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Quality Measures Subcommittee
FY 2025 IPPS proposed rule comments
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FY 2025 IPPS proposed rule comments
On April 10, 2024, CMS released its Fiscal Year (FY) 2025 Inpatient Prospective Payment System (IPPS) proposed rule, updating payments and policies for a variety of inpatient hospital programs and initiatives. While EDPMA typically does not comment on this rule, there are two RFIs this year that might be of interest to EDPMA:
RFI on Obstetrical Services Standards for Hospitals, CAHs, and REHs
CMS plans to propose baseline health and safety standards (i.e., Conditions of Participation or CoPs) for obstetrical services in the 2025 Outpatient Prospective Payment System/Ambulatory Surgical Center (ASC) proposed rule and is seeking feedback on strategies. CMS specifically asks about:
- What types of care settings
such a CoP should apply to (e.g., hospitals with/without emergency
services; REHs; outpatient settings, which may include inpatient and
outpatient prenatal, postpartum, emergency, and birthing care services). - Existing
acceptable standards of practice, organization, and staffing for
obstetrical services in EDs and REHs, as well as regulatory barriers in
these settings. - Whether a hospital obstetrical
services CoP should include a requirement for transfer protocols for when
a non-ED patient needs care that exceed the capability of the hospital
(that is, inpatient to inpatient transfers)
CMS is also interested in feedback on requiring additional training, protocols, or equipment for hospital non-OB unit, ED, CAH, and REH staff that treat pregnant and postpartum patients as a stop-gap measure to ensure individuals living without access to maternal health care can safely and effectively receive necessary services.
RFI on Health Care Reporting to the National Syndromic Surveillance Program (NSSP)
This one is probably less relevant to EDPMA, but @rgromanhhs-com still wanted to flag. CMS seeks feedback on how it can further advance hospital participation in the NSSP, including potential incentives and burdens, to ensure that this critical data source is available at all levels of public health to support health care preparedness, public health readiness, and responsiveness to existing and emerging health threats. The primary dataset used for analysis is Emergency Department patient visit data.
Attached is a more comprehensive summary of these two RFIs, with links to relevant sections in the rule.
Do you think EDPMA should comment? If so, what is our position?
Comments on this rule are due June 10, 2024.
- What types of care settings
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