Potentially Preventable 30-Day Post-Discharge Readmission Measure for Inpatient Rehabilitation Facility Quality Reporting Program
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Risk-standardised rate of unplanned, potentially preventable readmissions for patients who receive services in inpatient rehabilitation facilities.
Numerator
The risk-adjusted estimate of the number of potentially preventable readmissions that occurred within 30 days from discharge.
Denominator
The risk-adjusted expected number of potentially preventable readmissions.
Exclusions
Patients/residents who died during the IRF stay; less than 18 years old; transferred at the end of a stay to another IRF, LTCH or short-term acute care hospital; did not have a short-term acute-care stay within 30 days prior to a IRF admission date; discharged against medical advice; for whom the prior short-term acute-care stay was for nonsurgical treatment of cancer; IRF stays with data that are problematic (e.g., anomalous records for hospital stays that overlap wholly or in part, or are otherwise erroneous or contradictory).
Use of Risk Adjustment
Risk Adjustments
Demographic and eligibility characteristics; principal diagnoses; types of surgery or procedure from the prior short-term stay; comorbidities; length of stay and ICU/CCU utilisation from the immediately prior short-term stay; and number of admissions in the year preceding the PAC admission.
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Medicare claims data submitted for Medicare Fee-For-Service patients.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (CMS, and providers) CMS Care Compare - Inpatient rehabilitation facilities and Provider Data Catalogue (CMS, providers and publicly reported).
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Daras LC, Deutsch A, Ingber MJ, Hefele JG, Perloff J. Inpatient rehabilitation facilities' hospital readmission rates for medicare beneficiaries treated following a stroke. Top Stroke Rehabil. 2021 Jan;28(1):61-71. doi: 10.1080/10749357.2020.1771927. Epub 2020 Jul 11. PMID: 32657256. www.cms.gov/medicare/quality/inpatient-rehabilitation-facility/irf-quality-reporting-measures-information
Technical Specifications
cmit.cms.gov/cmit/#/MeasureView?variantId=2042§ionNumber=1 www.cms.gov/files/document/irf-qm-calculations-and-reporting-users-manual-v50.pdf www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/IRF-Quality-Reporting/Downloads/Measure-Specifications-for-FY17-IRF-QRP-Final-Rule.pdf