Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP)

Overview

What is the Inpatient Rehabilitation Facilities (IRF) Quality Reporting Program (QRP)?

The IRF QRP creates IRF quality reporting requirements, as mandated by Section 3004(b) of the Patient Protection and Affordable Care Act (ACA) of 2010. Every year, by October 1, we publish the quality measures IRFs must report.  

Section 3004(b) of the ACA amended section 1886(j)(7) of the Social Security Act (SSA)requires the Secretary to establish quality reporting requirements for IRFs. 

Learn more about ACA Section 3004 (Quality Reporting for Long-Term Care Hospitals (LTCH), Inpatient Rehabilitation Facilities (IRF), and Hospice Programs) at the following link: P.L. Public Law No: 111-148, the Patient Protection and Affordable Care Act (H.R. 3590 Health Care Law) : https://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf

The IMPACT Act added Section 1899B to the SSA which requires the reporting of standardized patient assessment data about quality measures and Standardized Patient Assessment Data Elements (SPADEs). It requires the submission of data pertaining to quality measure, resource use, and other domains. By using standardized quality measures and standardized data, the intent of the IMPACT Act, among other obligations, is to allow for exchange of the data among post-acute providers and other providers. The IMPACT Act intends for standardized post-acute care data to improve Medicare beneficiary outcomes through shared-decision making, care coordination, and enhanced discharge planning.

Learn more about the IMPACT Act at:

What happens if quality data isn’t reported?  

For fiscal year (FY) 2014, and each year after, if an IRF does not submit the required quality data, the IRF will be subject to a two percentage (2%) point reduction in the annual increase factor.

The Centers for Medicare & Medicaid Services (CMS) strongly encourages submitting quality data prior to the deadline to ensure the data are complete and accurate and to to allow IRF providers an opportunity to address any data submission issues.  

Who can see the reported data?  

CMS must make quality data available to the public  through the IRF Compare website To ensure accuracy of this publicly reported data, CMS gives providers the opportunity to review the data before they are posted. The IRF Compare website began reporting quality measure data in late 2016.

 

Archives

IRF QRP Archives

Page Last Modified:
05/05/2020 07:38 AM