This measure estimates the percentage of IRF patients who meet or exceed an expected discharge mobility score.
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1.14 Numerator
The numerator is the number of patients in an IRF with an observed discharge mobility score that is equal to or higher than a calculated expected discharge mobility score.
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1.15 Denominator
IRF patients included in this measure are at least 21 years of age, Medicare Part A and Medicare Advantage beneficiaries, and have complete stays.
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Exclusions
This quality measure has five patient-level exclusion criteria:
1) Patients with incomplete stays.
Rationale: When a patient has an incomplete stay, for example, the patients leave urgently due to a medical emergency, it can be challenging to gather accurate discharge functional status data. Patients with incomplete stays include patients who are unexpectedly discharged to an acute care setting (Short-stay Acute Hospital, Critical Access Hospital, Inpatient Psychiatric Facility, or Long-term Care Hospital); patients who die or leave an Inpatient Rehabilitation Facility (IRF) against medical advice; and patients with a length of stay less than 3 days.
2) Patients with the following medical conditions on admission: coma, persistent vegetative state, complete quadriplegia, locked-in syndrome, or severe anoxic brain damage, cerebral edema or compression of brain.
Rationale: These patients are excluded because they may have limited or less predictable mobility improvement with the selected items.
3) Patients younger than age 21.
Rationale: There is only limited evidence published about functional outcomes for individuals with Medicare who are younger than 21.
4) Patients discharged to hospice.
Rationale: Patient goals may change during the IRF stay, and functional improvement may no longer be a goal for a patient discharged to hospice.
5) Patients who are not Medicare Part A or Medicare Advantage beneficiaries.
Rationale: IRF-PAI data for patients not covered by the Medicare program are not submitted to the Centers for Medicare and Medicaid Services.
Facility-level quality measure exclusion: For IRFs with fewer than 20 patient stays, data for this quality measure are not publicly reported.
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OLD 1.12 MAT output not attachedAttached
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Most Recent Endorsement ActivityEndorsed Patient Experience and Function Spring Cycle 2019Initial EndorsementLast Updated
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StewardCenters for Medicare & Medicaid ServicesSteward Organization POC EmailSteward Organization Copyright
Not applicable
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Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
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6.1.2 Current or Planned Use(s)
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Planned UseUse In Federal Program
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