Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
The Centers for Medicare and Medicaid Services (CMS) discovered an error in measure calculations for the IRF Functional Outcome Measure: Change in Mobility Score for Medical Rehabilitation Patients (NQF #2634) and IRF Functional Outcome Measure: Discharge Mobility Score for Medical Rehabilitation Patients (NQF #2636) measures in the IRF provider preview reports previously issued on January 26, 2022, related to the March 2022 refresh of Care Compare, for the reporting period July 01, 2020 through June 30, 2021. The update addressed the usage of the wheelchair items in Section GG, as directed in the measure specifications, if the patient was unable to walk as indicated by one of the “activity not attempted” codes.
Additionally, an error was discovered in the National Healthcare Safety Network (NHSN) Facility-Wide Inpatient Hospital-onset Clostridium difficile Infection (CDI) Outcome Measure (NQF #1717) for the reporting period April 01, 2019 through September 30, 2020. This error stemmed from the change to allow four non-contiguous quarters of data due to the reporting exceptions implemented during the COVID-19 public health emergency.
These provider preview reports will be re-released on March 07, 2022, and the new preview period will begin on March 07, 2021, and continue through April 06, 2022. For any questions, please reach out to IRFPRQuestions@cms.hhs.gov.
IRFs can access their preview report by logging in to iQIES at https://iqies.cms.gov/. At the main screen, select Reports; then ‘My Reports’.
For more information, please visit the CMS IRF QRP Public Reporting website.
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