IRF Quality Reporting Technical Information

The purpose of this web page is to provide technical updates and resources related to IRF data collection, submission of quality data, information regarding the CDC’s National Healthcare Safety Network (NHSN), and the IRF- Patient Assessment Instrument (PAI). Users may also find contact information on this page for where to direct questions related to technical issues.

This page is updated periodically as updates to technical information, IRF-PAI Submission Specifications, and reporting tools related to data submission become available.

Comments and Questions:

For questions about IRF-PAI data submission:

Phone: 1-800-339-9313, e-mail: help@qtso.com, or https://qtso.cms.gov/

For questions related to technical issues:  IRFTechIssues@cms.hhs.gov

For the Quality Improvement and Evaluation Systems (QIES) Technical Support Office: help@qtso.com

Updates

October 01, 2019 

Internet Quality Improvement and Evaluation System (iQIES) for Inpatient Rehabilitation Facilities is Now Available 

On June 3, 2019, CMS sent an email to Inpatient Rehabilitation Facility Providers (IRFs) indicating that in coming months, all IRF users will be required to access the new assessment submission and reporting system known as the internet Quality Improvement and Evaluation System (iQIES) to submit patient assessments and view reports.

As of October 1, 2019, the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) submission functionality within the QIES Assessment Submission & Processing (ASAP) system is no longer available and users are required to access iQIES to submit patient assessments and view associated reports. 

Please note that failure to obtain access to iQIES will impact your ability to submit assessment data needed for claims matching purposes. 

In order to access iQIES, users must create an account and establish login credentials in the Healthcare Quality Information System (HCQIS) Access Roles and Profile system (HARP).

For details on how to create an account in iQIES and for a description of the roles available to your organization, please refer to the following link: 

https://qtso.cms.gov/news-and-updates/register-iqies-account-action-required-0 

For assistance with HARP onboarding, users can call the QIES Technical Support Office (QTSO) Helpdesk at (800) 339-9313 or e-mail help@qtso.com. If you have any questions related to iQIES, please send them to iQIES_Broadcast@cms.hhs.gov

September 25, 2019

IRF iQIES Reporting Information

As of October 1, 2019, the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) submission functionality within the QIES Assessment Submission and Processing (ASAP) system will no longer be available and users are required to access the new Internet Quality Improvement and Evaluation System (iQIES) to submit patient assessments and access associated reports.

The current user-requested IRF reports available in the CASPER Reporting application in QIES will no longer be available following the implementation of iQIES. IRF providers are encouraged to request and/or download any historical user-requested reports from the CASPER Reporting application until 5pm ET on September 27, 2019. The oldest quarter-end date that will display in the provider quality reporting program reports will be Quarter 3, 2019. The user-requested reports that are affected by this are as follows:

All reports in the IRF-PAI Provider report category:

  • IRF Provider Threshold Report
  • IRF-PAI Assessment Print
  • IRF-PAI Assessments with Error Number XXXX
  • IRF-PAI Discharges
  • IRF-PAI Error Detail by Facility
  • IRF-PAI Error Number Summary by Facility by Vendor
  • IRF-PAI Errors by Field by Facility
  • IRF-PAI Facility Final Validation
  • IRF-PAI Submission Activity
  • IRF-PAI Submission Statistics by Facility
  • IRF-PAI Submitter Final Validation

Updates regarding the availability of reports in the IRF Quality Reporting Program report category will be forthcoming.

Note: The IRF Provider Preview Report for the December 2019 Compare Refresh will continue to be available in the provider’s CASPER shared folder during the 30-day provider preview period.

Thank you for your patience during this transition period. If you have questions regarding this information, please contact the QIES Technical Support Office (QTSO) Help Desk at (800) 339-9313 or help@qtso.com.

September 03, 2019

Register for an iQIES Account – Action Required

Dear Inpatient Rehabilitation Facility (IRF) Provider:

The Quality Improvement and Evaluation System (QIES) is being upgraded to make the system more reliable, scalable, secure, and accessible. The enhanced system, referred to as the internet Quality Improvement and Evaluation System (iQIES), aims to reduce provider burden and enhance CMS’s ability to serve our customers.

