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    Impact Of The 2015 CMS Inpatient Psychiatric Facility Quality Reporting (IPFQR) Rule On Tobacco Treatment

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    Available after: 2018-05-31 (262.5Kb)
    Issue Date
    2016-05-31
    Author
    Carrillo, Shane Carlos
    Publisher
    University of Kansas
    Format
    28 pages
    Type
    Thesis
    Degree Level
    M.S.
    Discipline
    Clinical Research
    Rights
    Copyright held by the author.
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    Abstract
    Objective: In its fiscal year (FY) 2015 final rule, the Centers for Medicare & Medicaid (CMS) required reporting of tobacco treatment quality measures as part of the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS). This study evaluates the impact of that policy at a large academic medical center that opted to improve performance as it implemented reporting measures. Methods: Electronic medical record data were collected retrospectively for all inpatient psychiatric admissions one year prior to and following implementation of the rule (Jan 1st 2014 to December 31st 2015). Data from admissions (2014=292; 2015=338) were analyzed to determine changes in the provision of tobacco treatment including the proportions of patients screened for tobacco use, receiving tobacco cessation counseling, and receiving tobacco cessation medication(s). Results: Compared to the year before the CMS rule, screening for admissions increased significantly (85% vs 97%; p<.001). Even greater pre-post rule increases were found for referral to cessation counseling (4.3% vs. 73.8%; p<.001),reciept of counseling (7.8% vs. 67.1%; p<.001) and referral for cessation medication (32% vs. 68.4%; p<.001). Even though statistically non-significant, the number of tobacco users who actually received medications increased markedly between 2014 and 2015 (24.3% vs. 34.9%; p=0.064). Gains in screening, referral, and treatment did not differ by psychiatric diagnosis. Conclusions: The IPFQR Program resulted in dramatic changes in tobacco-related screening, documentation, and cessation treatment for psychiatric inpatients. Should CMS link prospective payment to performance, it could have a major impact on quality of care for tobacco dependence.
    URI
    http://hdl.handle.net/1808/25762
    Collections
    • KU Med Center Dissertations and Theses [464]
    • Theses [3824]

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    Lawrence, KS 66045
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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

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