Beginning in fall 2016, CMS will publicly report IRF quality data on the IRF Compare website.
CMS will publicly report performance data on three quality measures:
- Percent of residents or patients with pressure ulcers that are new or worsened (short stay) – NQF #0678
- National Healthcare Safety Network (NHSN) Catheter-Associated Urinary Tract Infection (CAUTI) outcome measure – NQF #0138
- All-cause unplanned readmission measure for 30 days post-discharge from Inpatient Rehabilitation Facilities – NQF #2502
Inpatient Rehabilitation Facility (IRF) and Long-term Care Hospital (LTCH) Quality Reporting Program (QRP) Provider Preview Reports are available until September 30, 2016. Review your performance data on each quality measure prior to public display on the IRF Compare or LTCH Compare websites.
Caregivers certified prior to hire can help increase quality scores. Ask if your caregiver has been educated and certified by CertifiedCare.org prior to hiring.
What’s Inpatient Rehabilitation Facilities (IRF) Quality Reporting Program (QRP)?
The IRF QRP creates IRF quality reporting requirements, as mandated by Section 3004(a) of the Patient Protection and Affordable Care Act (ACA) of 2010. Every year, by October they publish the quality measures you must report.
Section 3004(b) of the ACA directs the Secretary amends section 1886(j)(7) of the Social Security Act (SSA) to establish quality reporting requirements for IRFs.
What happens if quality data isn’t reported?
For fiscal year 2014, and each year after, if you don’t submit the required quality data, the result shall be a two (2) percentage point reduction in your annual payment update.
Who can see the reported data?
CMS must make quality data available to the public and give you the opportunity to review the data before it’s made public.
To learn more about ACA Section 3004 (Quality Reporting for Long-Term Care Hospitals (LTCH), Inpatient Rehabilitation Facilities (IRF), and Hospice Programs) go to: