Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program Measures for Fiscal Year (FY) 2017 and FY 2018
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1 IPFQR Program s for FY 2017 Payment Determination HBIPS-2: Hours of Physical Restraint Use HBIPS-3: Hours of Seclusion Use HBIPS-5: Patients Discharged on Multiple Antipsychotic Medications with Appropriate Justification HBIPS-6: Post-Discharge Continuing Care Plan Created HBIPS-7: Post-Discharge Continuing Care Plan Transmitted to Next Level of Care at Discharge SUB-1: Alcohol Use Screening FUH: Follow-Up After Hospitalization for Mental Illness July 1, 2014 June 30, 2015 Calculated by CMS Claims-Based Use of Electronic Health Record As of Structural Assessment of Patient Experience of Care As of Structural June 2016 Page 1 or 5
2 IPFQR Program s for FY 2017 Payment Determination IMM-2: Influenza Immunization March 31, 2016 Influenza Vaccination Coverage among Healthcare Personnel March 31, 2016 May 15, 2016 reported on NHSN website 1 TOB-1: Tobacco Use Screening TOB-2: Tobacco Use Treatment Provided or Offered and TOB-2a: Tobacco Use Treatment 1 Each new entry overwrites previous entry June 2016 Page 2 or 5
3 IPFQR Program s for FY 2018 Payment Determination HBIPS-2: Hours of Physical Restraint Use HBIPS-3: Hours of Seclusion Use HBIPS-5: Patients Discharged on Multiple Antipsychotic Medications with Appropriate Justification SUB-1: Alcohol Use Screening SUB-2: Alcohol Use Brief Intervention Provided or Offered and SUB-2a: Alcohol Use Brief Intervention TOB-1: Tobacco Use Screening TOB-2: Tobacco Use Treatment Provided or Offered and TOB-2a Tobacco Use Treatment TOB-3: Tobacco Use Treatment Provided or Offered at Discharge and TOB-3a: Tobacco Use Treatment at Discharge June 2016 Page 3 or 5
4 IPFQR Program s for FY 2018 Payment Determination TOB-3: Tobacco Use Treatment Provided or Offered at Discharge and TOB-3a: Tobacco Use Treatment at Discharge IMM-2: Influenza Immunization March 31, 2017 Influenza Vaccination Coverage among Healthcare Personnel March 31, 2017 May 15, 2017 reported on NHSN website 1 Use of Electronic Health Record As of December 31, 2016 Structural Web- Based Assessment of Patient Experience of Care As of December 31, 2016 Structural Web- Based FUH: Follow-Up After Hospitalization for Mental Illness 1 Each new entry overwrites previous entry July 1, 2015 June 30, 2016 Calculated by CMS Claims-Based June 2016 Page 4 or 5
5 FY 2017 Population and IPFQR Population and (Specifications Manual for National Hospital Inpatient Quality s v 5.0b) Monthly Sample Size SUB, TOB, and IMM-2 Quarterly Sample Size SUB, TOB, and IMM-2 Average Monthly Initial Patient Population "N" Minimum Required Sample Size n Average Quarterly Initial "N" Minimum Required Sample Size n % <51 sampling; 100% Initial 1, ,529 20% <152 sampling; 100% Initial HBIPS-5 through HBIPS-7 Population and (Specifications Manual for Joint Commission National Quality Care s v 2015A1) Average Monthly Stratum Initial "N" Minimum Required Sample Size n Average Quarterly Initial "N" Minimum Required Sample Size n > > % % <15 sampling; 100% of the Initial te: is not allowed for: HBIPS-2, HBIPS-3, and Immunization Vaccination Coverage Among Healthcare Personnel. <44 sampling; 100% of the Initial June 2016 Page 5 or 5
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