- Reporting of CAUTI through NHSN (Pages 103 in
proposed rule FR 26909, online p. 31):
This measure was first adopted for FY 2012 before it was endorsed by the
National Quality Forum (NQF) for IRF settings, and updated last year once the
measure was NQF-endorsed. The reporting requirement for the IRF Quality
Reporting Program (QRP) remains unchanged this year, but the measure has
been renamed “National Healthcare Safety Network (NHSN) Catheter-Associated
Urinary Tract Infection (CAUTI) outcome measure (NQR #0138).
- New quality reporting measures:
- Influenza
Vaccination Coverage among Healthcare Personnel (NQF #0431) (Page 107 FR 26911, online p. 33) – Reporting period would
be from October 1 – March 31 to align with this measure in other
programs. The first reporting period of this new measure would be October
1, 2014 to March 31, 2015 for FY 2016 Medicare payment determination.
- Percent
of Residents or Patients who were Assessed and Appropriately Given the Seasonal
Influenza Vaccine (Short Stay) (NQF #0680) (Page 118FR 26914, online p. 36) – This measure was recommended by the
NQF-directed Measure Applications Partnership (MAP) for IRF settings. CMS
is proposing to include it for FY 2017 payment determination
- All-cause
Unplanned Readmission Measure for 30 Days Post Discharge from IRFs (P. 111 FR 26912, online p. 34) – This measure estimates
the risk-standardized rate of readmissions to a short-stay acute care hospital
or LTACH within 30 days of IRF discharge. This is a claims-based
measure not requiring reporting of new data by IRFs, and therefore will not
be used to determine IRF compliance with the IRF QRP. CMS is proposing to
begin reporting feedback to IRFs on performance of this measure in calendar
year 2016.
- Reporting timelines (P. 135 FR 26919, online p. 41) – CMS is
proposing to align the IRF QRP submissions deadlines to NHSN with the
submission deadlines in the Hospital Inpatient Quality Reporting (IQR) and the
Long-Term Care Quality Reporting (LTCQR) programs.
Link to the IRF-PPS Proposed Rule Changes:
http://www.gpo.gov/fdsys/pkg/FR-2013-05-08/pdf/2013-10755.pdf
