Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)
What is the LTCH 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) requires the Secretary to establish quality reporting requirements for LTCHs.
Learn more about Section 3004 (Quality Reporting for LTCHs, Inpatient Rehabilitation Facilities [IRFs], and Hospice Programs) of the Public Law (P.L.) No: 111-148, the Patient Protection and Affordable Care Act (H.R.3590 Health Care Law).
The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) added section 1899B to the SSA and requires the reporting of standardized patient assessment data regarding quality measures and Standardized Patient Assessment Data Elements (SPADEs). It requires the submission of data pertaining to quality measures, resource use, and other domains. Using standardized quality measures and standardized data, the intent of the IMPACT Act, among other obligations, is to allow for the exchange of standardized and interoperable data among post-acute, 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:
- Improving Medicare Post-Acute Care Transformation Act Of 2014
- IMPACT Act of 2014 Data Standardization & Cross Setting Measures webpage
What happens if quality data isn’t reported?
For Fiscal Year (FY) 2014, and each subsequent year, if an LTCH fails to submit the required quality data, the LTCH will be subject to a two percentage (2%) point reduction in the Annual Update (i.e. the Annual Payment Update [APU]) for the applicable performance year.
The Centers for Medicare & Medicaid Services (CMS) strongly encourages submitting quality data prior to the deadline to ensure the data are complete and accurate and to allow LTCH providers an opportunity to address any submission issues.
Who can see the reported data?
CMS must make quality data available to the public through the Care Compare website. To ensure accuracy of this publicly reported data, CMS gives LTCHs the opportunity to review the data before they are posted. The Care Compare website began reporting quality measure data in late 2016.
Please see the LTCH Quality Reporting Help webpage for further assistance and contact information.