CMS Proposes New Rules for Data Sharing in Post-Acute Care Health Information Exchange Can Help!

Written by: GLHC

A new proposed rule from the Centers for Medicare and Medicaid Services (CMS) updates payment policies under Medicare for providers of inpatient rehabilitation services. These measures are included in the Inpatient Rehabilitation Facility Quality Reporting Program (IRF QPP) for fiscal year 2020.

CMS is suggesting two measures in the proposed rule. The first addresses the transfer of health information to providers in post-acute care, and the second measures the transfer of health information to patients in post-acute care.

CMS

According to a CMS fact sheet, “The IRF QRP collects and publishes data on quality measures and collects standardized patient assessment data. IRFs that do not satisfy the requirements of the IRF QRP for a fiscal year receive a two percent reduction to their annual increase factor for discharges in that fiscal year.”

“Incomplete or missing health information, such as medication information, increases the likelihood of a patient safety risk, and can often be life-threatening. Individuals who use post-acute care services are particularly vulnerable to adverse health outcomes due to their higher likelihood of having multiple comorbid chronic conditions, polypharmacy, and complicated transitions between care settings”, stated CMS.

These measures are intended to help promote health data exchange between providers in post-acute settings. These two new quality measures may help to promote the communication of patient health data such as reconciled medication lists to enable better-informed care delivery.

Health Information Exchange

As the premier provider of health information services and solutions in Michigan, GLHC is ready and able to assist post-acute care providers across the state in meeting these and other regulatory requirements mandated by either federal or state government. Contact a GLHC Implementation Consultant today to learn more about how we can help!

CMS is accepting public comments on these proposed rule changes until June 17, 2019. Read more about them here: www.cms.gov/newsroom/fact-sheets/proposed-fiscal-year-2020-payment-and-policy-changes-medicare-inpatient-rehabilitation-facilities.