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Burden Calculation Worksheet for the Quality IndIcator Section of the irf-pai |
Percent of Patients or Residents with Pressure Ulcers That Are New or Worsened
(NQF #0678)
Time Burden Calculation:
Average number of IRFs in U.S. = 1161
Average Number of IRF-PAI reports Submitted Per All IRFs Per Year = 359,0001
Average Number of IRF-PAI reports Submitted Per Each IRF Per Year = 309
Average Number of IRF-PAI reports Submitted Per Each IRF Per Month = 25.75
(359,000 IRF-PAI reports per all IRFs per year / 1161 IRFs in U.S. = 309 IRF-PAI reports per each IRF per year)
(309 IRF-PAI reports per IRF per year / 12 months per year = 26 IRF-PAI reports per each IRF per year)
Average Time Spent Per Each IRF-PAI Quality Indicator Section Assessment = 28 minutes
10 minutes clinical time to obtain Quality Indicator data for admission assessment
15 minutes clinical time to obtain Quality Indicator data for discharge assessment
3 minutes administrative time to enter data into CMS system or JIRVEN program
Estimated Annual Hour Burden per each IRFs = 144 hours
25.75 IRF-PAI assessments per IRF per month x 28 min/assessment = 721 minutes per IRF per month
721 min per IRF per month / 60 minutes/ hour = 12 hours per IRF per month
12 hours per IRF per month x 12 months/year = 144 hours per each IRF per year
Estimated Annual Hour Burden All IRFs per year = 167,184 hours
hours per IRF per month x 1161 IRFs = 167,184 hours per all IRFs per year
Cost/Wage Calculation:
Nursing Time:
25 minutes x 309 IRF-PAI assessments per each IRF per year = 7,725 minutes per each IRF per year
7,725 minutes per each IRF per year / 60 minutes per hour = 128.75 hours per each IRF per year
128.75 hours per year x $33.23 per hour = $4,278.36 nursing wages per each IRF per year
$4,278.36 x 1161 IRF providers = $4,967,176 per all IRFs per year
Administrative Assistant Time:
3 minutes x 309 IRF-PAI assessments per each IRF per year = 927 minutes per each IRF yearly
927 minutes per IRF per year / 60 minutes per hour = 15.45 hours per each IRF per year
15.45 hours per year x $15.552 per hour = $240.25 administrative/clerical wages per each IRF yearly
$240.25 x 1161 IRFs = $278,930 per all IRFs yearly
Total Annualized Cost To Each IRF Provider:
$4,278.36 Nursing wages per each hospice per year
$ 240.25 Administrative assistant wages per each hospice per year
$4,518.61 Total
Total Annualized Cost Across All IRF Providers:
$4,967,176 Nursing wages per each hospice per year
$ 278,930 Administrative assistant wages per each hospice per year
$5,246,106 Total
Additional Calculations:
Average Yearly Cost to Each IRF Provider :
$5,246,106 – cost for all IRFs per year / 1161 IRFS = $4,518.61
Average Monthly costs to EACH INDIVIDUAL IRF Providers:
$5,246,106 -cost for all IRFs per year / 12 months per year / 1161 IRFS = $376.55
Cost To Provider Per Each Individual Quality Indicator Section Assessment:
$5,246,106 –cost for all IRFs per year / 359,000 IRF-PAI assessments per year = $14.61
1 MedPAC, A Data Book: Health Care Spending and the Medicare Program (June 2012), http://www.medpac.gov/chapters/Jun12DataBookSec8.pdf
2 Mean hourly wage for a Medical Records & Health Information Technician according to the U.S. Bureau of Labor Statistics (http://www.bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.htm )
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Burden Calculation Worksheet for the Quality IndIcator Section of the irf-pai |
| Author | CMS |
| File Modified | 0000-00-00 |
| File Created | 2021-01-29 |