CMS Updates Website and Adds New Measures to IRF Compare

New quality measures have been added to the IRF Compare website in order to assist consumers, although some measures are not included.

The Inpatient Rehabilitation Facility (IRFs) Prospective Payment System for federal fiscal year 2018 final rule published Aug. 3, 2017 included the addition of additional quality measures to the IRF Quality Compare Website by fall 2018.  On Dec. 12, 2017 the Centers for Medicare & Medicaid Services (CMS) released a fact sheet notifying IRFs that the IRF Compare Website was refreshed with four of those measures.

Newly Added Measures

The new measures include the following:

  • Percent of Residents or Patients Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccination (NQF #0680)
    Data Collection Period: July 1, 2015 – June 30, 2016 (displayed as Oct. 1, 2015 – March 31, 2016)
  • Influenza Vaccination among Healthcare Personnel (NQF #0431)
    Data Collection Period: July 1, 2015 – June 30, 2016 (displayed as Oct. 1, 2015 – March 31, 2016)
  • National Healthcare Safety Network (NHSN) Facility-wide Inpatient Hospital-onset Methicillin Resistant Staphylococcus aureus (MRSA) Bacteremia Outcome Measure (NQF #1716)
    Data Collection Period: Jan. 1, 2016 – Dec. 31, 2016
  • National Healthcare Safety Network (NHSN) Facility-wide Inpatient Hospital-onset Clostridium Difficile Infection (CDI) Outcome Measure (NQF #1717)
    Data Collection Period: Jan. 1, 2016 – Dec. 31, 2016
Measures Currently on Display
  • Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened (Short Stay) (NQF #0678)
    Data Collection Period: Jan. 1, 2016 – Dec. 31, 2016
  • National Healthcare Safety Network (NHSN) Catheter-Associated Urinary Tract Infection (CAUTI) Outcome Measure (NQF #0138)
    Data Collection Period: Jan. 1, 2016 – Dec. 31, 2016
  • All Cause Unplanned 30-day post-IRF Discharge Readmission Measure (NQF #2502)
    Data Collection Period: Jan. 1, 2014 – Dec. 31, 2015
Meaningful to Consumer

Today’s consumers are concerned about quality care in the healthcare system and frequently use Medicare’s “Compare” sites to provide information for healthcare choices.  Admissions to post-acute care facilities including IRFs are generally planned to follow an acute stay and patients and families can research data prior to making a placement decision.  The IRF Compare site includes a list of the most common conditions treated as well as the quality data listed above. The data is provided to the consumer in table format showing the individual IRFs performance as compared to the national average.  Additionally, as is true for the other Medicare’s “Compare” sites, the consumer can create a side-by-side table comparing up to three facilities with the national average. 

How IRFs Should Utilize this Data

Check your data.  Prior to final publication, IRFs are provided an opportunity to review and correct data.  Take advantage of this opportunity so that your performance is accurately reflected.  Additionally, IRFs can compare themselves to peer organizations to see how their data compares within the community.  And, when the organization’s performance is lower than desired, the organization can utilize this data as part of its overall Quality Assurance and Performance Improvement activities to focus on areas that might be of concern.

What’s Noteworthy?

While the availability of information to the public on IRF Compare is relatively recent, what’s surprising is what’s “missing” from the data.  To date, indicators that have long been important to IRFs – discharge to home, level of functional improvement – have not been added although we expect to see some of these in the future.

