Inpatient Rehabilitation Facilities (IRF) Quality Reporting Program (QRP)
What is the Inpatient Rehabilitation Facilities (IRF) Quality Reporting Program (QRP)?
The IRF QRP creates IRF quality reporting requirements, as mandated by Section 3004(b) of the Patient Protection and Affordable Care Act (ACA) of 2010. Every year, by October 1, we publish the quality measures IRF's must report.
Section 3004(b) of the ACA amended section 1886(j)(7) of the Social Security Act (SSA)requiring the Secretary to establish quality reporting requirements for IRFs. Please see below link to text of Section 3004 of the ACA in the Related Links section below.
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/PLAW113publ185.pdf and /Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PostAcute-Care-Quality-Initiatives/IMPACT-Act-of-2014/IMPACT-Act-of-2014-Data-Standardization-and-CrossSetting-Measures.What happens if quality data isn’t reported?
For fiscal year 2014, and each year after, if an IRF does not submit the required quality data, the IRF will be subject to a two (2) percentage point reduction in the annual increase factor.
CMS strongly encourages submitting quality data prior to the deadline ensuring the data is complete and accurate and to address any data submission issues.
Who can see the reported data?
We must make quality data available to the public and give you the opportunity to review the data before it is made public. The IRF Compare website began reporting quality measure data in late 2016.
Learn more about ACA Section 3004 (Quality Reporting for Long-Term Care Hospitals (LTCH), Inpatient Rehabilitation Facilities (IRF), and Hospice Programs) in the link below: H.R. 3590 Health Care Law P.L. Public Law No: 111-148, the Patient Protection and Affordable Care Act.