Drug Regimen Review Conducted With Follow-Up for Identified Issues - Post-Acute Care

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Long-Term Care Hospital Quality Reporting Program
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Domain
Medication-Related

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
No
Risk Adjustments

None

Stratifications

None

Data Attributes

Type of Data Collection
Standardised clinical data
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
12-month target period, updated monthly at the facility and patient level
Frequency of Data Collection in Days
30
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.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

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