Inpatient Rehabilitation Assessment Instrument and Data Set for PPS for Inpatient Rehabilitation Facilities
Revision of a currently approved collection
No
Regular
Comment filed on proposed rule and continue
08/27/2013
06/06/2013
The agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
02/28/2015
36 Months From Approved
02/28/2015
486,550
0
486,550
413,568
0
413,568
0
0
0
We are requesting approval for revisions to the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI. The burden associated with this requirement is the staff time required to complete, encode, and transmit the data from the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI). The burden associated with transmitting the IRF-PAI is not being included in this revision, since the requirement for IRFs to transmit the data is unaffected by the proposed revision to the assessment instrument. We are proposing to replace the current pressure ulcer assessment data items in the Quality Indicator section of the IRF-PAI with a new set of pressure ulcer data items. The proposed new pressure ulcer data elements are more comprehensive than in use on the current version of the IRF-PAI. The proposed new pressure ulcer items are similar to those collected through the Minimum Data Set 3.0 (MDS 3.0), which is a reporting instrument that is used in nursing homes. The current MDS 3.0 pressure ulcer items evolved as an outgrowth of CMS' work to develop a standardized patient assessment instrument, now referred to as the CARE (Continuity Assessment Records & Evaluation). We further propose to add a new measure known as the "Percent of Patients/Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine" (NQF #0680) to the IRF quality reporting program beginning on October 1, 2014. We propose to collect the data for this measure using a set of data elements that is very similar to those collected through the Minimum Data Set 3.0 (MDS 3.0). We have made several updates to the "Identification Information", "Admission Information" and the Medical Information" sections of the IRF-PAI. The number of items deleted exceeds the number of new questions added. Therefore, there has been no net increase in burden caused by these changes.
US Code:
42 USC 1395ww(jX2)(d)
Name of Law: Prospective Payment for Inpatient Rehab Services
PL:
Pub.L. 111 - 148 3004
Name of Law: Quality Reporting for Long-Term Care Hospitals, etc.
PL:
Pub.L. 105 - 1 4421
Name of Law: Prospective Payment for Inpatient Rehab Hospital Services
The current pressure ulcer assessment data items in the Quality Indicator section of the IRF-PAI have been replaced with a new set of pressure ulcer data items. The new data elements are more comprehensive than in use on the current version of the IRF-PAI.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data and Supporting Regulations in 42 CFR 412 Subpart P (CMS-10036)