The initial rollout of iQIES will not change how providers or vendors submit data. However, iQIES will require a new user management system because virtual private network (VPN) and CMSNet are no longer needed to access this system. All users will have to create an account and establish credentials in the HCQIS Access Roles and Profile system (HARP), which is a secure identity management portal provided by the Centers for Medicare & Medicaid Services (CMS).

To register for access to iQIES, follow the steps below:

    1. Register in the HARP system at: https://harp.qualitynet.org/register/profile-info. HARP uses Experian to remotely verify a user’s identity by applying the data that a user provides, such as date of birth and social security number, to generate a list of personal questions for the user to answer to verify his or her identity. PLEASE NOTE: Some users who attempt to register in HARP may receive an error message stating that their email address already exists. This most likely means that you have completed some level of identity proofing in the past and that you have an EIDM account. If this applies to you, please call the iQIES helpdesk at (800) 339-9313 for assistance.
    2. After you have set up two-factor authentication, you will need to request your role in iQIES. Login to iQIES at the following URL: https://iqies.cms.gov/ using your HARP User ID and Password that you just created. Next, verify your account using two factor authentication and then select ‘Submit.’

Select 'Request User Role' on the Welcome to iQIES page. There are four steps to request an iQIES role:

  • Select the 'User Category.'
  • Select a 'User Role.' For a summary description of iQIES roles that are applicable to your organization, please see the ‘iQIES User Roles’ section of this document (listed below). PLEASE NOTE: If your organization has not yet selected and registered a Security Official, you will not be able to request a role. We are requesting that IRFs establish at least 2 provider security officials for each facility that would be responsible for approving users to ensure a smooth transition.
  • Select your Organization(s). Requests for the Vendor or Provider categories include the requirement to add one or more CMS Certification Numbers (CCNs). This enables access to those providers. As CCNs are entered, those providers are added to the list of permission requests. An error message will be displayed on the screen if an invalid CCN number has been entered. PLEASE NOTE: If you are an IRF sub-unit, you must use your facility’s parent CCN when requesting your role. Your provider will not be found if you attempt to use your sub-unit’s CCN to locate your facility, as the ‘T’ in the 3rd position of the CCN prevents the system from locating the facility.
  • Once all required data is provided, select 'Submit Request.' A 'Role Request Submitted' message will be displayed on the My Profile page stating that your approval status will be emailed to you after your request is reviewed.

Thank you for following these registration instructions and taking the first step towards the future of iQIES patient assessment submission and reporting. Please be aware that although we strongly suggest that IRFs request access to iQIES now, assessment submission and reporting functionality will not be available until October 1, 2019. Failure to obtain access to iQIES prior to October 1 will impact your ability to submit assessment data needed for claims matching purposes. There will be additional communications forthcoming to notify IRF users when iQIES will be available for assessment submission and reporting.

In preparation for the iQIES launch, iQIES training content is available now:

iQIES User Roles

  • Assessment Submitter: The Assessment Submitter role has the ability to upload Patient XML files and is also able to generate and view reports. This role is not able to modify patient profiles or assessments. 
  • Provider Administrator: The Provider Administrator role can create, modify, delete, find, and view patient profiles. This role is also able to create, submit, view, modify, and inactivate assessments. Provider Administrators can generate and view reports.Provider Assessment Viewer: The Provider Assessment Viewer role is limited to finding and viewing patients and assessments. This role is able to generate and view reports. Provider Assessment Viewer roles are unable to create, modify, delete, or inactivate patient profiles and assessments. 
  • Provider Security Official: The Security Provider Official role is responsible for approving or rejecting iQIES user access for organizations, including vendors, in HARP. Security officials can also upload Patient XML files, create or modify assessments, generate and view reports. PLEASE NOTE: If you have already requested the Provider Security Official role (prior to the receipt of this communication), you will have this entire functionality as well.
  • Provider Assessment Coordinator: The Provider Assessment Coordinator role is able to create, find, and view patient profiles, as well as create, submit, find, and view patient assessments. This role is able to generate and view reports. The Provider Assessment Coordinator role is not able to modify, delete, or inactivate patient profiles or assessments.

