Abstract
Objective
To describe the development of and quality measure scores for the cross-setting postacute
care function process quality measure that requires the collection of standardized
self-care and mobility data at admission and discharge and at least 1 function goal.
Design
Description of the development and implementation of the quality measure and the associated
standardized self-care and mobility data elements. Descriptive analyses of quality
measure scores for the first calendar year using data from the Minimum Data Set, the
Inpatient Rehabilitation Facility Patient Assessment Instrument, the Long-Term Care
Hospitals (LTCH) Continuity Assessment Record and Evaluation Data Set, and Outcome
and Assessment Information Set.
Setting
15,127 skilled nursing facilities (SNFs), 1129 inpatient rehabilitation facilities
(IRFs), 414 LTCHs, and 10,352 home health agencies (HHAs) in the United States.
Participants
In total there were 9,216,943 stays/quality episodes (N = 9,216,943), including 2,084,774
SNF Medicare fee-for-service patient stays, 493,209 IRF Medicare patient stays, 161,714
patient stays, and 6,477,246 Medicare and Medicaid quality episodes.
Interventions
Not applicable.
Main Outcome Measures
Scores for the cross-setting postacute care function process quality measure.
Results
The mean process quality measure scores for SNFs, IRFs, LTCHs, and HHAs were 95.5%,
99.7%, 99.1%, and 95.8, respectively. The 10th percentile scores for SNFs, IRFs, LTCHs,
and HHAs were 88.5%, 99.3%, 98.4%, and 89.4, respectively, indicating that at least
90% of postacute care providers submitted the standardized data for a large proportion
of their patients. Mean quality measure scores did not vary by provider characteristics.
Conclusions
Most SNFs, IRFs, LTCHs, and HHAs submitted the self-care and mobility data, resulting
in high quality measure scores during the first year of implementation. The availability
of the standardized self-care and mobility data across postacute care settings offers
the opportunity to compare the characteristics and functional outcomes of patients
treated in postacute care.
Keywords
List of abbreviations:
CARE (Continuity Assessment Record and Evaluation), CMS (Centers for Medicare & Medicaid Services), HHA (home health agency), IMPACT Act (Improving Medicare Post-Acute Care Transformation Act), IRF (inpatient rehabilitation facility), LTCH (long-term care hospital), NQF (National Quality Forum), PAC (post-acute care), QRP (Quality Reporting Program), SNF (skilled nursing facility)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: February 11, 2022
Accepted:
January 12,
2022
Received in revised form:
January 11,
2022
Received:
August 12,
2021
Footnotes
Current affiliation for Tara McMullen: Veteran's Affairs, Baltimore, MD.
Current affiliation for Tri Le: SemanticBits, Cambridge, MA.
Current affiliation for Molly Marino: EmboldHealth, Providence, RI.
Current affiliation for Carole Schwartz: RUSH University Medical Center, Chicago, IL.
Supported by the Centers for Medicare & Medicaid Services (CMS) under contracts HHSM-500-2013-13015I, Contract No. 75FCMC18D0014/Task Order No. 75FCMC19F0001, and RTI International.
Disclosure: The statements contained in the article are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information.
Identification
Copyright
© 2022 by the American Congress of Rehabilitation Medicine.
