Abstract
Objective
Design
Setting
Participants
Interventions
Main Outcome Measures
Results
Conclusions
Keywords
List of abbreviations:
CARE (Continuity Assessment Record and Evaluation), CI (confidence interval), CMS (Centers for Medicare & Medicaid Services), FFS (fee for service), ICC (intraclass correlation coefficient), IRF (inpatient rehabilitation facility), IRF-PAI (Inpatient Rehabilitation Facility–Patient Assessment Instrument), QRP (Quality Reporting Program)Purchase one-time access:
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Agency for Healthcare Research and Quality. National Quality Strategy. Working for quality: achieving better health and health care for all Americans. Available at: https://www.ahrq.gov/workingforquality/index.html. Accessed January 30, 2017.
- Evaluating the quality of medical care. 1966.Milbank Q. 2005; 83: 691-729
- Inpatient rehabilitation facility services. Report to the Congress: Medicare payment policy.Medicare Payment Advisory Commission, Washington (DC)2015: 239-257
- Analysis of crosscutting Medicare functional status quality metrics using the Continuity and Assessment Record and Evaluation (CARE) item set: final report.(Available at:) (Accessed October 27, 2016)
- Functional health outcomes as a measure of health care quality for Medicare beneficiaries.Health Serv Res. 2001; 36: 90-109
- Crossing the quality chasm: a new health system for the 21st century.National Academy Pr, Washington (DC)2001
- The patient's view of recovery: an emerging tool for empowerment through self-knowledge.Disabil Rehabil. 2008; 30: 679-688
- Disability meanings according to patients and clinicians: imagined recovery choice pathways.Qual Life Res. 2009; 18: 389-398
- Functional status: the sixth vital sign.J Gen Intern Med. 2001; 16: 785-786
- National Committee on Vital and Health Statistics. 2000-2002. DHHS Publication No. (PHS) 2003-1203.U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, HyattsvilleAugust 2003
- Regional variation in stroke rehabilitation outcomes.Arch Phys Med Rehabil. 2014; 95: 29-38
- Disparities in post-acute rehabilitation care for joint replacement.Arthritis Care Res (Hoboken). 2011; 63: 1020-1030
- Inpatient rehabilitation volume and functional outcomes in stroke, lower extremity fracture, and lower extremity joint replacement.Med Care. 2013; 51: 404-412
- Race/ethnicity and outcomes following inpatient rehabilitation for hip fracture.J Gerontol A Biol Sci Med Sci. 2008; 63: 860-866
- Inpatient rehabilitation outcomes in a national sample of Medicare beneficiaries with hip fracture.J Appl Gerontol. 2016; 35: 62-83
- Racial and ethnic differences in postacute rehabilitation outcomes after stroke in the United States.Stroke. 2008; 39: 1514-1519
- Shorter length of stay is associated with worse functional outcomes for Medicare beneficiaries with stroke.Phys Ther. 2013; 93: 1592-1602
Centers for Medicare & Medicaid Services. Inpatient rehabilitation facility (IRF) quality reporting program. Available at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/IRF-Quality-Reporting/. Accessed October 27, 2016.
National Quality Forum. NQF #2635: Inpatient rehabilitation facility (IRF) functional outcome measure: discharge self-care score for medical rehabilitation patients. Available at: www.qualityforum.org/qps/2635. Accessed October 27, 2016.
Gage B, Constantine R, Aggarwal J, et al. The development and testing of the Continuity Assessment Record and Evaluation (CARE) Item Set: final report on the development of the CARE Item Set. Volume 1 of 3. 2012. Available at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/Downloads/The-Development-and-Testing-of-the-Continuity-Assessment-Record-and-Evaluation-CARE-Item-Set-Final-Report-on-the-Development-of-the-CARE-Item-Set-Volume-1-of-3.pdf. Accessed October 27, 2016.
Centers for Medicare & Medicaid Services. Inpatient Rehabilitation Facility–Patient Assessment Instrument (IRF-PAI). Available at: https://www.cms.gov/medicare/medicare-fee-for-service-payment/inpatientrehabfacpps/irfpai.html. Accessed October 27, 2016.
