Long-Term Care Hospital (LTCH) Compare Website – New Measures Added

This fact sheet, released by CMS, contains information about the Long-Term Care Hospital (LTCH) Compare website that was refreshed with new quality measures added on December 12, 2017.

Background

Why is this information being released?
Section 3004(a) of the Affordable Care Act established the LTCH Quality Reporting Program (QRP) and requires the Secretary of Health and Human Services to establish procedures for making quality data submitted by LTCHs 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 release contains data from over 400 LTCHs.

What new measures were added to LTCH 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)
  • Measure suppressed by CMS due to measure calculation error

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 LTCH Compare?

1.  Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened (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.  National Healthcare Safety Network (NHSN) Central Line-Associated Bloodstream Infection (CLABSI) Outcome Measure (NQF #0139)

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

4.  All-Cause Unplanned Readmission Measure for 30 Days Post-Discharge From Long-Term Care Hospitals (NQF #2512)

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

What is the source of this new publicly reported data?

  • Data for NQF #0680 is based upon patient assessments and were collected and submitted to CMS by LTCH providers via the Long-Term Care Hospital Continuity Assessment Record & Evaluation (LTCH CARE) Data Set.
  • Data for NQF #0431, #1716, and #1717 was collected and submitted to CMS by LTCH providers via the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN).

What is the source of this new publicly reported data?

  • Data for NQF #0680 is based upon patient assessments and were collected and submitted to CMS by LTCH providers via the Long-Term Care Hospital Continuity Assessment Record & Evaluation (LTCH CARE) Data Set.
  • Data for NQF #0431, #1716, and #1717 was collected and submitted to CMS by LTCH providers via the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN).

How is the data on the LTCH Compare site relevant to consumers? How will they use the site?
LTCH 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 LTCH Quality Public Reporting webpage for more information on LTCH Compare.

More info on LTCH Compare.

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