What’s the IPFQR Program?
The IPFQR Program gives consumers care quality information to help them make more informed decisions about their healthcare options. This includes providing consumers with data about quality measures that aim to assess and foster improvement in the quality of care provided to patients with mental illness.
Who does the IPFQR Program apply to?
All IPFs paid under the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) have to meet IPFQR Program requirements.
The IPF PPS applies to inpatient psychiatric services given by psychiatric hospitals or psychiatric units (also known as mental health or behavioral health units) in Acute Care Hospitals (ACHs) or Critical Access Hospitals (CAHs) in the United States that participate in Medicare.
How does the IPFQR Program work?
The IPFQR Program encourages facilities and clinicians to improve the quality of inpatient care. The program helps by making sure providers know about and report on the best practices for their facilities and type of care they give by submitting quality data to CMS annually.
Since this is a pay-for-reporting program, eligible facilities can be paid less by Medicare if they do not participate. Eligible IPFs that do not take part in the IPFQR Program in a fiscal year, or do not meet all of the reporting requirements, will have a 2.0% reduction of their annual update to their standard federal rate for that year. The reduction is not cumulative across payment years.