Facebook
Twitter
LinkedIn

Angela Phillips, PT

Angela M. Phillips, PT, is President & Chief Executive Officer of Images & Associates. A graduate of the University of Pennsylvania, School of Allied Health Professions, she has almost 45 years of experience as a consultant, healthcare executive, hospital administrator, educator, and clinician. Ms. Phillips is one of the nation’s leading consultants assisting Inpatient Rehabilitation Facilities in operating effectively under the Medicare Prospective Payment System (PPS) and in addressing key issues related to compliance.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

2026 ICD-10-CM/PCS Coding Clinic Update Webcast Series

Uncover essential coding insights with nationally recognized coding authority Kay Piper, RHIA, CDIP, CCS. Through ICD10monitor’s interactive, on‑demand webcast series, Kay walks you through the AHA’s 2026 ICD‑10‑CM/PCS Quarterly Coding Clinics, translating each update into practical, easy‑to‑apply guidance designed to sharpen precision, ensure compliance, and strengthen day‑to‑day decision‑making. Available shortly after each official release.

April 13, 2026

2026 ICD-10-CM/PCS Coding Clinic Update: Fourth Quarter

Uncover critical guidance on the ICD-10-CM/PCS code updates. Kay Piper reviews and explains ICD-10-CM/PCS coding guidelines in the AHA’s fourth quarter 2026 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.

December 14, 2026

2026 ICD-10-CM/PCS Coding Clinic Update: Third Quarter

Uncover critical guidance on the ICD-10-CM/PCS code updates. Kay Piper reviews and explains ICD-10-CM/PCS coding guidelines in the AHA’s third quarter 2026 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.

October 12, 2026

2026 ICD-10-CM/PCS Coding Clinic Update: Second Quarter

Uncover critical guidance on the ICD-10-CM/PCS code updates. Kay Piper reviews and explains ICD-10-CM/PCS coding guidelines in the AHA’s second quarter 2026 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.

July 13, 2026

Trending News

Featured Webcasts

Compliance for the Inpatient Psychiatric Facility (IPF-PPS): Minimizing Federal Audit Findings by Strengthening Best Practices

Federal auditors are intensifying their focus on inpatient psychiatric facilities, using advanced data analytics to spotlight outliers and pursue high‑dollar repayments. In this high‑impact webcast, Michael Calahan, PA, MBA, Compliance Officer and V.P., Hospital & Physician Compliance, breaks down what regulators are really targeting in IPF-PPS admissions, documentation, treatment and discharge planning. Attendees will learn practical steps to tighten processes, avoid common audit triggers and protect reimbursement and reduce the risk of multimillion-dollar repayment demands.

April 9, 2026

Mastering MDM for Accurate Professional Fee Coding

In this timely session, Stacey Shillito, CDIP, CPMA, CCS, CCS-P, CPEDC, COPC, breaks down the complexities of Medical Decision Making (MDM) documentation so providers can confidently capture the true complexity of their care. Attendees will learn practical, efficient strategies to ensure documentation aligns with current E/M guidelines, supports accurate coding, and reduces audit risk, all without adding to charting time.

March 31, 2026

The PEPPER Returns – Risk and Opportunity at Your Fingertips

Join Ronald Hirsch, MD, FACP, CHCQM for The PEPPER Returns – Risk and Opportunity at Your Fingertips, a practical webcast that demystifies the PEPPER and shows you how to turn complex claims data into actionable insights. Dr. Hirsch will explain how to interpret key measures, identify compliance risks, uncover missed revenue opportunities, and understand new updates in the PEPPER, all to help your organization stay ahead of audits and use this powerful data proactively.

March 19, 2026

Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue

Stay ahead of the 2026-2027 audit surge with “Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue,” a high-impact webcast led by Michael Calahan, PA, MBA. This concise session gives hospitals and physicians clear insight into the most likely federal audit targets, such as E/M services, split/shared and critical care, observation and admissions, device credits, and Two-Midnight Rule changes, and shows how to tighten documentation, coding, and internal processes to reduce denials, recoupments, and penalties. Attendees walk away with practical best practices to protect revenue, strengthen compliance, and better prepare their teams for inevitable audits.

January 29, 2026

Trending News

Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more

Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!

BLOOM INTO SAVINGS! Get 25% OFF during our spring sale through March 27. Use code SPRING26 at checkout to claim this offer.

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24