The Centers for Medicare and Medicaid Services (CMS) discovered an error in measure calculations for both IRF Provider Preview Reports and LTCH Provider Preview Reports related to the March 2022 Care Compare Refresh, and these have been reissued and are now available.
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.
An error was also 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.
In relation to LTCH Provider Preview Reports, CMS also discovered an error in measure calculations for the Ventilator Liberation Rate measure in the 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 corrected the patient counts included in the Ventilator Liberation Rate measure.
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.
LTCH and IRF 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.
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