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 January 2020, the IRF QRP includes the following quality measures:
- National Healthcare Safety Network (NHSN) Catheter Associated Urinary Tract Infection (CAUTI) Outcome Measure (NQF #0138)
- 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
- Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
CMS Links:
For Providers: