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Process to Suppress OAS CAHPS Survey Data from Public Reporting for April 2021 Refresh
folder_openPublic Reportingcalendar_todayPosted January 15, 2021

During voluntary implementation, CMS will allow participating hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) to have their data suppressed, that is, not displayed on data.CMS.gov/provider-data.

OAS CAHPS Survey data are scheduled refresh in April 2021, which includes data from Quarter 4, 2019 and Quarter 3, 2020. Quarters 1 and 2, 2020 will not be publicly reported due to the impact of COVID-19.

For the April 2021 refresh, vendors must notify the OAS CAHPS Survey Coordination Team (via email at oascahps@rti.org) by February 15, 2021 of any CCNs that choose to exclude their data from public reporting. Please note that the deadline for suppression is earlier than the date by which the Preview Reports are posted on oascahps.org.

The e-mail message to the Coordination Team should include the HOPD's or ASC's name and CMS Certification Number (CCN).

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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OAS CAHPS Preview Reports Available for Quarter 3, 2019 – Quarter 2, 2020
folder_openPublic Reportingcalendar_todayPosted January 14, 2021

The purpose of this announcement is to alert hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) that Preview Reports reflecting results from the Outpatient and Ambulatory Surgery CAHPS (OAS CAHPS) Survey from July 2019 through June 2020 (Q3, 2019 – Q2, 2020) are now available on the OAS CAHPS website (https://oascahps.org/).

Please note that these data will not be publicly reported on the CMS website because CMS has decided not to report data that includes Quarters 1 or 2, 2020. Public reporting of OAS CAHPS data is scheduled to resume in April 2021, but data from Quarters 1 and 2 will not be included in those reports.

The following are some frequently asked questions and answers about the Preview Reports. More information about the OAS CAHPS Survey Preview Reports can be found in the "Understanding the Preview Reports" link under the For Facilities menu tab on the OAS CAHPS website.

  1. Who has access to a facility's Preview Report?
    HOPDs and ASCs participating in the OAS CAHPS Survey have access to their own reports. The Preview Report is not available to OAS CAHPS Survey vendors or to anyone other than the facility staff registered through the https://oascahps.org website. If facility staff want to share the Preview Report with their OAS CAHPS Survey vendor or with anyone else, they can export the results to a Microsoft Excel File and distribute it.
  2. How does a facility user access its Preview Report?
    The Preview Reports are posted on the secured (private) link on https://oascahps.org/. To access a facility's report, an authorized user must first log into the OAS CAHPS website with their registered username and password. Then, select the "Survey Preview Report" link under the "For Facilities" menu tab. All of the user's registered CMS Certification Numbers (CCNs) are displayed on the Preview Report webpage for review.
  3. What results are shown in the Preview Reports?
    For each CCN, the Preview Report shows the results for each variable and measure shown below:
    1. The number of patients who were sampled; the number of completed surveys; and the response rate percentage during the reporting period;
    2. The percentage of patients who rated the overall care they received at the HOPD or ASC a "9" or "10" on a scale of 0 (worst care possible) to 10 (best care possible);
    3. The percentage of patients who reported YES, they would definitely recommend the HOPD or ASC to friends and family;
    4. The percentage of patients who reported that the HOPD or ASC staff gave care in a professional way and the facility was clean;
    5. The percentage of patients who reported that the HOPD or ASC staff definitely communicated with them about what to expect during and after the procedure; and
    6. The percentage of patients who reported that the HOPD or ASC staff definitely gave them information about what to do if they had pain, nausea or vomiting, bleeding, or possible signs of infection as a result of the procedure or the anesthesia, if any of these outcomes were experienced. NOTE: While CMS reviews the data, Composite 3 will not be publicly reported on data.medicare.gov. At this time, this composite score is only available directly to each facility through the Preview Report.

    More information about the OAS CAHPS Survey measures in the Preview Reports can be found in Chapter XIV of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials menu tab on the OAS CAHPS website.

  4. Which sample months are included in the Preview Report results?
    The results included in the current Preview Report are based on OAS CAHPS Survey response data from patients who had an outpatient surgery or procedure between July 2019 and June 2020. The future anticipated public reporting periods are provided in Table 14.2 of the OAS CAHPS Survey Protocols and Guidelines Manual.
  5. My facility participated in the OAS CAHPS Survey, but there are no results shown. Why?
    OAS CAHPS Survey results are publicly reported when an HOPD or ASC has 4 quarters of OAS CAHPS Survey data. An HOPD or ASC must have had survey response data (patients who responded to the survey) in all 4 quarters included in the public reporting period for results to be publicly reported.

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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Notice of Publication of the Final Rule for Calendar Year 2021
folder_openFinal/Proposed Rulescalendar_todayPosted December 29, 2020

The Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs Final Rule has been published in the Federal Register today, December 29, 2020. The Final Rule is available here.

As stated in the Rule, CMS plans continue the voluntary participation period for OAS CAHPS throughout 2021. The next update (CY 2022 Rule) will be proposed in July and finalized in November 2021. The CY 2022 Rule will reflect any changes that would impact the 2022 data collection period (CY 2024 payment determination).

