Drug Regimen Review Conducted With Follow-Up for Identified Issues - Post-Acute Care
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patient 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.
Numerator
The number of patient stays in the denominator meeting each of the following two criteria: 1. The LTCH conducted a drug regimen review on admission and: a) No potential and actual clinically significant medication issues were found during the review; or b) potential and actual clinically significant medication issues found drug review and then a physician 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 every 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 the admission or patient was not taking any medications.
Denominator
The number of patient stays with a discharge or expired assessment during the reporting period.
Exclusions
None
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Data Attributes
Type of Data Collection
Data Collection Methods
Data collected using the LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) and submitted to the Centers for Medicare & Medicaid Services (CMS) via the Internet Quality Improvement and Evaluation System (iQIES). The Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) is the assessment instrument LTCH providers use to collect patient assessment data in accordance with the LTCH Quality Reporting Program (QRP). Patient assessment data is collected on all patients at admission, discharge (planned or unplanned), and for patients who die (expired). The LCDS Version 5.0 was implemented October 1, 2022 and is currently in use.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Long-Term Care Hospital Quality Reporting Program (CMS and Providers) CMS Care Compare - Long-term care hospitals and Provider Data Catalogue (Publicly reported) www.cms.gov/medicare/quality/long-term-care-hospital/ltch-quality-public-reporting.