Potentially Preventable 30-Day Post-Discharge Readmission Measure for Inpatient Rehabilitation Facility Quality Reporting Program

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Inpatient Rehabilitation Facility Quality Reporting Program
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Hospitalisation

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
Yes
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
Administrative data
Data Collection Methods

Medicare claims data submitted for Medicare Fee-For-Service patients.

Frequency of Data Collection
Calculated based on a rolling 24 months of data. Refreshed annually
Frequency of Data Collection in Days
365
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
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

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

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025