Crosswalk

Crosswalk for Changes to the Inpatient Rehabilitation Facility

Patient Assessment Instrument (IRF-PAI) Version 4.1 to 4.2

(CMS-10036; OMB No. 0938-0842)

Section # on Current ADMISSION DRAFT IRF-PAI (10/23)	Type of Change	Rationale for Change
IDENTIFICATION INFORMATION: 14. Admission Class	Remove response option 2-Evaluation	The item has been retired.
SECTION D: MOOD	D0150. Patient Mood Interview (PHQ-2 to 9) (from Pfizer Inc.©): Add guidance for completing the items.	Additional guidance was added to the IRF-PAI manual for this item after the Item Set was published. This change aligns the IRF-PAI item set with the guidance.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Revise Section title to SECTION GG: FUNCTIONAL ABILITIES	Given the changes proposed by 88 FR 20995 through 20996, CMS will no longer collect Functional Goal data.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	GG0130. Self-Care Instructions. Delete 2nd sentence of instructions.	The requirement for coding a patient’s discharge goal(s) would no longer be required.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2. Discharge Goal header.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2.A. Discharge Goal, Eating.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2.B. Discharge Goal, Oral hygiene.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2.C. Discharge Goal, Toileting hygiene.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2.E. Discharge Goal, Shower/bathe self.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2.G. Discharge Goal, Upper body dressing.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2.G. Discharge Goal, Lower body dressing.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2.H. Discharge Goal, Putting on/taking off footwear.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	GG0170. Mobility Instructions. Delete 2nd sentence of instructions	The requirement for coding a patient’s discharge goal(s) would no longer be required.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2. Discharge Goal header.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.A. Discharge Goal, Roll left and right.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.B. Discharge Goal, Sit to lying.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.C. Discharge Goal, Lying to sitting on side of bed.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.D. Discharge Goal, Sit to stand.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.E. Discharge Goal, Chair/bed-to-chair transfer.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.F. Discharge Goal, Toilet transfer.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.G. Discharge Goal, Car transfer.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.I. Discharge Goal, Walk 10 feet.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.J. Discharge Goal, Walk 50 feet with two turns.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.K. Discharge Goal, Walk 150 feet.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.L. Discharge Goal, Walk 10 feet on uneven surfaces.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.M. Discharge Goal, 1 step (curb).	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.N. Discharge Goal, 4 steps.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.O. Discharge Goal, 12 steps.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.P. Discharge Goal, Picking up object.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.R. Discharge Goal, Wheel 50 feet with two turns.	Necessary to implement changes proposed by 88 FR 20995 through 20996.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.S. Discharge Goal, Wheel 150 feet.	Necessary to implement changes proposed by 88 FR 20995 through 20996.

Section # on Current DISCHARGE DRAFT IRF-PAI (10/23)	Type of Change	Rationale for Change
SECTION D: MOOD	D0150. Patient Mood Interview (PHQ-2 to 9) (from Pfizer Inc.©): Add guidance for completing the items.	Additional guidance was added to the IRF-PAI manual for completing this item after the item set was published. This change will align the IRF-PAI item set with the guidance.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Revise Section title to SECTION GG: FUNCTIONAL ABILITIES	Given the changes proposed by 88 FR 20995 through 20996, CMS will no longer collect Functional Goal data.
SECTION O: SPECIAL TREATMENTS, PROCEDURES, AND PROGRAMS	Add: Item O0350. Patient’s COVID-19 vaccination is up to date	Necessary to implement changes proposed by 88 FR 20997 through 21000.

9 of 4