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.
Form CMS-10036 Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data and Supporting Regulations in 42 CFR 412 Subpart P (CMS-10036)
PRA Comments & Responses. 10.15.13.docx
CMS Crosswalk- IRF-PAI 2014 Discharge v2.doc
Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data and Supporting Regulations in 42 CFR 412 Subpart P (CMS-10036)