Inpatient Rehabilitation Facility Quality Reporting Program Data Collection & Final Submission Deadlines for the FY 2019 IRF QRP*

Measure Name Data Collection Timeframe Submission Deadlines** National Healthcare Safety January 1, 2017 – December 31, 2017 Network (NHSN) Catheter- January 1- March 31 2017 August 15, 2017 Associated Urinary Tract April 1 – June 30, 2017 November 15, 2017 Infection (CAUTI) Outcome July 1 – September 30, 2017 February 15, 2018 Measure (NQF #0138) October 1 – December 31, 2017 May 15, 2018

January 1, 2017 – December 31, 2017 Percent of Residents or January 1 – March 31, 2017 August 15, 2017 Patients with Pressure Ulcers April 1 – June 30, 2017 November 15, 2017 That Are New or Worsened July 1 – September 30, 2017 February 15, 2018 (Short Stay) (NQF #0678) October 1 – December 31, 2017 May 15, 2018

Influenza Vaccination Coverage Among Healthcare Personnel October 1, 2017 – March 31, 2018 May 15, 2018 (NQF #0431)

National Healthcare Safety January 1, 2017 – December 31, 2017 Network (NHSN) Facility-wide January 1 – March 31 2017 August 15, 2017 Inpatient Hospital-onset April 1 – June 30, 2017 November 15, 2017 Methicillin-resistant July 1 – September 30, 2017 February 15, 2018 Staphylococcus aureus (MRSA) Bacteremia Outcome Measure October 1 – December 31, 2017 May 15, 2018 (NQF #1716)

National Healthcare Safety January 1, 2017 – December 31, 2017 Network (NHSN) Facility-wide January 1 – March 31 2017 August 15, 2017 Inpatient Hospital-onset April 1 – June 30, 2017 November 15, 2017 Clostridium difficile Infection July 1 – September 30, 2017 February 15, 2018 (CDI) Outcome Measure (NQF #1717) October 1 – December 31, 2017 May 15, 2018

All-Cause Unplanned Claims-based measure - Readmission Measure for 30 No additional data Days Post-Discharge From submission required by Inpatient Rehabilitation IRF Facilities (NQF #2502)

Percent of Residents or July 1, 2016 – June 30, 2017 Patients Who Were Assessed July 1 – September 30, 2016 February 15, 2017 and Appropriately Given the October 1 – December 31, 2016 May 15, 2017 Seasonal Influenza Vaccine January 1 – March 31, 2017 August 15, 2017 (Short Stay) (NQF #0680) April 1 – June 30, 2017 November 15, 2017

January 1, 2017 – December 31, 2017 Application of Percent of January 1 – March 31, 2017 August 15, 2017 Residents Experiencing One or April 1 – June 30, 2017 November 15, 2017 More Falls with Major Injury July 1 – September 30, 2017 February 15, 2018 (Long-Stay) (NQF #0674) October 1 – December 31, 2017 May 15, 2018

Inpatient Rehabilitation Facility Quality Reporting Program Data Collection & Final Submission Deadlines for the FY 2019 IRF QRP*

Measure Name Data Collection Timeframe Submission Deadlines** Application of Percent of Long- January 1, 2017 – December 31, 2017 Term Care Hospital Patients January 1 – March 31, 2017 August 15, 2017 with an Admission and April 1 – June 30, 2017 November 15, 2017 Discharge Functional July 1 – September 30, 2017 February 15, 2018 Assessment and a Care Plan That Addresses Function (NQF October 1 – December 31, 2017 May 15, 2018 #2631)

Inpatient Rehabilitation Facility January 1, 2017 – December 31, 2017 (IRF) Functional Outcome January 1 – March 31, 2017 August 15, 2017 Measure: Change in Self-Care April 1 – June 30, 2017 November 15, 2017 Score for Medical July 1 – September 30, 2017 February 15, 2018 Rehabilitation Patients (NQF #2633) October 1 – December 31, 2017 May 15, 2018

Inpatient Rehabilitation Facility January 1, 2017 – December 31, 2017 (IRF) Functional Outcome January 1 – March 31, 2017 August 15, 2017 Measure: Change in Mobility April 1 – June 30, 2017 November 15, 2017 Score for Medical July 1 – September 30, 2017 February 15, 2018 Rehabilitation Patients (NQF #2634) October 1 – December 31, 2017 May 15, 2018

Inpatient Rehabilitation Facility January 1, 2017 – December 31, 2017 (IRF) Functional Outcome January 1 – March 31, 2017 August 15, 2017 Measure: Discharge Self-Care April 1 – June 30, 2017 November 15, 2017 Score for Medical July 1 – September 30, 2017 February 15, 2018 Rehabilitation Patients (NQF #2635) October 1 – December 31, 2017 May 15, 2018

Inpatient Rehabilitation Facility January 1, 2017 – December 31, 2017 (IRF) Functional Outcome January 1 – March 31, 2017 August 15, 2017 Measure: Discharge Mobility April 1 – June 30, 2017 November 15, 2017 Score for Medical July 1 – September 30, 2017 February 15, 2018 Rehabilitation Patients (NQF #2636) October 1 – December 31, 2017 May 15, 2018

Medicare Spending Per Claims-based measure - Beneficiary Post-Acute Care No additional data (PAC) Inpatient Rehabilitation submission required by Facility Quality Reporting IRF Program

Discharge to Community- Post- Claims-based measure - Acute Care (PAC) Inpatient No additional data

Rehabilitation Facility Quality submission required by Reporting Program IRF

Inpatient Rehabilitation Facility Quality Reporting Program Data Collection & Final Submission Deadlines for the FY 2019 IRF QRP*

Measure Name Data Collection Timeframe Submission Deadlines** Potentially Preventable 30-Day Claims-based measure - Post-Discharge Readmission No additional data Measure Inpatient submission required by Rehabilitation Facility Quality IRF Reporting Program

Potentially Preventable Within Claims-based measure - Stay Readmission Measure for No additional data

Inpatient Rehabilitation submission required by Facilities IRF * When we use the term ‘‘FY [year] IRF QRP’’, we are referring to the fiscal year for which the IRF QRP requirements applicable to that fiscal year must be met for a IRF to receive the full annual update when calculating the payment rates applicable to it for that fiscal year.

** We note that the submission of IRF-PAI data must also adhere to the IRF PPS deadlines.