Outpatient Hospitals Down One Quality Reporting Measure

Effective immediately, the Centers for Medicare & Medicaid Services (CMS) is removing OP-16 Troponin results for emergency department acute myocardial infarction (AMI) patients or chest pain patients (with probable cardiac chest pain) received within 60 minutes of arrival from its hospital Outpatient Quality Reporting (OQR) program.Measure OP-16 was adopted for the 2013 payment determination with data collection beginning with Jan. 1, 2012 encounters, according to a CMS SDPS memorandum made public by the American Health Association (AHA).

On July 11, however, the Food and Drug Administration (FDA) issued a class 1 recall on several point-of-care testing kits, including those providing Troponin results.

Based on patient safety concerns, CMS will not publicly report, validate, or use any data collected on OP-16 in the 2013 payment determination.

CMS is unable to immediately cease data collection in the system. To overcome this limitation, hospitals should work with their vendors to determine options for populating the OP-16 data field. Hospitals should not submit a blank value for the measure because an empty field will cause a case to be rejected, and this could affect a hospital’s ability to meet hospital OQR requirements to receive a full hospital outpatient annual payment update.

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