Long term care new quality measures
September 24, 2018

Reminder: Review Your Data and New Quality Measures for LTCH and IRF

Provider Preview Reports for Long-Term Care Hospitals (LTCH) and Inpatient Rehabilitation Facilities (IRF) have been uploaded to the CASPER Reporting System and are now available for review.  Providers have until October 8, 2018, to review performance on quality measures based on first quarter 2017 through fourth quarter 2017.

Corrections to the underlying data are outside of the preview window and are no longer permitted.  However, providers can request a CMS review during the preview period if they believe their displayed data scores are inaccurate.

Long-Term Care Hospital

There are five new quality measures that will be published to LTCH Compare in December 2018.

Assessment-based measures:

  1. Percent of LTCH Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function
  2. Application of Percent of LTCH Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function
  3. Application of Percent of Residents Experiencing One or More Falls with Major Injury

Claims-based measures:

  1. Medicare Spending Per Beneficiary: Post-Acute Care (PAC) LTCH Quality Reporting Program (QRP)
  2. Discharge to Community: PAC LTCH QRP

CMS has decided not to publish a sixth quality measure, Potentially Preventable 30-Day Post-Discharge Readmissions, in its December 2018 publication.  The additional time and testing will ensure that the future publicly reported measure is thoroughly evaluated so that Compare users can depend on an accurate picture of provider quality.

For guidance on accessing your Provider Preview Report, refer to the LTCH Preview Report Access Instructions, available on the LTCH QRP Public Reporting website.

Inpatient Rehabilitation Facility

Four new quality measures will be reported to IRF Compare in December 2018.

Assessment-based measures:

  1. Application of Percent of LTCH Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function
  2. Application of Percent of Residents Experiencing One or More Falls with Major Injury

 Claims-based measures:  

  1. Medicare Spending Per Beneficiary: PAC IRF QRP
  2. Discharge to Community: PAC IRF QRP

CMS has decided not to publish two additional quality measures, Potentially Preventable 30-Day Post-Discharge Readmissions and Potentially Preventable Within-Stay Readmissions, at this time.  This additional time and testing will ensure that the future publicly reported measures are thoroughly evaluated so that Compare users can depend on an accurate picture of provider quality.

For guidance on accessing your Provider Preview Report refer to the IRF Provider Preview Report Access Instructions, available on the IRF QRP Public Reporting website.

PYA can help you interpret your Provider Preview Report and develop strategies to positively impact it going forward.  For assistance, contact one of our PYA executives below at (888) 420-9876.

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