The Improving Medicare Post-Acute Care Transformation (IMPACT) Act, enacted on Oct. 6, 2014, directs the Secretary of Health and Human Services to “specify quality measures on which Post-Acute Care (PAC) providers are required under the applicable reporting provisions to submit standardized patient assessment data” in several domains, including incidence of major falls, skin integrity, and function. The IMPACT Act requires the implementation of quality measures to address these measure domains in home health agencies (HHAs), skilled nursing facilities (SNFs), long-term care hospitals (LTCHs), and inpatient rehabilitation facilities (IRFs).
The IMPACT ACT also requires, to the extent possible, the submission of such quality measure data through the use of a PAC assessment instrument and the modification of such instrument as necessary to enable such use; for SNFs, this requirement refers to the Minimum Data Set (MDS) 3.0.
The links below refer to the measure specifications for the quality measures proposed in the Proposed Rule: Skilled Nursing Facility Prospective Payment System for Federal Fiscal Year 2016 and the Quality Measure Specifications for FY 2016 Notice of Proposed Rule Making.
The following drafts of the Minimum Data Set (MDS) 3.0 are also available below: (1) a draft of the MDS 3.0 Nursing Home Comprehensive (NC) Version 1.14.0; (2) a draft of sections A and GG of the MDS 3.0; (3) a draft of the new MDS 3.0 PPS Part A Discharge (End of Stay) (NPE/SPE) Version 1.14.0; (4) A draft of the MDS 3.0, Sections A and GG; and (5) the new SNF Part A PPS Discharge Assessment.
- SNF PART A PSS DISCHARGE ASSESSMENT [PDF, 396KB]
- MDS 3.0 SECTIONS A AND GG DOCUMENT [PDF, 340KB]
- Skilled Nursing Facility Quality Reporting Program – Quality Measure Specifications for FY 2016 Notice of Proposed Rule Making report [PDF, 356KB]
VP of Clinical and Compliance Services