Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) Public Reporting

Now available! Our new Provider Data Catalog makes it easier for you to search and download publicly reported data. We’ve also improved Medicare’s Compare sites.

Background

Section 3004(a) of the Affordable Care Act established the LTCH QRP. In addition, the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) requires the reporting of standardized patient assessment data on quality, resource use, and other measures by Post-Acute Care (PAC) providers, including skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, and LTCHs.

Care Compare

Care Compare formats the reported data to be readily used by the public, which provides a snapshot of the quality of care for each Long-Term Care Hospital (LTCH). This tool helps families compare some key quality metrics, such as pressure ulcers and readmissions, for over 350 LTCHs across the nation.

LTCH Provider Preview Reports

Before Quality Measure (QM) data is publicly reported on Care Compare, Long-Term Care Hospital’s (LTCHs) have an opportunity to review and correct, as well as preview, their data. A Review and Correct Report is available for providers to access in the Centers for Medicare & Medicaid Services (CMS) reporting system, which will assist them in identifying whether there are any issues with the data already collected and submitted before the applicable quarterly data submission deadlines. Correction of any errors identified by the facility must be submitted by the final submission deadlines found in the Downloads section of the LTCH Quality Reporting Program (QRP) Data Submission Deadlines webpage.

Following the QRP data submission deadline, a quarterly Provider Preview Report issued by CMS displays the data that will be publicly reported. The purpose of these reports is to give LTCHs the opportunity to review their quality measure results on each quality measure prior to public display on Care Compare. Reports are available in the LTCH Internet Quality Improvement and Evaluation System (iQIES).

LTCHs will have 30 days to preview their quality measure results beginning on the date the reports are available. LTCHs reviewing their preview reports will not be able to correct any of the underlying data, as all data submission/correction deadlines for the targeted period will have passed.

Procedures for Requesting CMS Review of an LTCH’s Measure Data:

The Centers for Medicare & Medicaid Services (CMS) encourages Long-Term Care Hospitals (LTCHs) to review their data as provided in the Preview Reports. If an LTCH disagrees with performance data (i.e., the numerator, denominator, or quality metric) contained within their Preview Report, they will have an opportunity to request review of that data by CMS. In order to make such a request, LTCH providers must adhere to the process outlined below:

  • Requests for CMS review of data may be submitted to CMS beginning on the day the LTCH Provider Preview Reports are available in the LTCH Internet Quality Improvement and Evaluation System (iQIES) folders through 11:59:59 p.m. PST on day 30 of the preview period.
  • CMS will not accept any requests for review of data that are submitted after the posted deadline, which falls on the last day of the preview period.
  • LTCHs are required to submit their request to CMS via email with the subject line: “[Provider Name] LTCH Public Reporting Request for Review of Data” and include their LTCH CMS Certification Number (CCN) (e.g., ABC LTCH Public Reporting Request for Review of Data, XXXXXX). The request must be sent to the following email address: LTCHPRquestions@cms.hhs.gov.
  • The email request must include the following information:
    1. LTCH CCN
    2. LTCH Business Name
    3. LTCH Business Address
    4. CEO or CEO-designated representative contact information including: name, email address, telephone number, and physical mailing address, i.e. not a post office box
    5. Information supporting the LTCH’s belief that the data contained within the LTCH’s Provider Preview Report is erroneous including, but not limited to quality measures affected, and aspects of quality measures affected (i.e., the numerator, denominator, quality metric)
  • After submitting a request, LTCHs will receive an email confirming receipt of their request and may be asked to provide additional information to allow CMS to fully evaluate the request. Such requests from CMS will be sent to the contact person named above.
  • CMS will review all requests and provide a response outlining the decision via email. Please note that LTCH-identified errors in data resulting from inaccurate data submissions that an LTCH failed to correct prior to the applicable quarterly data submission deadline are not acceptable reasons for granting reconsideration. Also, CMS will not consider correcting quality measure calculations that providers find to be inaccurate due to missing data that was submitted beyond the applicable quarterly data submission deadline.
  • Data that CMS decides/agrees to correct will be corrected and displayed during the subsequent quarterly release of LTCH quality data on Care Compare.
  • The data used to generate the LTCH Provider Preview Reports are frozen for the upcoming Care Compare refresh, and corrections submitted after the generation of the LTCH Provider Preview Report will not be reflected until the next quarterly preview report is generated.