For assistance with HARP onboarding, users can call the QTSO Helpdesk at (800) 339-9313 or e-mail help@qtso.com. If you have any questions related to iQIES, please send them to iQIES_Broadcast@cms.hhs.gov .

Additional information on HARP 

To watch a video detailing the HARP registration process, visit:

https://youtu.be/G1zj8JqxWg4


To watch a video explaining HARP manual proofing, visit:

https://www.youtube.com/watch?v=rYioFNNvtD0


To view the fact sheet on HARP Identity Proofing, visit:

https://qtso.cms.gov/news-and-updates/remote-identify-proofing-requirements-internet-quality-improvement-evaluation

 Frequently Asked Questions (FAQs) related to HARP can be accessed using the following link: 

https://harp.qualitynet.org/login/help

June 19, 2019

Dear Inpatient Rehabilitation Facility (IRF) Provider: 

The Quality Improvement and Evaluation System (QIES), which providers and vendors use to submit assessment data, is being upgraded to make the system more reliable, scalable, secure, and accessible. The enhancements will occur in phases (by provider type) and began with Long- Term Care Hospitals (LTCHs) in March 2019. The enhanced system is referred to as the Internet Quality Improvement and Evaluation System (iQIES) and is aimed at reducing provider burden and enhancing CMS’s ability to serve our customers.

The initial rollout of iQIES will not change how providers or vendors submit data. However, iQIES will require a new user management system because virtual private network (VPN) and CMSNet are no longer needed to access this system. All users will have to create an account and establish credentials in the HCQIS Access Roles and Profile system (HARP). HARP is a secure identity management portal that the Centers for Medicare & Medicaid Services (CMS) provides. 

Through HARP, the level of access for iQIES will be similar to the roles that exist in QIES but with the addition of a Provider Security Official (PSO). The individual designated as the PSO will be responsible for approving or rejecting iQIES user access requests for their respective organizations, including vendors. 

For your organization to receive access to iQIES, your organization must complete the steps below by June 30, 2019: 

  1. Identify an individual who will be the Provider Security Official (PSO).

 

  1. Register the PSO in the Healthcare Quality Information System (HCQIS) Access Roles and Profile (HARP) system at: https://harp.qualitynet.org/register/profile-info.

 

  1. For assistance with HARP onboarding, users can call the QTSO Helpdesk at (800) 339-9313 or e-mail help@qtso.com. If you have any questions related to iQIES, please send them to iQIES_Broadcast@cms.hhs.gov

***Although onboarding for IRFs will begin in June, iQIES assessment submission functionality will not be available until October 1, 2019. Although this functionality will not be available immediately, we encourage IRF security officials to request access to iQIES as soon as onboarding for your organization has begun. Upon receiving access, security officials will have access to ‘My Profile’ and ‘Help’ in iQIES.

To comply with federal security mandates, CMS is initiating new security requirements for access control to CMS Quality Systems through Remote Identify Proofing (RIDP) via the Healthcare Quality Information System (HCQIS) Access, Roles and Profile Management system. Users will create accounts in HCQIS Access Roles and Profile Management (HARP) to gain access to the iQIES system. CMS has prepared a fact sheet with more information about this process. To view the fact sheet, visit: https://qtso.cms.gov/news-and-updates/remote-identify-proofing-requirements-internet-quality-improvement-evaluation-0 

Frequently Asked Questions (FAQs) related to HARP can be accessed using the following link: https://harp.qualitynet.org/login/help

June 04, 2019

Enhanced Assessment Submission & Processing System/User Tool for Inpatient Rehabilitation Facilities for October 1, 2019

In March 2019, the Centers for Medicare & Medicaid Services (CMS) began a series of Quality Improvement and Evaluation System (QIES) enhancements, starting with the upgrade of the Long-Term Care Hospital (LTCH) Assessment Submission and Processing (ASAP) system. The enhancements to the system for LTCHs is the first of multiple releases, resulting in what is now called the Internet Quality Improvement and Evaluation System (iQIES). These updates aim to reduce provider burden and enhance CMS’s ability to serve our customers.

