Risk-standardised rate of unplanned, potentially preventable readmissions for patients who receive services in inpatient rehabilitation facilities

The risk-adjusted estimate of the number of potentially preventable readmissions that occurred during the IRF stay.

The risk-adjusted expected number of potentially preventable readmissions.

1. Patients less than 18 years old. 2. Patients who were not continuously enrolled in Part A fee-for-service Medicare for the 12 months prior to the IRF admission date and during the index IRF stay. 3. Patients who did not have a short-term acute-care stay within 1 day prior to an IRF admission date. 4. Patients discharged against medical advice (AMA). 5. Patients for whom the prior short-term acute-care stay was for nonsurgical treatment of cancer. 6. Patients who were transferred to a federal hospital from the PAC facility. 7. Patients who received care from a provider located outside of the United States, Puerto Rico, or a U.S. territory. 8. 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).

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.

Medicare claims data submitted for Medicare Fee-For-Service (FFS) patients

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)

www.cms.gov/medicare/quality/inpatient-rehabilitation-facility/irf-quality-reporting-measures-information

cmit.cms.gov/cmit/#/MeasureView?variantId=2048&sectionNumber=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