Percentage of Patients Whose Medications Were Reviewed and Who Received Follow-Up Care When Medication Issues Were Identified
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified.
Numerator
Total number of IRF stays in the denominator meeting each of the following two criteria: 1. The facility conducted a drug regimen review on admission which resulted in one of the following three scenarios being true: a) No potential or actual clinically significant medication issues were found during the review (N2001 = [0]); or b) Potential or actual clinically significant medication issues were found during the review (N2001 = [1]) and a physician (or physician-designee) was contacted and prescribed/recommended actions were completed by midnight of the next calendar day (N2003 = [1]); or c) The patient was not taking any medications (N2001 =[9]). 2. Appropriate follow-up occurred each time a potential or actual clinically significant medication issue was identified during the stay (N2005 = [1]); or no potential or actual clinically significant medication issues were identified since admission or patient was not taking any medications (N2005 = [9]).
Denominator
All IRF stays during the reporting period.
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.
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
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
Measures: data.cms.gov/provider-data/topics/inpatient-rehabilitation-facilities/measures
Link to Measurement Tools
Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI)