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

Overview

What is the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)?

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

Section 3004(a) of the ACA amended section 1886(m)(5) of the Social Security Act (SSA) requiring the Secretary to establish quality reporting requirements for LTCHs.

Learn  more about the Affordable Care Act (ACA) Section 3004 (Quality Reporting for Long-Term Care Hospitals (LTCH), Inpatient Rehabilitation Facilities (IRF), and Hospice Programs) at. Please note the following link below for 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 and requires the reporting of standardized patient assessment data with regard to quality measures and standardized patient assessment data elements (SPADEs). It requires the submission of data pertaining to quality measure, resource use, and other domains. Through the use of standardized quality measures and standardized data, the intent of the IMPACT Act, among other obligations, is to be standardized and interoperable 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: https://www.gpo.gov/fdsys/pkg/PLAW-113publ185/pdf/PLAW-113publ185.pdf and /Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/IMPACT-Act-of-2014/IMPACT-Act-of-2014-Data-Standardization-and-Cross-Setting-Measures

What happens if quality data isn’t reported?

For fiscal year 2014, and each year forward, if an LTCH fails to submit the required quality data, LTCH will be subject to a two (2) percentage point reduction in the annual payment update.

CMS strongly encourages submitting quality data prior to the deadline to provide an opportunity to review data submissions for completeness and accuracy, and address any submission issues.

Who can see the reported data?

CMS must make quality data available to the public. However, before the data is made public, LTCH providers will have the opportunity to review it.  

CMS LTCH Quality Reporting Help website

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Page Last Modified:
08/08/2019 10:34 AM