- 42 CFR Part 412. Medicare program; Inpatient rehabilitation facility prospective payment system for federal fiscal year 2016; final rule.Fed Regist. 2015; 80: 47118-47119
National Quality Forum, Measure Applications Partnership Post-Acute Care/Long-Term Care Workgroup. 2016 spreadsheet of final recommendations to HHS and CMS. February 1, 2016. Available at: http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=81593. Accessed January 30, 2017.
Gage B, Morley M, Smith L, et al. Post-acute care payment reform demonstration: final report. Volume 1 of 4. 2012. Available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Reports/Downloads/PAC-PRD_FinalRpt_Vol1of4.pdf. Accessed October 27, 2016.
Gage B, Morley M, Smith L, et al. Post-acute care payment reform demonstration: final report. Volume 2 of 4. 2012. Available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Reports/Downloads/PAC-PRD_FinalRpt_Vol2of4.pdf. Accessed October 27, 2016.
Gage B, Morley M, Smith L, et al. Post-acute care payment reform demonstration: final report. Volume 3 of 4. 2012. Available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Reports/Downloads/PAC-PRD_FinalRpt_Vol3of4.pdf. Accessed October 27, 2016.
Gage B, Morley M, Smith L, et al. Post-acute care payment reform demonstration: final report. Volume 4 of 4. 2012. Available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Reports/Downloads/PAC-PRD_FinalRpt_Vol4of4.pdf. Accessed October 27, 2016.
- Report to Congress: Post Acute Care Payment Reform Demonstration (PAC-PRD).(Available at:) (Accessed October 27, 2016)
- The development and testing of the Continuity Assessment Record and Evaluation (CARE) Item Set: Final Report on Reliability Testing. Research Triangle Park: RTI International.(Available at:) (Accessed October 27, 2016)
- Continuity Assessment Record and Evaluation (CARE) Item Set: video reliability testing.(Available at:) (Accessed October 27, 2016)
- The development and testing of the Continuity Assessment Record and Evaluation (CARE) Item Set: final report on CARE Item Set and current assessment comparisons.(Available at:) (Accessed October 26, 2016)
- Summary of feedback from the technical expert panel on the development of cross-setting functional status quality measures.(Available at:) (Accessed October 27, 2016)
- Development of a risk-adjustment model for the inpatient rehabilitation facility discharge self-care functional status quality measure.Med Care. 2017 May 11; ([Epub ahead of print])
- The Inpatient Rehabilitation Facility–Patient Assessment Instrument (IRF-PAI) training manual.(Available at:) (Accessed October 27, 2016)
National Quality Forum. Available at: http://www.qualityforum.org. Accessed October 27, 2016.
- Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act of 2014, H.R. 4994).(Available at:) (Accessed October 27, 2016)
National Quality Forum (NQF) #2633. Inpatient rehabilitation facility (IRF) functional outcome measure: change in self-care score for medical rehabilitation patients. Available at: www.qualityforum.org/qps/2633. Accessed October 27, 2016.
- Eliciting patient and caregiver perspectives to improve the public reporting of rehabilitation quality measures.Rehabil Nurs. 2013; 38: 24-31
- Rehabilitation consumers' use and understanding of quality information: a health literacy perspective.Arch Phys Med Rehabil. 2009; 90: 206-212
National Quality Forum (NQF) #2286. Functional change: change in self care score. Available at: www.qualityforum.org/qps/2286. Accessed October 27, 2016.
- March 2016 report to the Congress: Medicare payment policy.2016 (237-269. Available at: http://www.medpac.gov/docs/default-source/reports/march-2016-report-to-the-congress-medicare-payment-policy.pdf?sfvrsn=0. Accessed January 30, 2017.)
Article info
Publication history
Footnotes
Supported by the Centers for Medicare & Medicaid Services (CMS; contract nos. HHSM-500-2008-00021I, HHSM-500-2013-13015I). Preparation of this manuscript was funded by a Professional Development Award (no. 0190531.100.012) from RTI International. The statements contained in this report are solely those of the authors and do not necessarily reflect views or policies of the funding sources, nor was the analysis influenced by the funding sources.
Disclosures: none.
