Percentage of Patients Whose Medications Were Reviewed and Who Received Follow-Up Care When Medication Issues Were Identified

Identifying Attributes

Care Settings
Rehabilitation Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP)
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Person-Centred Care

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
No
Risk Adjustments

None

Stratifications

This measure is not stratified.

Data Attributes

Type of Data Collection
Standardised clinical data
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
Quarterly
Frequency of Data Collection in Days
91
Reporting Methods

Internet Quality Improvement and Evaluation System (iQIES).

Reporting Frequency
Quarterly
Reporting Frequency in Days
91
Indicator Has Recommended Targets
Yes

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.

Link to Measurement Tools

Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI)

Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025