IPFQR - TR
Arlene Panlaqui
Created on October 16, 2024
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Transcript
IPFQR
Presentation
Inpatient Psychiatry Facility Quality Reporting
IPFQR
The IPFQR Program gives consumers care quality information to help them make more informed decisions about their healthcare options. This is a pay-for-reporting program, eligible facilities can be paid less by Medicare if they do not participate. Eligible IPFs that do not take part in the IPFQR Program in a fiscal year, or do not meet all of the reporting requirements, will have a 2.0% reduction of their annual update to their standard federal rate for that year. The reduction is not cumulative across payment years.
IPF Measures Information
Transition Record Measure
Screening for Metabolic Disorders Measures
Measures Stewarded by the Centers for Disease Control & Prevention (CDC)
Measures Stewarded by The Joint Commission
+ info
Transition Record Measure
This quality measure assesses documentation and communication of several key elements during the discharge process, such as hospital diagnosis, medications at discharge, laboratory and imaging results and follow-up, next level of care, and contact information for current providers.
April - 37/50 = 74%May - 32/45 = 72.73%June - 19/50 = 38%
TR - 1 Documentation Compliance Rate 2024Q2
UCSDH IPFQR
EC - BHU
HC-SBH
HC-NBMU
April - 37/50 = 74%May - 32/45 = 73%June - 19/50 = 38%July - 22/51 = 43%August - 26/47 = 55%
TR - 1 Documentation Compliance Rate
UCSDH IPFQR
EC - BHU
HC-SBH
HC-NBMU
- The Patient Expired
- The Patient Left AMA
- The Patient Discontinued Care
IPF Discharge Disposition
UNABLE TO DETERMINE FROM MEDICAL RECORD DOCUMENTATION
INPATIENT FACILITY
HOME
Info
- No identified workflow at this time - OPPORTUNITY
Info
Documentation that patient is clinically unstable/ unable to comprehend information. All four elements must be discussed with the receiving facility and documented.
INPATIENT FACILITY
Home
Transition Record Discussed and Provided
- Abstracted from acknowledgement signature of AVS
1. Principal Diagnosis at Discharge2. Advance Directives or Surrogate Decision Maker Documented OR Documented Reason for Not Providing Advance Care Plan 11. Primary Physician, Other Healthcare Professional, or Site Designated for Follow- Up Care
11. Primary Physician, Other Healthcare Professional, or Site Designated for Follow- Up Care
3. Reason for IPF Admission4. Major Procedures and Test, Incuding summary of Results5. Studies Pending at Discharge (or Documentation That None are Pending)6. Patient Instructions9. Contact Information for Obtaining Results of Studies Pending at Discharge
8. 24-Hour/7-Day Contact Information, Including Physician for Emergencies Related to Inpatient Stay10. Plan for Follow Up Care11. Primary Physician, Other Healthcare Professional, or Site Designated for Follow- Up Care
7. Current Medication List
* Transition Record Discussed and Provided
?workflow and documentation?
Four Elements discussed with receiving Inpatient Facility
- 24-Hour/7-Day Contact Information, Including Physician for Emergencies Related to Inpatient Stay, AND
- Contact Information for Obtaining Results of Studies Pending at Discharge, AND
- Plan for Follow-Up Care, AND
- Primary Physician, Other Health Care Professional, or Site Designated for Follow-Up Care.
If the patient is to be DC to another inpatient facility, there should be a documentation that patient is clinically unstable/ unable to comprehend information. All four elements must be discussed with receiving facility and documented.
Questions or Comments
Four Elements discussed with receiving Inpatient Facility
- 24-Hour/7-Day Contact Information, Including Physician for Emergencies Related to Inpatient Stay, AND
- Contact Information for Obtaining Results of Studies Pending at Discharge, AND
- Plan for Follow-Up Care, AND
- Primary Physician, Other Health Care Professional, or Site Designated for Follow-Up Care.