Transfer of Health Information to the Patient–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 patient or caregiver at discharge.
Numerator
The numerator is the number of stays for which the IRF-Patient Assessment Instrument (IRF-PAI) indicated that the following is true: At the time of discharge, the facility provided a current reconciled medication list to the patient, family, and/or caregiver (A2123 = [1]).
Denominator
The denominator is the total number of IRF stays with a discharge date in the measure target period, ending in discharge to Home (private home/apartment, board/care, assisted living, group home, transitional living, or other residential care arrangements). Discharge to one of these locations is based on response to the discharge location item, 44D, of the IRF-PAI assessment: (44D = [01, 99]).
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)