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

CBE ID
3734
Endorsement Status
Endorsed
1.1 New or Maintenance
New
Previous Endorsement Cycle
Fall 2022
Is Under Review
No
Next Maintenance Cycle
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.

    • OLD 1.12 MAT output not attached
      Attached
      1.13a Data dictionary not attached
      No
    • Most Recent Endorsement Activity
      Endorsed Patient Experience and Function Fall 2022
      Initial Endorsement
      Last Updated
    • Steward
      Centers for Medicare & Medicaid Services
      Steward Organization POC Email
      [email protected]
      Measure Developer Secondary Point Of Contact

      United States

    • Risk adjustment approach
      Off
      Risk adjustment approach
      Off
      Conceptual model for risk adjustment
      Off
      Conceptual model for risk adjustment
      Off