Ready or Not, Here it Comes: Preparing to Submit the CMS Health Equity Structural Measure

Prepared by IPRO

Hospitals participating in the CMS Inpatient Quality Reporting (IQR) Program are required to submit structural measures for CY2023 into the CMS Hospital Quality Reporting system. Submissions are due between April 1, 2024 – May 15, 2024.

One of the required structural measures is the Hospital Commitment to Health Equity. In this 30-minute session, IPRO will share what you will need to report to CMS, which documentation you will need to support your submission, the optional Social Drivers of Health process measures, and what’s coming related to health equity for the CY2024 Hospital Quality Reporting programs.

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Presentation Slides

Hospital Commitment to Health Equity Submission Tool: This fillable PDF resource created by IPRO may be helpful for preparing for attestation of the CMS Hospital Commitment to Health Equity Measure.

REaL Data Collection Toolbox

Prepared by IPRO HQIC

This Learning Toolbox focuses on healthcare facilities collecting data on race, ethnicity, and language preference (REaL) as an important component of the provision of equity in the healthcare setting. It includes a quick primer on data collection, and provides links to articles, tools, and resources to educate providers on the importance of knowing the diverse patient population for which they provide care.

AHA Series: Social Determinants of Health

Prepared by the American Hospital Association (AHA)

The AHA is working to support hospitals and health systems as they address social determinants of health, eliminate health care disparities and provide comprehensive care to every patient in every community—all of which improve community health.

This series is organized by topic, and currently includes modules for: food, housing, transportation, health behaviors, violence, and more.

Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE)

National Association of Community Health Centers

This resource contains the set of national core measures as well as a set of optional measures for community priorities. It was informed by research, the experience of existing social risk assessments, and stakeholder engagement. It aligns with national initiatives prioritizing social determinants (e.g., Healthy People 2020), measures proposed under the next stage of Meaningful Use, clinical coding under ICD-10, and health centers’ Uniform Data System (UDS).

Building an Organizational Response to Health Disparities: Five Pioneers from the Field

Centers of Medicare and Medicaid Services (CMS), Office of Minority Health (OMH)

Learn how five organizations have made a business case for addressing disparities in health care quality and access. Organizations such as hospitals, health plans, health systems, and others may see their own motivations and challenges reflected in these examples. These case studies increase the evidence base for health organizations in support of building a business case to reduce health disparities.

DISPARITIES IMPACT STATEMENT

Centers for Medicare and Medicaid Services (CMS), Office of Minority Health (OMH)

Learn how to identify, prioritize, and take action on health disparities by championing the Disparities Impact Statement in your organization. Participants receive personalized technical assistance focused on
strengthening your quality improvement program through a series of consultations from subject matter experts.

A Practical Guide to Implementing the National CLAS Standards: For Racial, Ethnic and Linguistic Minorities, People with Disabilities and Sexual and Gender Minorities

Centers of Medicare and Medicaid Services (CMS), Office of Minority Health (OMH)

The purpose of this toolkit is to enable organizations to implement the National CLAS Standards and improve health equity. It is organized according to the enhanced National CLAS Standards, and provides practical tools and examples of CLAS, in addition to efforts to implement the National CLAS Standards that can be adapted for use by health care organizations. It is intended for organizations that have already decided to pursue CLAS, to improve equity and eliminate health care disparities.

Guide to Developing a Language Access Plan

Centers of Medicare and Medicaid Services (CMS), Office of Minority Health (OMH)

Effective communication is critical to ensuring understanding, empowering patients, and providing high quality care. A language access plan can help ensure that an organization provides high quality and appropriate language services. This guide identifies ways that providers can assess their programs and develop language access plans to ensure persons with limited English proficiency have meaningful access to their programs.