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Emergency Department Length of Stay Measure Workgroups

​As part of the Rate Year 2026 Quality-Based Reimbursement program the Commission approved the addition of an Emergency Department (ED) length of stay measure specific for patients admitted to the hospital, weighted at 10 percent of the program.  Given CMS has discontinued the inpatient wait time measures, the HSCRC staff are convening the workgroups below to develop data collection, measure specifications, and incentive methodology.  Additional ED work on best practices will also be completed through another workgroup engagement in early 2024.

Objective:

  1. Subgroup 1: Develop mechanism to collect ED length of stay for patients admitted to the hospital
  2. Subgroup 2: Develop ED length of stay measure and incentive methodology for Rate Year 2026 Quality Based Reimbursement
Sub-Workgroup Descriptions:
1. ED Length of Stay Data Subgroup
Lead Staff: Oscar Ibarra and Damaria Smith
This technical subgroup will advise on the best way to collect data on ED length of stay.  Options for data collection include: 1) addition of timestamps to the HSCRC case-mix data; 2) submission of summary metrics by the hospital; 3) and use of electronic clinical quality measure infrastructure for data submission.  The workgroup will need to include those who are familiar with EHR capabilities, emergency department/hospital operations for patient flow, and quality measurement.  This group will also be asked to provide recommendations for auditing/validating the data.  The group will convene starting in late-January and should complete the assignment within 3-4 workgroup meetings occurring every 2-4 weeks. 

2. ED Measure and Incentive Methodology Subgroup
Lead Staff: Alyson Schuster and Damaria Smith
This technical subgroup will advise on the development of ED length of stay measure, including any risk-adjustment or stratification based on hospital specific factors (i.e., occupancy, discharge disposition).  The workgroup will need to include those who are familiar with quality measurement, risk-adjustment, emergency department/hospital operations, and pay-for-performance/value-based payments.  The group will convene starting in March and should complete the assignment within 3-4 workgroup meetings occurring every 2-4 weeks.

Tentative Meeting Dates:

Please Note: This webinar is offered several times. When registering using the links below, please select the date and time that works best for you.

​Subgroup
​Meeting Dates 
​Meeting Materials & Recordings
Subgroup 1 - ED Length of Stay Data
​​(Registration Link)

​Friday, Febr​uary 2nd, 2024 , 10:00 - 11:30AM

​​Friday, March 1st, 2024, 10:00 - 11:30AM
​Friday March 15th, 2024, 10:00 - 11:30AM
​​
Subgroup 2 - ED Measure and Incentive Methodology 
​(Registration Link​)

Friday, March 22nd, 2024, 10:00 - 11:30AM


​Friday, April 12th, 2024, 10:00 - 11:30AM

Friday, April 26th, 2024, 10:00 - 11:30AM​​


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