Please note: The only method for submitting a request to CMS for review of your preview report data is via email. Requests submitted by any other means will not be reviewed. CMS will not review any requests that include protected health information (PHI) in the request being submitted to CMS for review.

Updates

September 28, 2022

Care Compare September Release of LTCH QRP Data – Now Available

The September 2022 Release of the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).

The data contained within the Preview Reports are based on quality assessment data submitted by LTCHs from Quarter 1, 2021 through Quarter 4, 2021, and for the LTCH Change in Mobility measure, Quarter 4, 2019 and Quarter 3, 2020 through Quarter 4, 2021. Additionally, the Centers for Disease Control and Prevention (CDC) measures reflect data from Quarter 4, 2020 through Quarter 3, 2021 for the Clostridium Difficile Infection (CDI), Catheter-Associated Urinary Tract Infections (CAUTI), and Central Line-Associated Bloodstream Infections (CLABSI) measures, and Quarter 4, 2018 through Quarter 1, 2019 for the Healthcare Personnel (HCP) Influenza measure. The data for the claims-based measures will display data from Quarter 3, 2019 through Quarter 4, 2019 and Quarter 3, 2020 through Quarter 2, 2021.

Lastly, one new CDC measure (COVID-19 Vaccination Coverage among Healthcare Personnel (HCP)) will be publicly reported on Care Compare and PDC beginning with the September 2022 release. The data for the COVID-19 Vaccination Coverage among HCP measure will display data submitted for Quarter 4, 2021.

In summary, the following LTCH QRP measures will be displayed on Care Compare and PDC during the September 2022 Release:

  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) (NQF #0674)
    • Q1 2021 – Q4 2021 (1/1/2021-12/31/2021)
  • Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function
    • Q1 2021 – Q4 2021 (1/1/2021-12/31/2021)
  • Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function
    • Q1 2021 – Q4 2021 (1/1/2021-12/31/2021)
  • Functional Outcome Measure: Change in Mobility Among Long-Term Care Hospital Patients Requiring Ventilator Support (NQF #2632)
    • Q4 2019 and Q3 2020 – Q4 2021 (10/1/2019-12/31/2019; 7/1/2020-12/31/2021)
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues – Post-Acute Care (PAC) Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
    • Q1 2021 – Q4 2021 (1/1/2021-12/31/2021)
  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
    • Q1 2021 – Q4 2021 (1/1/2021-12/31/2021)
  • Compliance with Spontaneous Breathing Trial (SBT) by Day 2 of the LTCH Stay
    • Q1 2021 – Q4 2021 (1/1/2021-12/31/2021)
  • Ventilator Liberation Rate
    • Q1 2021 – Q4 2021 (1/1/2021-12/31/2021)
  • National Healthcare Safety Network (NHSN) Catheter-Associated Urinary Tract Infection (CAUTI) Outcome Measure (NQF #0138)
    • Q4 2020 – Q3 2021 (10/1/2020-9/30/2021)
  • National Healthcare Safety Network (NHSN) Central Line-Associated Bloodstream Infection (CLABSI) Outcome Measure (NQF #0139)
    • Q4 2020 – Q3 2021 (10/1/2020-9/30/2021)
  • National Healthcare Safety Network (NHSN) Facility-Wide Inpatient Hospital-onset Clostridium difficile Infection (CDI) Outcome Measure (NQF #1717)
    • Q4 2020 – Q3 2021 (10/1/2020-9/30/2021)
  • Influenza Vaccination Coverage Among Healthcare Personnel (NQF #0431)
    • Q4 2018 – Q1 2019 (10/1/2018 – 3/31/2019)
  • COVID-19 Vaccination Coverage among Healthcare Personnel
    • Q4 2021 (10/1/2021 – 12/31/2021)
  • Discharge to Community – Post-Acute Care (PAC) Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) (NQF #3480)
    • Q3 2019 – Q4 2019 and Q3 2020 – Q2 2021 (7/1/2019-12/31/2019; 7/1/2020-6/30/2021)
  • Medicare Spending Per Beneficiary – Post-Acute Care (PAC) Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
    • Q3 2019 – Q4 2019 and Q3 2020 – Q2 2021 (7/1/2019-12/31/2019; 7/1/2020-6/30/2021)
  • Potentially Preventable 30-Days Post-Discharge Readmission Measure for Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
    • Q3 2019 – Q4 2019 and Q3 2020 – Q2 2021 (7/1/2019-12/31/2019; 7/1/2020-6/30/2021)

Please visit Care Compare and PDC to view the updated quality data. For questions about LTCH QRP Public Reporting, please email LTCHPRquestions@cms.hhs.gov.

