Background
On October 6, 2014, the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) was signed into law. The Act requires post-acute care (PAC) providers — including long-term care hospitals (LTCHs), skilled-nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs) and home health agencies (HHAs) — to submit standardized data using specific reporting tools.
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CHA News Articles
- CY 2025 Proposed Rules
- FFY 2025 Proposed Rules
- Other Information
CMS Opportu/cha-news-article/cms-provides-guides-post-acute-care-and-hospice-quality-reportingnities for Engagement
Presentations/Reports
- Findings from the RAND IMPACT National Beta Test – Development and Evaluation of Candidate SPADES (November 2019)
- Listening Session on SDOH Data Elements (December 2018)
- Early Findings from the RAND IMPACT National Beta Test of Candidate Standardized Patient Assessment Data Elements (SPADEs), November 27, 2018
- IMPACT Act FAQs Call, June 21, 2018
- FFY 2019 PAC PPS Proposed Rule Member Forum Slide Decks & Recordings
- IMPACT Act CMS Special Open Door Forum, March 28, 2018
- IMPACT Act CMS Special Open Door Forum, December 12, 2017
- IMPACT Act CMS Special Open Door Forum, September 28, 2017
- IMPACT Act: Medicare Spending Per Beneficiary Measures Call, September 6, 2017
- Center for Post-Acute Care Meeting, April 2017
- Measuring Quality: The IMPACT Act and Beyond – Akin Demehin, American Hospital Association, February 2017
- IMPACT Act Member Forum Slide Deck & Recording
- June 2017 MedPAC Report to Congress
- CMS Downloads and Videos
Federal Advocacy
Comment Letters
Data Collection/Reporting
Current Assessment Tools
- SNF Quality Reporting Program
- IRF Quality Reporting Program
- IRF-Patient Assessment Instrument (IRF-PAI)
- CMS Announcements
- Final Specifications for IRF QRP Quality Measures and SPADEs
- Final IRF QRP Items Mockup – Effective October 1, 2020
- LTCH Quality Reporting Program
- LTCH-Continuity Assessment Record and Evaluation Data Set (LCDS)
- CMS Announcements
- Final Specifications for LTCH QRP Quality Measures and SPADEs
- Final LTCH QRP Item Mockups – Effective October 1, 2020
- Change Table for Final LTCH QRP Items – Effective October 1, 2020
- HHA Quality Reporting Program
Patient Assessment Data
PAC providers are required to report standardized and interoperable patient assessment data by October 1, 2018 (SNF, IRF, and LTCH) and January 1, 2018 (HHA). Providers must report this data at admission and discharge of a patient.
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Quality Measures
In addition to patient assessment data, PAC providers must report quality measures and resource use measures in a standardized and interoperable format.
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Standardized Data Element Testing
- Alpha 1 Pilot Test (August-October 2016)
- Eight facilities in Connecticut
- Summary Report of Findings from Alpha 1 Pilot Testing
- Alpha 2 Pilot Test (April-July 2017)
- Fifteen facilities across three U.S. markets (Denver, Houston, and Chicago)
- Summary of Report of Findings from Alpha 2 Pilot Testing
- National Beta Test (November 2017-September 2018)
- Field testing in targeted total of 210 (recruited 169 as of Sept. 18) facilities in 14 markets (Boston, Harrisburg, Philadelphia, Ft. Lauderdale, Durham, Chicago, Nashville, Kansas City, St. Louis, Dallas, Houston, Phoenix, Los Angeles, and San Diego)
- Report of Findings from the National Beta Test
