Public Reporting of OAS CAHPS Data will not be refreshed in April 2022
folder_openPublic Reportingcalendar_todayPosted March 2, 2022

In accordance with the Quality Reporting announcement (below), the Hospital Public Reporting measure data, including OAS CAHPS Survey results, will not be updated in April 2022 on CMS' websites (Provider Data Catalog [PDC] and Care Compare). OAS CAHPS data posted in January 2022 will remain until the next update, which is scheduled for July 2022. Preview reports with the April refresh data will be posted for the participating HOPDs and ASCs.

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


From: Quality Reporting Notification < >
Sent: Friday, February 11, 2022 8:25 AM
Subject: [Hiqr-notify] 2021 OP-10 Data will be Updated to Correct Identified Error; Overall Hospital Quality Star Rating Publication and Hospital Public Reporting measure data will not be updated in April 2022...

The Centers for Medicare & Medicaid Services (CMS) has identified an error in the calculation of OP-10 (Abdomen Computed Tomography [CT]-Use of Contrast Material) measure results used for calendar year (CY) 2021 public reporting with a measurement period of July 1, 2019 - December 1, 2019 under the Hospital Outpatient Quality Reporting (OQR) Program[1]. As a result of this issue and a commitment to data accuracy, CMS will update the 2021 OP-10 measure results as well as the Overall Hospital Quality Star Ratings on Care Compare in July 2022 to correct the error and reflect the accurate results. Note, data for the Hospital Value- Based Purchasing Program will be updated in the Provider Data Catalog in April 2022.

Impact to the Hospital OQR Program

CMS is correcting the calculation error and will update the CY 2021 OP-10 measure results. Hospitals will then have the opportunity to preview their updated CY 2021 OP-10 measure results in the Spring 2022 Facility-Specific Reports (FSRs) prior to public reporting the updated results in Summer 2022.

The CY 2021 OP-10 measure results were used for CY 2022 payment determination under the OQR program. No additional data or other actions are required from hospitals to re-calculate the OP-10 measure, and will not impact CY 2022 payment determinations. In addition, there are no impacts to the other CY 2021 Outpatient Imaging Efficiency (OIE) measures because their results are correct.

To minimize stakeholder confusion, CMS is also delaying the public reporting of CY 2022 OP-10 measure results. These measure results are for CY 2023 payment determination, and were initially scheduled for preview release in Spring 2022. CMS intends for the calculation error to be corrected in this and in future reporting of results for the OP-10 measure.

Impact to Care Compare Overall Hospital Quality Star Ratings

As the July 2021 measure data are used in the calculation of the 2022 Overall Star ratings, CMS will not update Overall Hospital Quality Star Ratings on Care Compare in April 2022, as scheduled.

Instead, CMS anticipates providing updated Overall Star Ratings Hospital-Specific Reports (HSRs) in Spring 2022 and publicly reporting updated Overall Star Ratings results in Summer 2022.

The OP-10 measure data is included in the Timely & Effective Measure Group of the Overall Star Ratings. To ensure the most accurate calculation of the Overall Star Ratings, CMS aims to include the corrected OP-10 measure results in the 2022 Overall Star Ratings.

For More Information

Additional details and technical specifications for the OIE measures are available by visiting the Imaging Efficiency Measures landing page on QualityNet.

If you have questions related to the OIE measures, please submit your inquiry to the QualityNet Q&A Tool (select "OQR-Outpatient Quality Reporting" in the Program dropdown menu).

For questions related to impacts to the Care Compare overall rating, please submit your inquiry to the Overall Star Rating Team via the QualityNet Question and Answer tool. (select "Overall Star Ratings" in the Program dropdown menu).

[1] Per March 27, 2020 guidance memo regarding exceptions and extensions, CMS granted an exception for reporting requirements under the Hospital Outpatient Quality Reporting (OQR) Program per 42 CFR 419.46(d)(2) for all claims-based measures data from encounters occurring from January 1, 2020-June 30, 2020.