Hospital Reporting for Payment. Three times per year, the Public Hospital seeking payment under the PHTII must submit reports to the Commonwealth demonstrating progress on PHTII projects, measured by metrics achieved during the reporting period. The Commonwealth must provide such reports to the assigned independent assessor. The reports must be submitted using the standardized reporting form approved by EOHHS and CMS. The reports must include the incentive payment amount being requested for the progress achieved on PHTII metrics in accordance with payment mechanics (see Section VI. “Disbursement of PHTII Funds”). The report must include data on the progress made for all demonstration year metrics and must provide a narrative description of the progress made; the first two reports each year must furthermore provide a narrative explaining how the hospital will achieve the remaining metrics for each project before the end of the year. The hospital must submit, as an attachment to the report form, a copy or list of the data source as identified per metric in the hospital’s approved PHTII plan to demonstrate achievement of each PHTII metric for which the hospital is seeking an incentive payment.21 The reports must contain sufficient data and documentation to allow CMS, the state, and the independent assessor to determine if the hospital has fully met the specific metric. The third report each year will also provide a narrative description of the progress made, lessons learned, challenges faced, and other pertinent findings. The hospital system must have available for review by the Commonwealth or CMS, upon request, all supporting data and back-up documentation. These reports will be due as indicated below after the end of each reporting period: Reporting period of July 1 through October 31: the report and request for payment is due November 30. Reporting period of November 1 through March 31: the report and request for payment is due April 30. Reporting period of April 1 to June 30: the report and request for payment is due July 31. The Commonwealth may permit the reporting for payment of specified outcomes measures, including those on Measure Slate 1, subsequent to the July 31, 2016 and July 31, 2017 reports in recognition that additional time may be needed for necessary data to be available. 20 For non-confidential data sources, the hospital will provide a copy of the data source itself; in the case that a copy of the data itself would compromise confidential patient data, the hospital may ...
Hospital Reporting for Payment. Participating providers seeking payment under DSTI must submit reports to the state demonstrating progress, measured by Category specific metrics. The reports must include the incentive payment amount being requested for the progress achieved in accordance with the payment mechanisms outlined in the master DSTI plan. The required hospital reporting requirements, process and timeline are pursuant to the reporting protocol, state review process and funding protocol as outlined in section VIII and must be consistent with the following principles:
