Posted on Sunday, October 25, 2015 11:43 AM
CMS held a National Provider Call to update stakeholders on the progress and the plans related to the IMPACT Act, which was signed into law on October 2014. It requires CMS to develop standardized assessment data and quality measures across the PAC setting, including IRFs, SNFs, LTC’s, and HHA’s. IMPACT specifies the areas and timeframes that each PAC provider must start submitting the cross setting quality measures. Click here to read the quality measure domains. SNFs, IRFs, and LTCHs, must begin reporting select quality measures as early as October 1, 2016. HHAs must begin reporting measures beginning January 1, 2017. CMS has been working to meet the deadlines for measure development. 3 measures have already been finalized for SNF, IRF and LTCH, and the measure for new or worsened pressure ulcers has been proposed for HHA’s in the 2016 home health prospective payment system rate update.
- % of Residents/Patients/Persons with Pressure Ulcers That Are New or Worsened
- % of Patients/Residents/Persons With an Admission and Discharge
- Functional Assessment and a Care Plan that Addresses Function
- % of Residents/Patients/Persons Experiencing 1 or More Falls with Major Injury
IMPACT requires CMS to develop standardized assessment data that addresses specific categories required by the Secretary. Additionally, CMS must incorporate the standardized assessment data into the existing assessment tools currently used by each PAC provider. IMPACT outlines specified timeframes for which the data must be submitted by each of the PAC providers. For HHAs, the assessment data must be submitted beginning January 1, 2019. SNF, IRF, and LTCH must submit the assessment data not later than October 1, 2018. CMS posted a tentative schedule for upcoming provider outreach sessions, such as special Open Door Forum calls. NAHC encourages HHA’s to take advantage of the outreach opportunities to stay informed about the IMPACT Act. The quality measures and the assessment data developed as required by the IMPACT Act will have effects on HHA’s well into the future. Click here to read more.
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