Inpatient rehabilitation facilities (IRFs) are hospitals, or part of a hospital, that provide intensive rehabilitation services using an interdisciplinary team approach. Admission to an IRF is appropriate for patients with complex nursing, medical management, and rehabilitative needs. There are ten freestanding IRFs and 18 rehabilitation locations within other hospitals in Virginia.
In February 2019, the Virginia General Assembly passed House Bill 2425, which amended the Code of Virginia (§32.1-35.1) to expand statewide surveillance for HAIs to additional healthcare settings. Under this bill, inpatient rehabilitation facilities (IRFs) are required to share data with VDH as of July 1, 2019. Data required to be reported to NHSN to meet CMS requirements should be shared with VDH through the NHSN system. See Table 1 for measures that are part of the state reporting requirements for IRFs. Note that the table lists the current reporting requirements. VDH reporting requirements will expand as CMS reporting requirements expand.
Table 1. HAI Reporting Requirements for Inpatient Rehabilitation Facilities in Virginia
|CMS Reporting Program||HAI Event||Applicable Units||Reporting Start Date|
|Inpatient Rehabilitation Facility Quality Reporting (IRFQR) Program||Catheter-associated urinary tract infections (CAUTI)||Adult and pediatric inpatient rehabilitation facility wards||October 2012|
|IRFQR Program||Clostridioides difficile (C. difficile) laboratory-identified events||Facility-wide inpatients (FacWideIN)||January 2015|
|IRFQR Program||Healthcare personnel influenza vaccination||All inpatient healthcare personnel||October 2014|
- Surveillance Tools for Enrolled Inpatient Rehabilitation Facilities (CDC) – NHSN protocols and resources specific to inpatient rehabilitation facilities
- CMS Requirements for Reporting via NHSN (CDC) – current or proposed CMS requirements including particular HAI event data and reporting specifications
- CMS Reporting Resources for Inpatient Rehabilitation Facilities (CDC) – operational guidance and monthly checklists for reporting for inpatient rehabilitation facilities
- CMS Inpatient Rehabilitation Facility Compare – public information about the quality of care at inpatient rehabilitation facilities; use to find inpatient rehabilitation facilities and compare the quality of care between different facilities
- Virginia Regulatory Town Hall – source of information about proposed changes to Virginia’s regulations; includes online forums where the public can make comments on proposed regulations
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