Potentially Preventable Within Stay Readmission Measure
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Potentially Preventable Within Stay Readmission Measure.
Numerator
The potentially preventable readmission (PPR) definition for the inpatient rehabilitation facility (IRF) within-stay measure was developed concurrently with the definition used in the post-discharge measures.
Denominator
The IRF within-stay measure includes all IRF discharges after the appropriate exclusions have been applied.
Exclusions
Denominator Exclusions: IRF Within Stay Measure Several of the exclusions listed for the IRF post-discharge measure apply to the IRF within-stay measure except for the following: Exclusion related to: patients/residents who died during the post-acute care (PAC) stay Exclusion related to patients/residents who were transferred at the end of a stay to another skilled nursing facility (SNF)/IRF/long-term care hospital (LTCH) or short-term acute care hospital Exclusion related to patients/residents who were not continuously enrolled in Part A FFS Medicare for the 12 months prior to the SNF/IRF/LTCH admission date, and at least 30 days after SNF/IRF/LTCH discharge date Exclusion related to patients/residents who did not have a short-term acute-care stay within 30 days prior to a SNF/IRF/LTCH admission date.
Use of Risk Adjustment
Risk Adjustments
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
All measures are based on administrative claims data.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Medicare Program Reporting.
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.
Center for Clinical Standards and Quality, Centers for Medicare & Medicaid Services (CMS), United States. Measure Specifications: Medicare Spending Per Beneficiary – Post-Acute Care Skilled Nursing Facility, Inpatient Rehabilitation Facility, and Long-Term Care Hospital Resource Use Measures. Accessed August 3, 2023. Available from: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/Downloads/20160720mspbpacltchirfsnfmeasure_specs.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
Numerator/denominator: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/Downloads/20160720mspbpacltchirfsnfmeasure_specs.pdf