CMS Pub. 100-16, ch. 5, § 30.2.2

Individual member level data will not be provided to plans after baseline data collection.

However, organizations will receive the following from CMS:

1. HOS Baseline Report - This report will be made available to all plans participating

in the previous year's baseline cohort. This quality improvement tool, which

presents an aggregate overview of the baseline health status of each MAO's

Medicare enrollees, was developed and extensively tested to ensure that MAOs

would find the data useful and actionable. Each MAO’s QIO will also receive

electronic copies of the baseline reports and is available to collaborate with MAOs

on interpreting the data, identifying opportunities to improve care, assisting with

planning effective, measurable interventions, and evaluating and monitoring the

results of your interventions. Using data from the HOS to plan and conduct a

quality improvement project may fulfill one of the QI program requirements. All

report distribution occurs electronically through HPMS. MAOs are also alerted of

all HOS report and data availability through HPMS.

2. HOS Performance Measurement Report and Data - After the administration of

each follow up cohort, a cohort specific performance measurement report is

produced. Survey responses from baseline and follow up are merged to create a

performance measurement data set. The HOS performance measurement results

are computed using a rigorous case mix/risk adjustment model. The resulting

aggregation of these scores across beneficiaries within a plan yields the HOS plan

level performance measurement results. The performance measurement reports

and corresponding data results are designed to support MAO quality improvement

activities.

3. HOS-M Summary Reports - After each yearly administration of the Medicare

HOS-M, a plan specific report is produced and is available for each organization

participating in the survey. The HOS-M report focuses on PACE plans serving

frail and elderly beneficiaries, and provides a summary of demographic

information, physical and mental health status, and selected health status

measures. The corresponding beneficiary level data for a report are also made

available to participating PACE plans.

All distribution of HOS-M reports occurs electronically to participating PACE

organizations through HPMS. Plans are also alerted of report and data

availability through HPMS.

4. Survey Vendor Reports - The vendors administering the survey may provide you

with reports on the progress of mail and telephone survey administration. Each

report may consist of data on the number of surveys issued during the first and

second survey mailings, the number of surveys returned completed or partially

completed, the number of sampled members for whom a survey could not be

obtained (e.g., due to death, disenrollment, language barrier), and mail and

telephone response rate calculations.

MAOs should not ask their survey vendor for additional analyses or member specific

data. They are prohibited from providing this type of information. Requests for

interpretation of the data or more detailed analyses of the data should be directed to each

MAO’s State QIO.