September 15, 2022

LTCH Provider Preview Reports – Now Available

The Long-Term Care Hospital (LTCH) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the December 2022 Refresh.

The data contained within the Preview Reports are based on quality assessment data submitted by LTCHs from Quarter 2, 2021 through Quarter 1, 2022, and for the LTCH Change in Mobility measure, Quarter 4, 2019 and Quarter 3, 2020 through Quarter 1, 2022. Additionally, the Centers for Disease Control and Prevention (CDC) measures reflect data from Quarter 1, 2021 through Quarter 4, 2021 for the Clostridium Difficile Infection (CDI), Catheter-Associated Urinary Tract Infections (CAUTI), and Central Line-Associated Bloodstream Infections (CLABSI) measures, Quarter 4, 2020 through Quarter 1, 2021 for the Healthcare Personnel (HCP) Influenza measure, and Quarter 1, 2022 for the COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure. The data for the claims-based measures will display data from Quarter 3, 2019 through Quarter 4, 2019 and Quarter 3, 2020 through Quarter 2, 2021 for this Refresh.

Providers have until October 17, 2022 to review their performance data. Corrections to the underlying data will not be permitted during this time. However, providers can request Centers for Medicare & Medicaid Services (CMS) review of their data during the preview period if they believe the quality measure scores that are displayed within their Preview Reports are inaccurate.

For more information, please visit the CMS LTCH QRP Public Reporting website.

July 14, 2022

Care Compare July Refresh of LTCH QRP Data – Now Available

The July 2022 refresh of the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).

The data are based on quality assessment data submitted by LTCHs to Centers for Medicare & Medicaid Services (CMS) from Quarter 4, 2020 through Quarter 3, 2021, and for the LTCH Change in Mobility measure, Quarter 4, 2019 and Quarter 3, 2020 through Quarter 3, 2021. Additionally, the Centers for Disease Control and Prevention (CDC) measures reflect data from Quarter 3, 2020 and Quarter 2, 2021 for the Clostridium Difficile Infection (CDI), Catheter-Associated Urinary Tract Infections (CAUTI), and Central Line-Associated Bloodstream Infections (CLABSI) measures, as well as Quarter 4, 2018 through Quarter 1, 2019 for the Healthcare Personnel (HCP) Influenza measure. This refresh also resumes the reporting of all claims-based measures. Due to the COVID-19 reporting exceptions, the claims-based measures have been calculated excluding Q1 and Q2 2020 data. The data for the claims-based measures will display data from Quarter 3, 2019 through Quarter 4, 2019 and Quarter 3, 2020 through Quarter 2, 2021 for this refresh.

In summary, the following LTCH QRP measures will be displayed on Care Compare and PDC during the July 2022 refresh:

