Inpatient Rehabilitation Facility (IRF) Compare Website – New Measures Added

This fact sheet, released by CMS, contains information about the Inpatient Rehabilitation Facility (IRF) compare website that was refreshed with new quality measures added on December 12, 2017. 

Background

Why is this information being released?

Section 3004(b) of the Affordable Care Act established the IRF Quality Reporting Program (QRP) and requires the Secretary of Health and Human Services to establish procedures for making quality data submitted by IRFs available to the public. The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) also requires public reporting of provider performance two years following the specified application date (the date data collection began). Historically, new items are added to the programs in the fall. This Compare refresh contains data from over 1,100 IRFs.

What new measures were added to IRF Compare?

1.  Percent of Residents or Patients Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccination (NQF #0680)

  • Data Collection Period: July 1, 2015 – June 30, 2016 (displayed as October 1, 2015 – March 31, 2016)

2.  Influenza Vaccination among Healthcare Personnel (NQF #0431)

  • Data Collection Period: July 1, 2015 – June 30, 2016 (displayed as October 1, 2015 – March 31, 2016)

3.  National Healthcare Safety Network (NHSN) Facility-wide Inpatient Hospital-onset Methicillin resistant Staphylococcus aureus (MRSA) Bacteremia Outcome Measure (NQF #1716)

  • Data Collection Period: January 1, 2016 – December 31, 2016

4.  National Healthcare Safety Network (NHSN) Facility-wide Inpatient Hospital-onset Clostridium difficile Infection (CDI) Outcome Measure (NQF #1717)

  • Data Collection Period: January 1, 2016 – December 31, 2016

What measures are currently displayed on IRF Compare?

1.  Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened (Short Stay) (NQF #0678)

  • Data Collection Period: January 1, 2016 – December 31, 2016

2.  National Healthcare Safety Network (NHSN) Catheter Associated Urinary Tract Infection (CAUTI) Outcome Measure (NQF #0138)

  • Data Collection Period: January 1, 2016 – December 31, 2016

3.  All Cause Unplanned 30 day post IRF Discharge Readmission Measure (NQF #2502)

  • Data Collection Period: January 1, 2014 – December 31, 2015

What is the source of the new publicly reported data?

  • Data for NQF #0680 is based upon patient assessments and were collected and submitted to CMS by IRF providers via the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI).
  • Data for NQF #0431, #1716, and #1717 were collected and submitted to CMS by IRF providers via the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN).

How is the data on the IRF Compare site relevant to consumers? How will they use the site?

IRF Compare takes quality measure data and puts them into a readily useful format for the public to get a snapshot of the quality of care provided by each hospital.

Visit the IRF Quality Public Reporting webpage for more information on IRF Compare.

More info on IRF Compare

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