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SNF Quality Reporting Program (IMPACT Act 2014)

Overview

What is the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)?

On September 18, 2014, Congress passed the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). The IMPACT Act 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). The IMPACT Act establishes a quality reporting program (QRP) for SNFs.

The IMPACT Act added section 1899B to the Social Security Act (Act) 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 https://www.cms.gov/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.html.

What happens if quality data isn’t reported?

The IMPACT Act also amends section 1886(e)(6) of the Act, requiring that, bBeginning fiscal year (FY) 2018 and each subsequent rate year, if a SNF fails to submit the required quality data, the SNF will be subject to a two (2) percentage point reduction in the annual payment update.

Who can see the reported data?

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

CMS SNF Quality Reporting Help website

SNF QRP Archives