  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) (NQF #0674)
    • Q4 2020 – Q3 2021 (10/1/2020-9/30/2021)
  • Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function
    • Q4 2020 – Q3 2021 (10/1/2020-9/30/2021)
  • Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function
    • Q4 2020 – Q3 2021 (10/1/2020-9/30/2021)
  • Functional Outcome Measure: Change in Mobility Among Long-Term Care Hospital Patients Requiring Ventilator Support (NQF #2632)
    • Q4 2019 and Q3 2020 – Q3 2021 (10/1/2019-12/31/2019; 7/1/2020-9/30/2021)
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues – Post-Acute Care (PAC) Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
    • Q4 2020 – Q3 2021 (10/1/2020-9/30/2021)
  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
    • Q4 2020 – Q3 2021 (10/1/2020-9/30/2021)
  • Compliance with Spontaneous Breathing Trial (SBT) by Day 2 of the LTCH Stay
    • Q4 2020 – Q3 2021 (10/1/2020-9/30/2021)
  • Ventilator Liberation Rate
    • Q4 2020 – Q3 2021 (10/1/2020-9/30/2021)
  • National Healthcare Safety Network (NHSN) Catheter-Associated Urinary Tract Infection (CAUTI) Outcome Measure (NQF #0138)
    • Q3 2020 – Q2 2021 (7/1/2020-6/30/2021)
  • National Healthcare Safety Network (NHSN) Central Line-Associated Bloodstream Infection (CLABSI) Outcome Measure (NQF #0139)
    • Q3 2020 – Q2 2021 (7/1/2020-6/30/2021)
  • National Healthcare Safety Network (NHSN) Facility-Wide Inpatient Hospital-onset Clostridium difficile Infection (CDI) Outcome Measure (NQF #1717)
    • Q3 2020 – Q2 2021 (7/1/2020-6/30/2021)
  • Influenza Vaccination Coverage Among Healthcare Personnel (NQF #0431)
    • Q4 2018 – Q1 2019 (10/1/2018 – 3/31/2019)
  • Discharge to Community – Post-Acute Care (PAC) Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) (NQF #3480)
    • Q3 2019 – Q4 2019 and Q3 2020 – Q2 2021 (7/1/2019-12/31/2019; 7/1/2020-6/30/2021)
  • Medicare Spending Per Beneficiary – Post-Acute Care (PAC) Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
    • Q3 2019 – Q4 2019 and Q3 2020 – Q2 2021 (7/1/2019-12/31/2019; 7/1/2020-6/30/2021)
  • Potentially Preventable 30-Days Post-Discharge Readmission Measure for Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
    • Q3 2019 – Q4 2019 and Q3 2020 – Q2 2021 (7/1/2019-12/31/2019; 7/1/2020-6/30/2021)

Please visit Care Compare and PDC to view the updated quality data. For questions about LTCH QRP Public Reporting, please email LTCHPRquestions@cms.hhs.gov.

June 15, 2022

LTCH Provider Preview Reports – Now Available

The Long-Term Care Hospital (LTCH) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the September 2022 release.

Please note that historically, in any given calendar year CMS performs the annual update to all LTCH claims-based quality measures during the September refresh of the Care Compare/Provider Data Catalog sites.  Because CMS only recently resumed public reporting of LTCH claims-based measures during the June 2022 refresh, we will not be performing the normal annual update in September, as the data will not change enough to be meaningful.  CMS will next update these LTCH measures during the September 2023 update, after which we will resume our normal cadence of annual updates.

The data contained within the Preview Reports are based on quality assessment data submitted by LTCHs from Quarter 1, 2021 through Quarter 4, 2021, and for the LTCH Change in Mobility measure, Quarter 4, 2019 and Quarter 3, 2020 through Quarter 4, 2021. Additionally, the Centers for Disease Control and Prevention (CDC) measures reflect data from Quarter 4, 2020 through Quarter 3, 2021 for the Clostridium Difficile Infection (CDI), Catheter-Associated Urinary Tract Infections (CAUTI), and Central Line-Associated Bloodstream Infections (CLABSI) measures, as well as Quarter 4, 2018 through Quarter 1, 2019 for the Healthcare Personnel (HCP) Influenza measure. The data for the claims-based measures will display data from Quarter 3, 2019 through Quarter 4, 2019 and Quarter 3, 2020 through Quarter 2, 2021 for this release.

Lastly, one new CDC measure (COVID-19 Vaccination Coverage among Healthcare Personnel (HCP)) will be publicly reported on Care Compare and PDC beginning with the September 2022 release and is reflected within the Preview Reports. The data for the COVID-19 Vaccination Coverage among HCP measure will display data submitted for Quarter 4, 2021 for this release.

Providers have until July 15, 2022 to review their performance data. Corrections to the underlying data will not be permitted during this time. However, providers can request Centers for Medicare & Medicaid Services (CMS) review of their data during the preview period if they believe the quality measure scores that are displayed within their Preview Reports are inaccurate.

For more information, please visit the CMS LTCH QRP Public Reporting website.

April 28, 2022

Care Compare April Release of LTCH QRP Data – Now Available

The April 2022 release of the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).

