Transfer of Health Information to the Patient 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
Timeliness
Domain
Communication

Defining Attributes

Definition

The percentage of long-term care home (LTCH) patient stays with a LTCH CARE Data Set discharge assessment indicating that a current reconciled medication list was provided to the patient, family and/or caregiver at the time of discharge.

Numerator

The number of LTCH patient stays with a LTCH CARE Data Set discharge assessment indicating that a current reconciled medication list was provided to the patient, family and/or caregiver at the time of discharge.

Denominator

The total number of LTCH patient stays, regardless of payer, ending in discharge to the following settings only: a private home/ apartment (apt.), board/care, assisted living, group home, or transitional living.

Exclusions

Patients who died are not included in this measure. Exclude patients discharged home under the care of an organised home health service or hospice.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Collection and Reporting 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) Will be reported from September 2024 on 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
02 December 2025