Conducted a national test of new data elements to support the quality and consistency of care across post-acute care settings.


Congress passed the “Improving Medicare Post-Acute Care Transformation Act of 2014” (the IMPACT Act of 2014) that requires Medicare to develop, implement and maintain standardized assessment data elements across skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, and long-term care hospitals. To accomplish this, standardized assessment items were needed and required testing for reliability and validity across post-acute care settings and diverse geographic markets.


Under a contract with CMS, RAND partnered with Qualidigm and Abt Associates to develop and test new data elements in all four post-acute care settings. The evaluation occurred in three phases beginning in 2016. The final (Beta) phase ran from September 2017 – August 2018 in 14 markets with 29 field nurses, over 150 facilities, and over 300 field facility staff participating in the project.


Standardizing data elements across post-acute care settings supports comparable data across the care continuum thereby improving care transitions, quality and consistency of care, and informing payment reform.


Post Acute Care Quality Initiatives (pdf)