The data are based on quality assessment data submitted by LTCHs to Centers for Medicare & Medicaid Services (CMS) from Quarter 3, 2020 through Quarter 2, 2021, and for the LTCH Change in Mobility measure, Quarter 3, 2019 through Quarter 4, 2019 and Quarter 3, 2020 through Quarter 2, 2021. Additionally, the Centers for Disease Control and Prevention (CDC) measures reflect data from Quarter 2, 2019 through Quarter 4, 2019 and Quarter 3, 2020 for the Clostridium Difficile Infection (CDI), Catheter-Associated Urinary Tract Infections (CAUTI), and Central Line-Associated Bloodstream Infections (CLABSI) measures, as well as Quarter 4, 2018 through Quarter 1, 2019 for the Healthcare Personnel (HCP) Influenza measure. The data for the claims-based measures will continue to display Quarter 4, 2017 through Quarter 3, 2019 data for this release while CMS performs additional measure analyses.

Beginning with the April 2022 release, two new assessment-based measures (Compliance with Spontaneous Breathing Trial and Ventilator Liberation Rate) will be publicly reported on Care Compare and PDC.

Note: As data collection for these measures began in Q3 2018, CMS has indicated which performance periods will be posted on both Care Compare and PDC and which performance periods will be available on PDC only for the April 2022 release:

  • Care Compare and PDC
    • Quarter 3, 2020 through Quarter 2, 2021
    • Please note for the Q3 2020 – Q2 2021 data collection period, the Ventilator Liberation Rate measure’s risk-adjusted rate has been suppressed on Care Compare and PDC due to technical difficulties. However, the measure’s numerator, denominator, and observed rate for this period are available on PDC.
  • PDC Only
    • Quarter 3, 2018 through Quarter 4, 2019
      • Q3 2018 – Q2 2019
      • Q4 2018 – Q3 2019
      • Q1 2019 – Q4 2019

In summary, the following LTCH QRP measures will be displayed on Care Compare and PDC during the April 2022 release:

  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) (NQF #0674)
    • Q3 2020 – Q2 2021 (7/1/2020 – 6/30/2021)
  • Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function
    • Q3 2020 – Q2 2021 (7/1/2020 – 6/30/2021)
  • Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function
    • Q3 2020 – Q2 2021 (7/1/2020 – 6/30/2021)
  • Functional Outcome Measure: Change in Mobility Among Long-Term Care Hospital Patients Requiring Ventilator Support (NQF #2632)
    • Q3 2019 – Q4 2019 and Q3 2020 – Q2 2021 (7/1/2019 – 12/31/2019; 7/1/2020 – 6/30/2021)
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues – Post-Acute Care (PAC) Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
    • Q3 2020 – Q2 2021 (7/1/2020 – 6/30/2021)
  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
    • Q3 2020 – Q2 2021 (7/1/2020 – 6/30/2021)
  • Compliance with Spontaneous Breathing Trial (SBT) by Day 2 of the LTCH Stay
    • Q3 2020 – Q2 2021 (7/1/2020 – 6/30/2021)
  • Ventilator Liberation Rate*
    • Q3 2020 – Q2 2021 (7/1/2020 – 6/30/2021)
  • National Healthcare Safety Network (NHSN) Catheter-Associated Urinary Tract Infection (CAUTI) Outcome Measure (NQF #0138)
    • Q2 2019 – Q4 2019 and Q3 2020 (4/1/2019 – 12/31/2019; 7/1/2020 – 9/30/2020)
  • National Healthcare Safety Network (NHSN) Central Line-Associated Bloodstream Infection (CLABSI) Outcome Measure (NQF #0139)
    • Q2 2019 – Q4 2019 and Q3 2020 (4/1/2019 – 12/31/2019; 7/1/2020 – 9/30/2020)
  • National Healthcare Safety Network (NHSN) Facility-Wide Inpatient Hospital-onset Clostridium difficile Infection (CDI) Outcome Measure (NQF #1717)
    • Q2 2019 – Q4 2019 and Q3 2020 (4/1/2019 – 12/31/2019; 7/1/2020 – 9/30/2020)
  • Influenza Vaccination Coverage Among Healthcare Personnel (NQF #0431)
    • Q4 2018 – Q1 2019 (10/1/2018 – 3/31/2019)
  • Discharge to Community – Post-Acute Care (PAC) Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) (NQF #3480)
    • Q4 2017 – Q3 2019 (10/1/2017 – 9/30/2019)
  • Medicare Spending Per Beneficiary – Post-Acute Care (PAC) Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
    • Q4 2017 – Q3 2019 (10/1/2017 – 9/30/2019)
  • Potentially Preventable 30-Days Post-Discharge Readmission Measure for Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
    • Q4 2017 – Q3 2019 (10/1/2017 – 9/30/2019)

*Please note for the Q3 2020 – Q2 2021 data collection period, the Ventilator Liberation Rate measure’s risk-adjusted rate has been suppressed on Care Compare and PDC due to technical difficulties. However, the measure’s numerator, denominator, and observed rate for this period are available on PDC.

