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Latest Quarterly Data Refresh on LTCH Compare & IRF Compare

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Data has been updated on both Long-term Care Hospital (LTCH) Compare and Inpatient Rehabilitation Facility (IRF) Compare Websites as part of the Dec 2020 quarterly update. Note: the December 2020 refresh of the IRF QRP data on IRF Compare/Care Compare Sites is the last scheduled refresh of this data until the December 2021 refresh.

LTCH COMPARE

The LTCH Compare refresh included updated quality measure results for over 420 long-term care hospitals that report data to the Centers for Medicare & Medicaid Services (CMS), as part of its Long-term Care Hospital Quality Reporting Program (QRP).

Measures reported on LTCH Compare include:

Complications (Healthcare-acquired conditions):

  • Changes in Skin Integrity Post-Acute Care: Percentage of patients with pressure ulcers/pressure injuries that are new or worsened (Q1 2019_Q4 2019)*
  • Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay (Q1 2019_Q4 2019)

Result of Care (Q1 2018_Q4 2019)

  • Change in ability to move around for patients admitted on a ventilator (NQF #2632) *

Effective care: (Q1 2019_Q4 2019)

  • Percentage of patients whose activities of daily living and thinking skills were assessed and related goals were included in their treatment plan
  • Percentage of LTCH patients whose functional abilities were assessed and functional goals were included in their treatment plan

Medication Reconciliation (Q1 2019_Q4 2019)

  • Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified *

Infections (Healthcare-associated infections): (Q4 2018_Q3 2019)

  • Catheter-associated urinary tract infections (CAUTI)
  • Central line-associated bloodstream infections (CLABSI)
  • Clostridium difficile infection (CDI)

Prevention: (Q4 2017_Q1 2018)

  • Influenza vaccination coverage among healthcare personnel

Readmissions: (Q4 2017_Q3 2019)

  • Rate of potentially preventable hospital readmissions 30 days after discharge from an LTCH

Successful return to home and community: (Q4 2017_Q3 2019)

  • Rate of successful return to home or community from an LTCH

Payment & value of care: (Q4 2017_Q3 2019)

  • Medicare Spending Per Beneficiary (MSPB) for patients in LTCHs

*New measures (3):

  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
  • Functional Outcome Measure: Change in Mobility Among Long-Term Care Hospital Patients Requiring Ventilator Support (NQF #2632)
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues – – Post-Acute Care (PAC) Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)

Note: CMS will no longer publicly display the measure Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened (NQF #0678) as finalized in the FY 2018 LTCH PPS/IPPS Final Rule.

IRF COMPARE

The IRF Compare refresh includes updated quality measure results for over 1,100 inpatient rehabilitation facilities that report data to the Centers for Medicare & Medicaid Services (CMS), as part of its Inpatient Rehabilitation Facility Quality Reporting Program (QRP).

Measures reported on IRF Compare include:

Complications (Healthcare-acquired conditions): (Q1 2019_Q4 2019)

  • Changes in Skin Integrity Post-Acute Care: Percentage of patients with pressure ulcers that are new or worsened*
  • Percentage of IRF patients who experience one or more falls with major injury during their IRF stay

Results of Care: (Q1 2019_Q4 2019)

  • Change in patients’ ability to care for themselves*
  • Change in patients’ ability to move around*

Effective care: (Q1 2019_Q4 2019)

  • Percentage of IRF patients whose functional abilities were assessed and functional goals were included in their treatment plan
  • Percentage of patients who are at or above an expected ability to care for themselves at discharge*
  • Percentage of patients who are at or above an expected ability to move around at discharge*

Medication Reconciliation (Q1 2019_Q4 2019)

  • Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified*

Infections (Healthcare-associated infections): (Q4 2018_Q3 2019)

  • Catheter-associated urinary tract infections (CAUTI)
  • Clostridium difficile infection (CDI)

Prevention: (Q4 2017_Q1 2018)

  • Influenza vaccination coverage among healthcare personnel

Readmissions: (Q4 2017_Q3 2019)

  • Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
  • Rate of potentially preventable hospital readmissions during the IRF stay

Successful return to home and community: (Q4 2017_Q3 2019)

  • Rate of successful return to home or community from an IRF

Payment & value of care: (Q4 2017_Q3 2019)

  • Medicare Spending Per Beneficiary (MSPB) for patients in IRFs

*New measures (6)

  1. Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury,
  2. Drug Regimen Review Conducted with Follow-Up for Identified Issues – PAC IRF QRP,
  3. IRF Functional Outcome Measure: Change in Self-Care for Medical Rehabilitation Patients (NQF #2633),
  4. IRF Functional Outcome Measure: Change in Mobility Score for Medical Rehabilitation Patients (NQF #2634),
  5. IRF Functional Outcome Measure: Discharge Self-Care Score for Medical Rehabilitation Patients (NQF #2635), and
  6. IRF Functional Outcome Measure: Discharge Mobility Score for Medical Rehabilitation Patients (NQF #2636).

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