Category C Reporting Summary Workbook
The updated Category C reporting summary workbook dated 06/26/19 is below. The workbook includes Category C measures in all regions and reflects all provider reporting through the April DY 8 Reporting Period.
Please review the updated summary workbook for accuracy, and contact HHSC if you identify any errors in the following data elements:
- Measure Selection
- Milestone Structure (particularly P4P vs P4R status, and the approved achievement payer-type)
- Baseline Measurement Period
- Baseline or PY1 Review Status (Accepted, Flagged for TA, Pending Correction)
- Reporting Eligibility
- Current Baseline or PY1 Source
NOTE: Errors in reported numerators/denominators can be corrected by submitting a correction during the Interim Corrections period, and do not need to be brought to HHSC's attention at this time.
Category C Baseline Review and TA
Updated TA Overview document in preparation for April DY8R1 reporting:
HHSC has completed review of Category C baseline submitted during the October DY7, NMI and Interim Corrections reporting periods. Providers that reported baselines received a decision summary indicating the baseline review status for each baseline reported. Below are general instructions on baseline review decisions and next steps for measures flagged for TA.
Category C Modification Request Form
The Category C Modification Request Form was updated 08/07/2018 to reflect approved modification requests and new measures.
Category C Goal Calculator
Updated Category C Goal Calculator dated 12/14/18 to allow goal calculation for measures with an approved payer type exception for the goal achievement milestone.
Risk-Adjusting Resources for Category C 30-Day Readjusted Readmission Measures:
A2-384: Risk Adjusted CHF 30-Day Readmission Rate
B1-141: Risk Adjusted All-Cause 30-Day Readmission for Targeted Conditions: heart failure hospitalization, coronary artery bypass graft (CABG) surgery, CHF, Diabetes, AMI, Stroke, COPD, Behavioral Health, Substance Use
B1-217: Risk Adjusted All-Cause 30-Day Readmission
H2-216: Risk Adjusted Behavioral Health/ Substance Abuse 30-Day Readmission Rate
M1-216: Risk Adjusted Behavioral Health/ Substance Abuse 30-Day Readmission Rate
E2-A01 OB Hemorrhage Collaborative Activity
Below are documents that provide additional details for the collaborative activity that is a required component if a hospital or physician practices selects Measure Bundle E2 Maternal Safety. Measure E2-A01 refers to the Texas Department of State Health Services (DSHS) sponsored implementation of the AIM Safety Bundle for Obstetric Hemorrhage.
7/12/19: HHSC has updated the DY8 Milestone Requirement for E2-A01: OB Hemorrhage Patient Safety Activities to take into consideration the number of Collaborative Learning Sessions that will have been offered per cohort up to September 30, 2019. Please review the highlighted changes to the E2-A01 DY8 Milestone Requirement, and submit any questions to the waiver mailbox.