Please visit Care Compare and PDC to view the updated quality data. For questions about LTCH QRP Public Reporting, please email LTCHPRquestions@cms.hhs.gov.

April 27, 2022

Attention LTCH Providers!

The Centers for Medicare & Medicaid Services (CMS) discovered an error in the patient counts for each Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) measure in the March 2022 provider preview reports originally released on April 13, 2022, related to the June 2022 refresh of LTCH quality data on CMS Care Compare. The update correctly applies the COVID-19 reporting exceptions to only exclude stays that occurred in Q1 and Q2 2020.

Additionally, an error was discovered in the measure calculations for the Ventilator Liberation Rate measure for the reporting period October 1, 2020 through September 30, 2021. The update corrects the Facility Risk-Adjusted Percent calculations for the Ventilator Liberation Rate measure.

The March 2022 provider preview reports will be re-released on April 27, 2022, and the review period will run from April 27, 2022 through May 27, 2022. For any questions, please reach out to LTCHPRquestions@cms.hhs.gov.

April 13, 2022

LTCH Provider Preview Reports – Now Available

The Long-Term Care Hospital (LTCH) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the June 2022 refresh of the websites.

The data contained within the Preview Reports are based on quality assessment data submitted by LTCHs from Quarter 4, 2020 through Quarter 3, 2021, and for the LTCH Change in Mobility measure, Quarter 4, 2019 and Quarter 3, 2020 through Quarter 3, 2021. Additionally, the Centers for Disease Control and Prevention (CDC) measures reflect data from Quarter 3, 2020 through Quarter 2, 2021 for the Clostridium Difficile Infection (CDI), Catheter-Associated Urinary Tract Infections (CAUTI), and Central Line-Associated Bloodstream Infections (CLABSI) measures, as well as Quarter 4, 2018 through Quarter 1, 2019 for the Healthcare Personnel (HCP) Influenza measure. This refresh also resumes the reporting of all claims-based measures. Due to the COVID-19 reporting exceptions, the claims-based measures have been calculated excluding Q1 and Q2 2020 data from measure calculations. The data for the claims-based measures will display data from Quarter 3, 2019 through Quarter 4, 2019 and Quarter 3, 2020 through Quarter 2, 2021 for this refresh.

Providers have until May 13, 2022 to review their performance data. Corrections to the underlying data will not be permitted during this time. However, providers can request Centers for Medicare and Medicaid Services (CMS) review of their data during the preview period if they believe the quality measure scores that are displayed within their Preview Reports are inaccurate.

For more information, please visit the CMS LTCH QRP Public Reporting website.

March 7, 2022

Attention LTCH Providers!  LTCH Provider Preview Reports Related to the March 2022 Care Compare Refresh have been Reissued and are Now Available!

The Centers for Medicare & Medicaid Services (CMS) discovered an error in measure calculations for the Ventilator Liberation Rate measure in the provider preview reports previously issued on January 26, 2022, related to the March 2022 refresh of Care Compare, for the reporting period July 1, 2020 through June 30, 2021. The update corrected the patient counts included in the Ventilator Liberation Rate measure.

Additionally, an error was discovered in the National Healthcare Safety Network (NHSN) Facility-Wide Inpatient Hospital-onset Clostridium difficile Infection (CDI) Outcome Measure (NQF #1717) for the reporting period April 1, 2019 through September 30, 2020. This error stemmed from the change to allow four non-contiguous quarters of data due to the reporting exceptions implemented during the COVID-19 public health emergency.

These provider preview reports will be re-released on March 7, 2022, and the new preview period will begin on March 7, 2022 and continue through April 6, 2022. For any questions, please reach out to LTCHPRquestions@cms.hhs.gov.

LTCHs can access their preview report by logging in to iQIES at https://iqies.cms.gov/. At the main screen, select Reports; then ‘My Reports’.

LTCH Quality Reporting Program Archives

Page Last Modified:
11/03/2022 03:23 PM