Long-Term Care Hospital (LTCH) Quality Reporting (QRP)
What is the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)?
The LTCH QRP, mandated by Section 3004(a) of the Patient Protection and Affordable Care Act of 2010, creates LTCH quality reporting requirements. Every year, by October 1, we publish the quality measures LTCHs must report. Section 3004(a) of the Affordable Care Act (ACA) amends section 1886(m)(5) of the Social Security Act (SSA) to direct the Secretary to establish quality reporting requirements for long-term care hospitals (LTCHs).
The Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act) requires LTCHs to submit standardized patient assessment data with regard to quality measures, resource use, and other measures. It further specifies that the data [elements] “… be standardized and interoperable so as to allow for the exchange of such data among such post-acute care providers and other providers and the use by such providers of such data that has been so exchanged, including by using common standards and definitions in order to provide access to longitudinal information for such providers to facilitate coordinated care and improved Medicare beneficiary outcomes …”.
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). Please note the 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
Learn more about the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014, which requires the submission of standardized data by Long-Term Care Hospitals (LTCHs), Skilled Nursing Facilities (SNFs), Home Health Agencies (HHAs) and Inpatient Rehabilitation Facilities (IRFs), available at the following link: https://www.gpo.gov/fdsys/pkg/PLAW-113publ185/pdf/PLAW-113publ185.pdf
What happens if quality data isn’t reported?
For fiscal year 2014, and each year forward, if LTCHs fail to submit the required quality data, the result shall be a two (2) percentage point reduction to your 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.
LTCH Quality Reporting Help
- For LTCH QRP general feedback, comments, and questions: LTCHQualityQuestions@cms.hhs.gov.
- For questions about LTCH quality data submitted to CMS via CDC’s NHSN, or NHSN Registration: NHSN@cdc.gov
- For questions related to public reporting of quality data: LTCHPRquestions@cms.hhs.gov
- For questions about LTCH CARE Data Set submissions or status of data submissions via CASPER reports, call 1-800-339-9313 or email email@example.com.
- For questions related to technical issues, such as the data submission specifications: LTCHTechIssues@cms.hhs.gov.
- For information about the LTCH QRP reconsideration process: LTCHQRPReconsiderations@cms.hhs.gov.
- Page last Modified: 01/15/2019 2:33 PM
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