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Reducing Rates of Hypercalcemia

As directed by the 2017 Statement of Work, Network 8 selected ten facilities with poorest performance on the Quality Incentive Program (QIP) hypercalcemia measure as determined by analysis of July 2015 - June 2016 hypercalcemia measure data supplied by Arbor Research, a CMS data contractor. Included in the project are five Alabama facilities, two Mississippi facilities and three Tennessee facilities. Project goal is to successfully implement Plan-Do-Study-Act cycle in each intervention facility so that a > 25% relative improvement over baseline is obtained by July 2017.

Payment Year 2019 includes a hypercalcemia measure which reports a 3-month rolling average of total uncorrected serum calcium greater than 10.2 mg/dL. The achievement threshold for this measure (15th percentile) is 4.24% and the benchmark (50th percentile) is 0.32%. The performance standard (median) is 1.85%.