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 (ACA) 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 ACA Section 3004 (Quality Reporting for LTCHs, Inpatient Rehabilitation Facilities (IRFs), and Hospice Programs) at the link below,. 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 Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) 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:

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, the LTCH will be subject to a two (2) percentage point reduction in the annual payment update.

The Centers for Medicare & Medicaid Services (CMS) strongly encourages submitting quality data prior to the deadline to provide an opportunity to review data submissions for completeness and accuracy and to 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:
01/21/2020 06:59 PM