Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
The Inpatient Rehabilitation Facility (IRF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the September 2022 release.
Please note that historically, in any given calendar year CMS performs the annual update to all IRF claims-based quality measures during the September refresh of the Care Compare/Provider Data Catalog sites. Because CMS only recently resumed public reporting of IRF claims-based measures during the June 2022 refresh, we will not be performing the normal annual update in September, as the data will not change enough to be meaningful. CMS will next update these IRF measures during the September 2023 update, after which we will resume our normal cadence of annual updates.
The data contained within the Preview Reports are based on quality assessment data submitted by IRFs from Quarter 1, 2021 through Quarter 4, 2021. Additionally, the Centers for Disease Control and Prevention (CDC) measures reflect data from Quarter 4, 2020 through Quarter 3, 2021 for the Clostridium Difficile Infection (CDI) and Catheter-Associated Urinary Tract Infections (CAUTI) measures, as well as Quarter 4, 2018 through Quarter 1, 2019 for the Healthcare Personnel (HCP) Influenza measure. The data for the claims-based measures will display data from Quarter 3, 2019 through Quarter 4, 2019 and Quarter 3, 2020 through Quarter 2, 2021 for this release.
Lastly, one new CDC measure (COVID-19 Vaccination Coverage among Healthcare Personnel (HCP)) will be publicly reported on Care Compare and PDC beginning with the September 2022 release and is reflected within the Preview Reports. The data for the COVID-19 Vaccination Coverage among HCP measure will display data submitted for Quarter 4, 2021 for this release.
Providers have until July 15, 2022 to review their performance data. Corrections to the underlying data will not be permitted during this time. However, providers can request Centers for Medicare & Medicaid Services (CMS) review of their data during the preview period if they believe the quality measure scores that are displayed within their Preview Reports are inaccurate.
For more information, please visit the CMS IRF QRP Public Reporting website.
Also, the Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, June 2022, Consolidated June 2020 to June 2022 document so that all IRF providers have the benefit of the clarifications to existing guidance. Through inquiries to the IRF Post-Acute Care (PAC) Quality Reporting Program (QRP) Help Desk, CMS identifies the opportunity to clarify or refine guidance.
The Quarterly Q&A document can be accessed via the Downloads section of the IRF-PAI and IRF QRP Manual webpage. The direct link to that Q&A document (25 pages) is here.