Wednesday, June 25, 2014

Improving Medicare Post-Acute Care Transformation (IMPACT) through Standardized Assessment Data

Katherine Long Merullo

Dr. David Gifford, MD, MPH, Senior Vice President of Quality and Regulatory Affairs at AHCA presented with a panel on Capitol Hill Monday on the lack of comparable data across Medicare’s post-acute care settings. The panel organized by the National Coalition on Health Care and Long Term Quality Alliance also included Judith Tobin, Managing Director at Brookings Institution and Lisa Grabert from the House Ways and Means Committee. The IMPACT Act of 2014 would help complete goals to standardize data used to compare quality and outcomes across post-acute care settings.

The bi-cameral, bi-partisan IMPACT Act (discussion draft available here) has been pending for years (some argue decades) with a focus on post-acute care improvements in quality measurements taken consistently and then used to make recommendations to Congress and MedPAC. Quality of care is critical but in order to accurately compare information the same scales of measurement must be used in all settings.

The IMPACT Act of 2014 will standardize data and enable Medicare to:

· Compare quality across post-acute care settings

· Improve hospital and post- acute care discharge planning; and,

 · Use new information to reform payments (via site neutral, bundled payments or some other reform.)

The proposed deadlines for implementing the new tools developed could be October 2016, October 2018 and October 2020 with some measures rolled out sooner. First, the long overdue bill has to get in the House.
Dr. David Gifford, Senior VP of Quality & Regulatory Affairs, AHCA

Judith Tobin, Engelberg Center for Health Care Reform, Brookings Institution

Judith Tobin, Managing Director at Brookings Institution on left
Lisa Grabert from the House Ways and Means Committee on right

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