Sharmila Sandhu, Jeremy Furniss, Christina Metzler; Using the New Postacute Care Quality Measures to Demonstrate the Value of Occupational Therapy. Am J Occup Ther 2018;72(2):7202090010. https://doi.org/10.5014/ajot.2018.722002
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© 2019 American Occupational Therapy Association
As the health care system continues to evolve toward one based on quality not quantity, demonstrating the value of occupational therapy has never been more important. Providing high-quality services, achieving optimal outcomes, and identifying and promoting occupational therapy’s distinct value are the responsibilities of all practitioners. In relation to the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014, the Centers for Medicare and Medicaid Services (CMS) is implementing new functional items and related outcome performance measures across postacute care (PAC) settings. Practitioners can demonstrate the role and value of occupational therapy services through their participation in data collection and the interpretation of the resulting performance measures. In this column, we review the objectives of the IMPACT Act, introduce the new self-care and mobility items and outcome performance measures being implemented in PAC settings, and describe ways to use these new data to advocate for occupational therapy. We also discuss American Occupational Therapy Association initiatives to provide materials and guidance for occupational therapy practitioners to contribute to PAC data collection.
Inpatient Rehabilitation Facility Patient Assessment Instrument (CMS, 2017b)
Minimum Data Set in SNFs (CMS, 2017c)
Outcome and Assessment Information Set (OASIS) in HHAs (CMS, 2017d)
Long-Term Care Hospital Continuity Assessment Record and Evaluation (CMS, 2017a).
Change in self-care score (NQF #2633): risk-adjusted change in self-care function between admission and discharge
Change in mobility score (NQF #2634): risk-adjusted change in mobility function between admission and discharge
Discharge self-care score (NQF #2635): percentage of discharged beneficiaries who meet or exceed Medicare’s expected discharge self-care score
Discharge mobility score (NQF #2636): percentage of discharged beneficiaries who meet or exceed Medicare’s expected discharge mobility score.
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