MAP Coordination Strategy for Post-Acute Care and Long-Term Care Performance Measurement 

Patients who are cared for by post-acute care (PAC) and long-term care (LTC) providers often transition between multiple sites of care, moving among their homes, hospitals, and PAC and LTC providers when their health and functional status changes. These patients are particularly vulnerable and costly to the system, given their clinical complexity and the frequency with which they transition between settings. Currently, performance measurement across PAC and LTC settings is fragmented due to the heterogeneity of patient populations and varying performance measurement obligations and reporting mechanisms across settings. This report from the Measure Applications Partnership outlines a performance measurement coordination strategy for a subset of PAC and LTC providers including: home health care, short- and long-stay nursing facilities, inpatient rehabilitation facilities (IRFs), and long-term care hospitals (LTCHs).