What’s happening: Effective January 2025, the Centers for Medicare & Medicaid Services (CMS) requires certain facility types to report hospital respiratory data (HRD) to the National Healthcare Safety Network on an annual basis.
What else to know: All required data elements and reporting information can be found in the HRD Reporting Protocol.
The facility types required to report this data annually are:
- Freestanding inpatient rehabilitation facilities (IRFs), including Medicaid-only rehabilitation hospitals
- Freestanding inpatient psychiatric facilities (IPFs), including Medicaid-only psychiatric hospitals
- CMS-certified IRF units, meaning IRF within a hospital and distinct-part units
- CMS-certified IPF units, meaning IPF within a hospital and distinct-part units
To meet the annual reporting requirement, these facility types should report data using either the HRD daily data pathway or HRD weekly data pathway for at least one of the following full weeks — which run from Sunday to Saturday — in January 2025:
- Jan. 5, 2025 – Jan. 11, 2025
- Jan. 12, 2025 – Jan. 18, 2025 (due by Tuesday, Jan. 21, 2025)
- Jan. 19, 2025 – Jan. 25, 2025 (due by Tuesday, Jan. 28, 2025)
- Jan. 26, 2025 – Feb. 1, 2025 (due by Tuesday, Feb. 4, 2025)
Email Clinton Lee, director, data analytics, at clee@calhospital.org with any questions.