The release scheduled for October 1, 2019, will include the enhanced Inpatient Rehabilitation Facility (IRF) patient assessment upload functionality as well as an optional patient assessment user tool that will allow for direct assessment submission to iQIES. This tool will replace jIRVEN and may be used by IRFs as an option to vendor software currently being used to submit assessments. Because iQIES is an Internet facing, cloud based system, it will be more reliable, intuitive, secure, and accessible.

What to Expect/Future Communications

For additional information about the release of iQIES for IRFs, the following communications will be made available in the coming weeks and in subsequent months:

  • iQIES Provider Security Official Request Letter – Instructions on how your organization can assign a “Provider Security Official” and begin the account creation process. We expect to start onboarding IRF Security officials in June 2019.*
  • iQIES Training Video Announcement – Resources for how to navigate the iQIES system and how to utilize the improved functionality.
  • iQIES XML Upload/Assessment Tool Release Announcement- Announcement of October 1st Go-Live date for IRFs
  • iQIES FAQs – Frequently asked questions that will be updated periodically based on end-user feedback to improve the overall experience.

*Although onboarding for IRFs will commence in June, iQIES assessment submission functionality will not be available until October 1, 2019.

Please contact our service desk at: help@qtso.com or by phone: 800-339-9313 with any questions.

March 05, 2019 

CMS is updating the Quality Improvement and Evaluation System 

Starting in March, the Quality Improvement and Evaluation System (QIES), Certification and Survey Provider Enhanced Reports (CASPER) and Automated Survey Processing Environment (ASPEN) will undergo a series of modernizing enhancements. Once updated, the system will be called the Internet Quality Improvement and Evaluation System (iQIES). The iQIES system will not change how providers currently submit data to CMS.

The new enhancements in iQIES are based on user research and testing and feature a human-centered design and agile development practices. CMS is phasing in the iQIES system beginning with Long Term Care Hospitals (LTCH). Several updates to the QIES- Assessment Submission and Processing (ASAP) system are also planned. The Cloud-based solutions will also make it easier for users to receive support and use the system.

iQIES Details:

  • Users will no longer need a virtual private network (VPN) or CMSNet to access the system. iQIES is Internet-facing and maintains the latest system architecture and security standards.
  • System enhancements support flexible and user-friendly data reports for providers, allowing them to use real-time data for care planning as well as quality monitoring and improvement.
  • Users can access important information for work anywhere, at any time, on mobile devices, laptops, and tablets.

CMS will be sharing more information about iQIES such as onboarding, stakeholder engagement opportunities, training, and general updates soon!

If you have questions, please contact our service desk at: help@qtso.com or by phone: 800-339-9313.

Centers for Disease Control and Prevention’s National Healthcare Safety Network Website

Information related to the procedures using the NHSN for data submission for CAUTI, CDI, and the Influenza Vaccination Coverage Among Healthcare Personnel measures can be found at: http://www.cdc.gov/nhsn

For NHSN questions: NHSN@cdc.gov

Data Collection Software: jIRVEN

The Inpatient Rehabilitation Validation and Entry System (jIRVEN) was developed by the Centers for Medicare & Medicaid Services (CMS). jIRVEN is a free Java based software application which provides an option for Inpatient Rehabilitation Facilities to collect and maintain Patient Assessment Instrument (PAI) information. jIRVEN displays the IRF Patient Assessment Instrument (IRF-PAI) similar to the paper version of the forms. Facilities are able to enter and subsequently export their data from the application for submission to the appropriate national data repository. Please consult the jIRVEN Installation and User Guides for additional information. Click here to access the IRF PPS software page for more information related to jIRVEN software and related updates.
 
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Page Last Modified:
10/01/2019 01:39 PM