If you have questions, you can contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call 1-866-590-7468.

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CMS Notice of the Final Rule Making for Calendar Year 2021
folder_openInformation for HOPDs / ASCscalendar_todayPosted December 7, 2020

The Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs calendar year (CY) 2021 Final Rule notification has been posted on CMS' website. The notification provides a preview of what will be posted in the Federal Register on December 29, 2020. The notice is available here.

As noted in the Proposed Rule (published in August 2020), CMS proposed to continue voluntary participation in the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey Based Measures OP-37a-e/ASC-15a-e, until further action in future rulemaking. Therefore, OAS CAHPS will continue with voluntary reporting throughout 2021.

The next update (CY 2022 Rule) will be proposed in July and finalized in November 2021. The CY 2022 Rule will reflect any planned changes that would impact the 2022 data collection period (CY 2024 payment determination).

If you have questions, you can contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call 1-866-590-7468.

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RTI International will be closed November 26 and 27, 2020
folder_openOther Announcementscalendar_todayPosted November 23, 2020

RTI International will be closed on November 26 and 27, 2020 in observance of the Thanksgiving holiday. The OAS CAHPS Survey Coordination Team will respond to email and telephone inquiries that are received on those dates after RTI re-opens.

Please contact the Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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CMS will Retire Original Compare Tools on December 1, 2020
folder_openPublic Reportingcalendar_todayPosted November 19, 2020

On November 17, 2020, CMS announced that the original Compare sites will be retired on December 1, 2020. This includes the Compare sites on which the OAS CAHPS Survey results are posted - Hospital Compare and data.medicare.gov. After December 1, users interested in viewing OAS CAHPS Survey results will only be able to access them via the Care Compare and Provider Data Catalog (PDC) websites.

Below are direct links to the new Compare sites and the CMS Press Release.

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468 if you have any questions.

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Q1, 2020 and Q2, 2020 OAS CAHPS Survey Results Will Not be Publicly Reported Due to COVID-19
folder_openPublic Reportingcalendar_todayPosted November 16, 2020

The purpose of this announcement is to alert hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) that CMS has announced that they will not publicly report OAS CAHPS Survey data collected during Q1, 2020 and Q2, 2020. Previously, CMS issued a press release regarding the impact of COVID-19 on the CMS Quality Programs, under this page: https://www.cms.gov/newsroom/press-releases/cms-announces-relief-clinicians-providers-hospitals-and-facilities-participating-quality-reporting

The OAS CAHPS Survey data are typically refreshed quarterly on the CMS websites; however, the sites will not be refreshed with data from Quarters 1 or 2, 2020. Thus, the scheduled refreshes for October 2020 and January 2021 will not take place, and the data posted in July 2020 will remain. CMS anticipates that the next update will take place in April 2021. Any updates regarding the OAS CAHPS public reporting schedule will be announced on the OAS CAHPS website.

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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OAS CAHPS Survey Training Materials Have Been Posted
folder_openTrainingcalendar_todayPosted November 6, 2020

The agendas and presentation slides that will be used in the two-part Introduction to the Outpatient and Ambulatory Surgery CAHPS (OAS CAHPS) Survey Webinar Training and the OAS CAHPS Survey Vendor Update Webinar Training are now available on the OAS CAHPS website.

These training materials can be accessed here or by selecting "Training Materials" under the "Training" tab on the OAS CAHPS website.

The OAS CAHPS Survey Coordination Team invites individuals who have registered for training to submit questions in advance of the webinar training. To do so, please send your question(s) to the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468.

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Updated Versions of Protocols and Guidelines Manual, Website User and Data Submission Manual, and Other Documents have been Posted
folder_openSurvey Materialscalendar_todayPosted November 3, 2020

Version 5.0 of the Protocols and Guidelines Manual, Version 4.0 of the Website User and Data Submission Manual, as well as revised versions of standalone documents have been updated and posted on the OAS CAHPS website. The following standalone documents are available on the Survey Materials page: FAQs for telephone interviewers in English and Spanish, XML file layouts (Standard and DSRS), and Example Patient File Layout document. The Website User and Data Submission Manual is available on the Data Submission Resources page.

The following is a summary of the main differences between Version 4.0 and Version 5.0 of the Protocols and Guidelines Manual.

