Advocacy & News

IRF Quality Reporting Program

Inpatient rehabilitation hospitals and units (IRH/Us) are committed to improving the quality of care delivered to their patients, and have engaged in a variety of mechanisms for identifying quality metrics appropriate to this setting since 1985.

Since 2012, IRH/Us have reported quality measures to the Centers for Medicare and Medicaid Services (CMS) pursuant to the Inpatient Rehabilitation Facility Quality Reporting Program (IRF QRP) as a condition precedent to receiving full payment under Medicare.

As of October 2018, the IRF QRP includes the following quality measures:

  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
  • National Healthcare Safety Network (NHSN) Catheter Associated Urinary Tract Infection (CAUTI) Outcome Measure (NQF #0138)
  • NHSN Facility-wide Inpatient Hospital-onset Methicillin resistant Staphylococcus aureus (MRSA) Bacteremia Outcome Measure (NQF #1716)
  • Influenza Vaccination among Healthcare Personnel (NQF #0431)
  • NHSN Facility-wide Inpatient Hospital-onset Clostridium difficile Infection (CDI) Outcome Measure (NQF #1717)
  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) (NQF #0674)
  • Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function (NQF #2631)
  • IRF Functional Outcome Measure: Change in Self-Care for Medical Rehabilitation Patients (NQF #2633)
  • IRF Functional Outcome Measure: Change in Mobility Score for Medical Rehabilitation Patients (NQF #2634)
  • IRF Functional Outcome Measure: Discharge Self-Care Score for Medical Rehabilitation Patients (NQF #2635)
  • IRF Functional Outcome Measure: Discharge Mobility Score for Medical Rehabilitation Patients (NQF #2636)
  • Medicare Spending per Beneficiary (MSPB)–PAC IRF QRP
  • Discharge to Community–PAC IRF QRP
  • Potentially Preventable 30-Day Post-Discharge Readmission Measure for IRF QRP
  • Potentially Preventable Within Stay Readmission Measure
  • Drug regimen Review Conducted with Follow-Up for Identified Issues – PAC IRF QRP

CMS Links:

For Providers: