We are requesting approval for revisions to the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI. This is the assessment instrument that inpatient rehabilitation facilities are required to submit in order for CMS to administer the payment rate methodolgy under the IRF PPS described in 42 CFR 412 Subpart P. 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).
PL:
Pub.L. 105 - 1 4421
Name of Law: Prospective Payment for Inpatient Rehab Hospital Services
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.
The current pressure ulcer assessment data itmes 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 currrent 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)