IPFQR - TR

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 Discharge 2. 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 Admission 4. Major Procedures and Test, Incuding summary of Results 5. Studies Pending at Discharge (or Documentation That None are Pending) 6. Patient Instructions 9. Contact Information for Obtaining Results of Studies Pending at Discharge

8. 24-Hour/7-Day Contact Information, Including Physician for Emergencies Related to Inpatient Stay 10. Plan for Follow Up Care 11. 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.

The ONLY allowable source of data is from the TRANSITION RECORD or AFTER VISIT SUMMARY (AVS)

One recent study found that patients participating in a hospital program providing detailed, personalized instructions at discharge, including a review of medication routines and assistance with arranging follow-up appointments, had 30 percent fewer subsequent emergency visits and hospital readmissions than patients who received usual care at discharge.