Transfer of Health (TOH) Information to the Provider–Post-Acute Care (PAC)
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of inpatient rehabilitation facility (IRF) patient stays with an IRF-PAI discharge assessment indicating that a current reconciled medication list was provided to the subsequent provider at the time of discharge/transfer. Process-based measure that assesses whether or not a current reconciled medication list was provided to the subsequent provider when the patient was discharged or transferred from a Post-Acute Care setting to a subsequent provider.
Numerator
Number of IRF patient stays with an IRF-PAI discharge assessment indicating that a current reconciled medication list was provided to the subsequent provider at the time of discharge/transfer.
Denominator
The total number of IRF Medicare Part A and Medicare Advantage (Part C) patient stays ending in discharge to the following settings only: a short-term general hospital, a SNF, intermediate care, home under care of an organised home health service organisation or hospice, hospice in an institutional facility, a swing bed, another IRF, a LTCH, a Medicaid nursing facility, an inpatient psychiatric facility, or a critical access hospital.
Exclusions
Patients who died
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
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).
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (CMS, and providers) Will be reported on CMS Care Compare - Inpatient rehabilitation facilities
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Technical Specifications
cmit.cms.gov/cmit/#/MeasureView?variantId=5115§ionNumber=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