OphthalmicASC Aug

AUG 2017

Issue link: https://ophthalmologymanagementsupplements.epubxp.com/i/856591

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T H E O P H T H A L M I C A S C | A U G U S T 2 0 1 7 18 W hile recently delayed, ultimately it is still pos- sible that any ASC that sees 60 or more eligible patients per year will need to contract with a Centers for Medicare and Medicaid (CMS)-approved vendor to admin- ister the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey. Despite the delay (and possible major changes or even total elimination), it is important to be proactive when confronted with regulatory change. This article was written to encourage and inspire ASC owners and managers to use the now-extended voluntary time to prepare for OAS CAHPS, so they will be in the best possible position when a final ruling takes place. Why Consider Early Participation? Although the OAS CAHPS program is already open for voluntary submissions in 2017, very few ASCs have taken the plunge. However, Albert Castillo, CEO of San Antonio Eye Center, is moving his surgery center toward compliance. He admits that, like most ASC direc- tors, he was putting it off quite simply "because there was time." Yet, he figured there might be trouble if he waited much longer because of the limited number of approved vendors compared with the large number of surgery centers and hospital outpatient departments (HOPDs) that will be required to participate. "Most likely, the vendors will be over- whelmed, presuming most centers will wait until mandatory participation is required," Castillo says. ASC managers discuss the benefits of early adoption OAS CAHPS Survey: How to Get Started O A S C | P AT I E N T S U R V E Y S By Maureen Waddle, MBA, and Jolynn Cook, RN EDITOR'S NOTE: This article was written prior to the July 13, 2017 CMS notification that the OAS-CAHPS survey will be delayed and the anticipated Jan. 1, 2017 mandate will be postponed. According to a subsequent press release from the Outpatient Ophthalmic Surgery Society (OOSS), "CMS is proposing to delay the mandatory implementation of the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) under the ASCQR Program for CY 2018 data collection. For years, OOSS has raised serious concerns with respect to the size and content of, and administrative and financial burdens associated with, the survey and joined the ASC community in lobbying for delay in requiring that facilities participate." In addition to OOSS, the OAS-CAHPS.org website published the following update on July 14, 2017, "In this proposed rule, CMS proposes to delay implementation of the OAS CAHPS Survey Based Measures beginning with the CY 2020 payment determination (2018 data collection) until further action in future CMS-1678-P 477 rulemaking. CMS will continue to analyze the national implementation data and consider any necessary modifications to the survey tool and/or CMS systems." In consideration of the delay, the authors of this article believe that the advice contained herein is still applicable to the proposed rule, presuming that it ultimately takes effect and, furthermore, that HOPD or ASC adminis- trators choosing to be proactive in patient/consumer surveys will find the content useful for CMS man- dated surveys. At the time of this publication, it is unclear as to when, or if, a new date will be released.

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