Percentage of Inpatient Rehabilitation Facility Patients Who Experience One or More Falls With Major Injury During Their Inpatient Rehabilitation Facility Stay
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients/residents who experience one or more falls with major injury during inpatient rehabilitation facility (IRF) stay.
Numerator
Total number of IRF stays in the denominator during the selected time window that experienced one or more falls that resulted in major injury: J1900C = [1] or [2].
Denominator
The total number of IRF stays with a discharge date in the measure target period, which do not meet the exclusion criteria.
Exclusions
An IRF stay is excluded if the number of falls with major injury was not coded at discharge: J1900C (Falls with Major Injury).
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
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. Calculation for facility-level observed score: Divide the facility's numerator count (Step 3) by its denominator count (Step 2) to obtain the facility-level observed score, and then multiply by 100 to obtain a percent value.
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 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.
Centers for Medicare & Medicaid Services (CMS), United States. Inpatient rehabilitation facilities - The Measures. Accessed August 3, 2023. Available from: data.cms.gov/provider-data/topics/inpatient-rehabilitation-facilities/measures.
Technical Specifications
Technical specifications: www.cms.gov/files/document/irf-quality-measure-calculations-and-reporting-users-manual-v40.pdf
Summary of measures: data.cms.gov/provider-data/topics/inpatient-rehabilitation-facilities/measures
Link to Measurement Tools
Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI)