Percentage of patient/resident stays in which a drug regimen review was conducted at the time of admission and timely follow-up with a physician occurred each time potential clinically significant medication issues were identified throughout that stay.

Total number of patient stays in the denominator meeting each of the following two criteria: 1) The facility conducted a drug regimen review on admission and: a) No potential or actual clinically significant medication issues were found during the review; or b) Potential or actual clinically significant medication issues were found during the review and a physician (or physician designee) was contacted and prescribed/recommended actions were completed by midnight of the next calendar day; or c) The patient was not taking any medications. 2) Appropriate follow-up occurred each time a potential or actual clinically significant medication issue was identified during the stay; or no potential or actual clinically significant medication issues were identified since admission or patient was not taking any medications.

Any patient stays (Medicare Part A or Medicare Advantage) during the reporting period.

None

None

None

Data collected using Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) and submitted to the Centers for Medicare & Medicaid Services (CMS) via the Internet Quality Improvement and Evaluation System (iQIES).

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=1990&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

www.cms.gov/medicare/quality/inpatient-rehabilitation-facility/irf-pai-and-irf-qrp-manual#:~:text=The%20Inpatient%20Rehabilitation%20Facility%20Patient,Quality%20Reporting%20Program%20(QRP). www.cms.gov/files/document/irf-pai-version-42-effective-10-01-24.pdf