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Healthcare Initiatives

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Health Quality Measure (HQM) Webinars for the Provider Fee Program

Nevada’s Private Hospital Medicaid Provider Fee Program requires all private hospitals participating in the program to report specific quality measures on an annual basis. The assigned quality measure is based upon hospital license type. Below are the required quality measures for each hospital type along with training webinars.

 

DTC-PAC: Discharge to the Community-Post Acute Care Webinar - February 17, 2026

This assigned hospital quality measure is for the following hospital types:

  • Long-Term Acute Care (LTAC) Hospitals
  • Freestanding Rehabilitation Hospitals

View the slide deck here

Download the LTAC Report Template here

Download the Freestanding Rehabilitation Report Template here

 

HBIPS-2: Hours of Physical Restraint Use & HBIPS-3: Hours of Seclusion Use Webinar - February 18, 2026

This assigned hospital quality measure is for the following hospital type:

  • Psychiatric Hospitals

View the slide deck here

Download the Psychiatric Report Template here

 

PC-06: Unexpected Complications in Term Newborns Webinar - February 25, 2026

This assigned hospital quality measure is for the following hospital types:

  • Critical Access Hospitals with OB services
  • Sole Community Hospitals
  • General Acute Care Hospitals with OB services

View the slide deck here

Download the Critical Access Hospitals with OB Services Report Template here

Download the Sole Community Report Template here

Download the General Acute Care Hospitals with OB Services Report Template here

 

Safe Use of Opioids - Concurrent Prescribing

This assigned hospital quality measure is for the following hospital type:

  • General Acute Care Hospitals without OB services

View the slide deck here

Download the General Acute Care Hospitals without OB Services Report Template here

 

Questions?

HQM FAQ Sheet

Center for Medicare and Medicaid Services (CMS) Hospital Quality Improvement Contract (HQIC)

Only nine (9) organizations were awarded the four-year stream of funding to support the 2020 CMS HQIC initiative, targeting quality improvement assistance to small, rural and critical access hospitals and those hospitals that have been identified by CMS as requiring technical assistance. The Health Services Advisory Group (HSAG) was one of the recipients of the funding. In March of 2020, the Nevada Hospital Association signed a subcontract agreement with HSAG to begin recruitment of the 23 qualifying hospitals.

Banner Churchill Community Hospital
Humboldt General Hospital
Saint Rose Dominican – Siena Campus
Battle Mountain General Hospital
Incline Village Community Hospital
South Lyon Medical Center
Boulder City Hospital
Mesa View Regional Hospital

Spring Valley Hospital Medical Center
Carson Valley Medical Center
Mount Grant General Hospital
Sunrise Hospital Medical Center
Centennial Hills Hospital Medical Center
Northeastern Nevada Regional Hospital
University Medical Center
Desert Springs Hospital

Pershing General Hospital
Valley Hospital Medical Center
Desert View Hospital
Renown Regional Medical Center
William Bee Ririe Hospital
Grover C. Dils Medical Center
Saint Rose Dominican – San Martin Campus

Together, we will continue to expand national progress toward improving the Centers for Medicare & Medicaid Services (CMS) three quality goals to decrease opioid misuse, increase patient safety, and increase quality of care transitions. In partnership with the NHA, the HSAG HQIC team of quality improvement advisors, infection preventionists, and analytic experts are working with qualified hospitals to provide no-cost, customized assistance to expand the use of best practices to accelerate improvement in identified areas of patient harm.

CMS has directed HQICs to use innovation to drive results, to implement data-driven quality improvement interventions by meeting the specific needs of small, rural, and critical access hospitals; those serving vulnerable populations; and hospitals facing quality improvement challenges, in ensuring the safety and quality of care delivered to all Medicare beneficiaries.

Quality Improvement Areas of Focus include:

  • Adverse Drug Events
  • Emergency Preparedness
  • Infection Prevention
  • PFE and Disparities
  • Quality and Safety
  • Readmissions and Care Transitions
  • Other Harm Areas

To find additional tools and resources, please visit:  https://www.hsag.com/en/medicare-providers/hospitals/.