We have received information from NAHC regarding the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act of 2014), which was passed on September 18, 2014. The IMPACT Act states that the Secretary shall require the submission of standardized clinical assessment data (with domains as specified) using assessment submitted to CMS by Long-Term Care Hospitals (LTCH), Skilled Nursing Facilities (SNF), Home Health Agencies (HHA) and Inpatient Rehabilitation Facilities (IRF). It further requires the submission of standardized data using such assessments for use the quality measures for which the Act specifies five domains. It also requires that standardized data be submitted on measures related to resource use, and other categories.
In order for CMS to meet the statutory timeline for standardized quality and resource measure reporting across PAC providers by 2017, they are on a fast tract and will be using the following criteria in selecting measures:
- Address a current area for improvement
- Consider measures in place in post-acute care quality reporting programs, and are:
- already endorsed and in place,
- finalized for use
- already previewed by the National Quality Forum(NQF), Measure Applications
- Partnership (MAP)
- Minimize burden
Following are the first four measures that have been selected and submitted to NQF, MAP:
- Functional status, cognitive function, and changes in function and cognitive function
- Percent of patients/residents with an admission and discharge functional assessment and a care plan that addresses function
- Skin integrity and changes in skin integrity
- Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened
- Incidence of major falls
- Percent of Residents Experiencing One or More Falls with Major Injury (NQF
- Measures to reflect all-condition risk-adjusted potentially preventable hospital readmission rates that are currently collected by each PAC provider
These four cross-cutting measures are going to be discussed and voted on TODAY, February 27th, from Noon to 2 pm ET on a meeting of the MAP Coordinating Committee that will be held via conference call. The call (and the information to be discussed on the call) is open to the public. See call information below.
Measure Applications Partnership,Coordinating Committee Conference Call
February 27, 2015 12:00 PM – 2:00 PM ET
- Public Participants: Dial (855) 499-0963; no conference ID required.
**Click here to access meeting materials
*Information above provided by NAHC.