Inpatient Rehabilitation Facilities

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.

Reporting Requirements

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


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