Skip to main content

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

CBE ID
3734
Endorsed
Endorsement Status
Endorsed
1.1 New or Maintenance
New
E&M Cycle
Fall 2022
Is Under Review
No
Next Planned Maintenance Review
Fall 2027
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.

 

1.3 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
    • 1.5 Measure Type
      Process
    • 1.14 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.

    • 1.15 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.

    • 1.13a Data dictionary not attached
      No
      OLD 1.12 MAT output not attached
      Attached
    • Most Recent Endorsement Activity
      Endorsed Patient Experience and Function Fall 2022
      Initial Endorsement
      Last Updated
    • Risk adjustment approach
      Off
      Risk adjustment approach
      Off
      Conceptual model for risk adjustment
      Off
      Conceptual model for risk adjustment
      Off