In October 2023, the Centers for Medicare & Medicaid Services (CMS) released Stratified Health Equity Confidential Feedback Reports for post-acute care providers, including skilled nursing facilities, to identify individuals in their patient populations who are at risk for increased poor health outcomes due to social risk factors (SRFs), including low-income status or race/ethnicity. These reports can be used by providers to develop strategies using their internal quality improvement initiatives to reduce the impact of SRFs for their patients.

To develop these reports, CMS used data from Medicare Part A and B claims, Medicare enrollment data, and the Medicare Bayesian Improved Surname Geocoding method (used to estimate beneficiaries’ race and ethnicity). Two reports are available based on the following cross-setting, post-acute measures:

  1. Discharge to Community (DTC): captures the successful discharge to the community from the given post-acute setting meaning no unplanned rehospitalizations’ or deaths in the 31 days post-discharge.
  2. Medicare Spending Per Beneficiary (MSPB): captures the efficiency of care per post-acute care treatment period and for 30 days after including the costs of emergency room or hospital admissions.

Great Plains QIN provided an overview of the reports on a nursing home BOOST call in December. If you missed it and are interested in learning more, access the recording below:

Access the Recording.

To access your agency or facility reports follow these steps:

  1. Log into iQIES using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) user ID and password. If you do not have a HARP account, you may register for a HARP ID.
  2. From the Reports menu, select My Reports.
  3. From the My Reports page, locate and select the Health Equity Confidential Feedback Reports folder link.
  4. Displayed for you is a list of reports available for download.
  5. Select the report name link to view the Health Equity Confidential Feedback Report data

Additional Resources