Transfer of Health Information to the Provider–Post-Acute Care

Identifying Attributes

Care Settings
Rehabilitation Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP)
Type of Quality Indicator
Process
IOM Quality Dimension
Efficiency
Domain
Person-Centred Care

Defining Attributes

Definition

Percentage of inpatient rehabilitation facility (IRF) stays indicating current reconciled medication list was transferred to subsequent provider at discharge.

Numerator

The numerator is the number of stays for which the IRF-PAI indicated that the following is true: At the time of discharge, the facility provided a current reconciled medication list to the subsequent provider (A2121 = [1]).

Denominator

The denominator is the total number of IRF stays with a discharge date in the measure target period, ending in discharge to a short-term general hospital, a skilled nursing facility (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 long-term care hospital (LTCH), a Medicaid nursing facility, an inpatient psychiatric facility, or a critical access hospital. Discharge to one of these providers is based on response to the discharge location item, 44D, of the IRF-PAI assessment: (44D = [02, 03, 04, 06, 50, 51, 61, 62, 63, 64, 65, 66]).

Exclusions

There are no denominator exclusions for this measure.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

This measure is not stratified.

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Effective on October 1, 2022, the IRF-PAI Version 4.0 is used to collect and submit assessment data for the IRF QRP.

Frequency of Data Collection
Quarterly
Frequency of Data Collection in Days
91
Reporting Methods

Internet Quality Improvement and Evaluation System (iQIES).

Reporting Frequency
Quarterly
Reporting Frequency in Days
91
Indicator Has Recommended Targets
Yes

Source and Reference Attributes

Evidence Source

Centers for Medicare & Medicaid Services (CMS), United States. Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Measures Information. Accessed August 3, 2023. Available from: www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/irf-quality-reporting/irf-quality-reporting-program-measures-information-.

Centers for Medicare & Medicaid Services (CMS), United States. Inpatient Rehabilitation Facility Quality Reporting Program Measure Calculations and Reporting User’s Manual. Accessed August 3, 2023. Available from: www.cms.gov/files/document/irf-quality-measure-calculations-and-reporting-users-manual-v40.pdf.

Link to Measurement Tools

Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI)

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)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025