  • Chapter II: Added text briefly describing the 2019 OAS CAHPS Survey mode experiment and the impact on national implementation; updated descriptions of where users can find the publicly available OAS CAHPS Survey results; updated text regarding the extended period of voluntary implementation of the OAS CAHPS Survey based on the Proposed Rule published in August 2020; and added text about accessing the Vendor Facility Closed/Merged Attestation Form on the oascahps.org website.
  • Chapter III: Updated vendor responsibilities list to include submission of Vendor Facility Closed/Merged Attestation Form.
  • Chapter IV: Revised the anticipated response rates by mode in the text and Table 4.2; and added text for a new sampling misconception and correct implementation guidance (item #6 under "Patient Eligibility Criteria" header).
  • Chapter VIII: Added text explaining that vendors must have a security incident response program.
  • Chapter X : Updated diagram in Exhibit 10.1; updated screenshots throughout, where needed; and updated the web location referenced for information about the patient-mix coefficients and adjustments.
  • Chapter XI: Updated protocols and guidance on vendor notifications of closed/closing facilities and added guidance on notifications of merging CCNs, including the use of the online Vendor Facility Closed/Merged Attestation Form; and added another data submission quality control check to confirm closed or merged facilities.
  • Chapter XII: Added descriptions of the Vendor Facility Closed/Merged Attestation Report; added text noting that the Survey Vendor Authorization Report now includes data from any submitted Vendor Facility Closed/Merged Attestation Form; updated screenshots throughout, where needed; and updated text throughout with references to OAS CAHPS Survey public reporting websites to specify current locations of publicly reported data.
  • Chapter XIV: Updated web locations where users can access OAS CAHPS Survey results; updated Table 14.2 with four additional rows; and added a footnote to Table 14.2 noting adjustments to publicly reported data due to the impact of COVID-19.
  • Chapter XV: Added text clarifying that any changes made to previously submitted CCNs and/or their accompanying information in an Exception Request should be noted on the updated form.
  • Appendices H and I: Updated the website where OAS CAHPS Survey results are available.
  • Throughout Manual: Adjusted the eligible range of CPT-4 Codes for Surgery from 10021-69990 to 10004-69990; and updated references to the OAS CAHPS Survey Website User and Data Submission Manual from Version 3.0 to Version 4.0.

If you have questions, you can contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call 1-866-590-7468.

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OAS CAHPS Preview Reports Available for Quarter 2, 2019 – Quarter 1, 2020
folder_openPublic Reportingcalendar_todayPosted October 14, 2020

The purpose of this announcement is to alert hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) that Preview Reports reflecting results from the Outpatient and Ambulatory Surgery CAHPS (OAS CAHPS) Survey from April 2019 through March 2020 (Q2, 2019 – Q1, 2020) are now available on the OAS CAHPS website (https://oascahps.org/).

The following are some frequently asked questions and answers about the Preview Reports. More information about the OAS CAHPS Survey Preview Reports can be found in the "Understanding the Preview Reports" link under the For Facilities menu tab on the OAS CAHPS website.

  1. Who has access to a facility's Preview Report?
    HOPDs and ASCs participating in the OAS CAHPS Survey have access to their own reports. The Preview Report is not available to OAS CAHPS Survey vendors or to anyone other than the facility staff registered through the https://oascahps.org website. If facility staff want to share the Preview Report with their OAS CAHPS Survey vendor or with anyone else, they can export the results to a Microsoft Excel File and distribute it.
  2. How does a facility user access its Preview Report?
    The Preview Reports are posted on the secured (private) link on https://oascahps.org/. To access a facility's report, an authorized user must first log into the OAS CAHPS website with their registered username and password. Then, select the "Survey Preview Report" link under the "For Facilities" menu tab. All of the user's registered CMS Certification Numbers (CCNs) are displayed on the Preview Report webpage for review.
  3. What results are shown in the Preview Reports?
    For each CCN, the Preview Report shows the results for each variable and measure shown below:
    1. The number of patients who were sampled; the number of completed surveys; and the response rate percentage during the reporting period;
    2. The percentage of patients who rated the overall care they received at the HOPD or ASC a "9" or "10" on a scale of 0 (worst care possible) to 10 (best care possible);
    3. The percentage of patients who reported YES, they would definitely recommend the HOPD or ASC to friends and family;
    4. The percentage of patients who reported that the HOPD or ASC staff gave care in a professional way and the facility was clean;
    5. The percentage of patients who reported that the HOPD or ASC staff definitely communicated with them about what to expect during and after the procedure; and
    6. The percentage of patients who reported that the HOPD or ASC staff definitely gave them information about what to do if they had pain, nausea or vomiting, bleeding, or possible signs of infection as a result of the procedure or the anesthesia, if any of these outcomes were experienced. NOTE: While CMS reviews the data, Composite 3 will not be publicly reported on data.medicare.gov. At this time, this composite score is only available directly to each facility through the Preview Report.

    More information about the OAS CAHPS Survey measures in the Preview Reports can be found in Chapter XIV of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials menu tab on the OAS CAHPS website.

  4. Which sample months are included in the Preview Report results?
    The results included in the current Preview Report are based on OAS CAHPS Survey response data from patients who had an outpatient surgery or procedure between April 2019 and March 2020. The future anticipated public reporting periods are provided in Table 14.2 of the OAS CAHPS Survey Protocols and Guidelines Manual.
  5. My facility participated in the OAS CAHPS Survey, but there are no results shown. Why?
    OAS CAHPS Survey results are publicly reported when an HOPD or ASC has 4 quarters of OAS CAHPS Survey data. An HOPD or ASC must have had survey response data (patients who responded to the survey) in all 4 quarters included in the public reporting period for results to be publicly reported.

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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