Transfer of Health Information to the Provider–Post-Acute Care
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
None
Stratifications
This measure is not stratified.
Data Attributes
Type of Data Collection
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
Frequency of Data Collection in Days
Reporting Methods
Internet Quality Improvement and Evaluation System (iQIES).
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
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.
Technical Specifications
Inpatient Rehabilitation Facility - Quality Reporting Program: www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/irf-quality-reporting/irf-quality-reporting-program-measures-information-
Technical specifications: 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)