resource use measures. Since the Fall 2022 cycle launched at NQF, measures submitted to this E&M cycle continued along the prior E&M protocols that were in place at time of the Fall 2022 “Intent to Submit.” Battelle took over the E&M work for the Fall 2022 cycle after developers and/or stewards submitted their full measure information to NQF, which for CBE #3734, the most recent measure specifications can be found here: https://p4qm.org/sites/default/files/2024-02/3734.zip

Battelle took over the E&M work beginning with the public comment period to close the E&M committees for the post-comment meeting, convening the CSAC to render a final endorsement decision, and executing the appeals period.

 

Measure Description
The percentage of home and community-based services (HCBS) recipients aged 18 years or older whose PCSP documentation addresses needs in the areas of self-care, mobility, and instrumental activities of daily living (IADL) as determined by the most recent FASI assessment. For the purposes of this measure application, the term home and community-based services also will refer to community-based long-term services and supports (CB-LTSS). This approach aligns with the definition used by the NQF (NQF, 2016) as well as the way the Centers for Medicare & Medicaid Services (CMS) defines CB-LTSS. National Quality Forum (NQF). (2016). Quality in Home and Community-Based Services to Support Community Living: Addressing Gaps in Performance Measurement. National Quality Forum website. Retrieved from: https://www.qualityforum.org/Publications/2016/09/Quality_in_Home_and_Community- Based_Services_to_Support_Community_Living__Addressing_Gaps_in_Performance_Measurement.aspx
  • Measure Type
    MAT output not attached
    Attached
    Data dictionary not attached
    No
    Numerator

    The number of HCBS recipients aged 18 years or older with documented needs in the areas of self-care, mobility, or IADL as determined by the most recent FASI assessment within the previous 12 months and with documentation that the subsequent PCSP addresses the FASI-based functional needs in self-care, mobility, and IADL.

    Denominator

    The number of HCBS recipients aged 18 years or older with documented needs in the areas of self-care, mobility, or IADL as determined by the most recent FASI assessment within the previous 12 months.

    All information required to stratify the measure results
    Off
    All information required to stratify the measure results
    Off
  • Risk adjustment approach
    Off
    Risk adjustment approach
    Off
    Conceptual model for risk adjustment
    Off
    Conceptual model for risk adjustment
    Off
  • Most Recent Endorsement Activity
    Endorsed Patient Experience and Function Fall 2022
    Initial Endorsement
    Next Planned Maintenance Review
    Fall 2027
    Endorsement Status
    Last Updated
  • Do you have a secondary measure developer point of contact?
    Off
    Measure Developer Secondary Point Of Contact

    United States

    The measure developer is NOT the same as measure steward
    Off
    Steward Organization Email
    Steward Address

    United States

  • Detailed Measure Specifications
    No
    Logic Model
    Off
    Impact and Gap
    No
    Feasibility assessment methodology and results
    No
    Address health equity
    No
    Measure’s use or intended use
    No
    508 Compliance
    Off
    If no, attest that all information will be provided in other fields in the submission.
    Off