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Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Rules and Regulations hospitalization is an important concept for the inpatient psychiatric setting.
Therefore, we do not believe it would be appropriate to remove the FUH measure without adopting the FAPH measure.
Comment: One commenter observed that the FUH measure is an NQFendorsed measure, while the NQF
declined to endorse the FAPH measure.
This commenter recommended retaining the FUH measure because it is endorsed.
Response: The commenter is correct that the FUH measure is NQF endorsed and that the NQF declined to endorse the FAPH measure. However, as discussed in the FY 2022 IPF PPS

proposed rule, the FUH measure does not apply to as broad a patient population, nor does it allow for followup care to be provided by as many provider types 86 FR 19507. Further, for the reasons we discussed in the FY
2022 IPF PPS proposed rule, we believe the exception under section 1886s4Dii of the Act applies 86
FR 19507. Because the FAPH measure is a more broadly applicable measure we believe it is appropriate for adoption into the IPFQR Program.
After consideration of the public comments, we are finalizing our proposal to remove Follow-Up After Hospitalization for Mental Illness FUH,
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NQF 0576 measure beginning with the FY 2024 payment determination.
G. Summary of IPFQR Program Measures 1. IPFQR Program Measures for the FY
2023 Payment Determination and Subsequent Years There are 14 previously finalized measures for the FY 2023 payment determination and subsequent years. In this final rule, we are adopting one measure for the FY 2023 payment determination and subsequent years.
The 15 measures which will be in the program are shown in Table 5.
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TABLE 5: IPFQR Program Measure Set for the FY 2023 Payment Determination and Subsequent Years with Finalized Measure Adoption Measure Hours of Physical Restraint Use Hours of Seclusion Use Patients Discharged on Multiple Antipsychotic Medications with Annropriate Justification FUH
Follow-Up After Hospitalization for Mental Illness 0576
SUB-2 and SUB-2a Alcohol Use Brief Intervention Provided or Offered and SUB-2a Alcohol NIA
Use Brief Intervention SUB-3
and SUB-3a Alcohol and Other Drug Use Disorder Treatment Provided or Offered at NIA
Discharge and SUB-3a Alcohol and Other Drug Use Disorder Treatment at Discharge TOB-2 and TOB-2a Tobacco Use Treatment Provided or Offered and TOB-2a Tobacco Use NIA
Treatment TOB-3 and TOB-3a Tobacco Use Treatment Provided or Offered at Discharge and TOB-3a NIA
Tobacco Use Treatment at Discharge IMM-2
1659
Influenza Immunization NIA
Transition Record with Specified Elements Received by Discharged NIA
Patients Discharges from an Inpatient Facility to Home/Self Care or Any Other Site of Care Timely Transmission of Transition Record Discharges from an Inpatient NIA
NIA
Facility to Home/Self Care or any Other Site of Care Screening for Metabolic Disorders NIA
NIA
Thirty-Day All-Cause Unplanned Readmission Following Psychiatric 2860
NIA
Hospitalization in an Inpatient Psychiatric Facility Medication Continuation Following Inpatient Psychiatric Discharge Med Cont 3205
COVID-19
Healthcare Personnel HCP Vaccination Measure COVIDHCP
TBD
Measure is no longer endorsed by the NQF but was endorsed at time of adoption. Section 1886s4Dii of the Act authorizes the Secretary to specify a measure that is not endorsed by the NQF as long as due consideration is given to measures that have been endorsed or adopted by a consensus organization identified by the Secretary. We attempted to find available measures for each of these clinical topics that have been endorsed or adopted by a consensus organization and found no other feasible and practical measures on the topics for the IPF setting.

Measure ID
HBIPS-2
HBIPS-3
HBIPS-5

2. IPFQR Program Measures for the FY
2024 Payment Determination and Subsequent Years There are 14 previously finalized measures for the FY 2024 payment determination and subsequent years. In
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this final rule, we are adopting one measure for the FY 2023 payment determination and subsequent years.
Additionally, we are finalizing our proposal to remove one measure and replace one measure for the FY 2024
payment determination and subsequent
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years. We are not finalizing our proposals to remove two measures for the FY 2024 payment determination and subsequent years. The 14 measures which will be in the program for FY
2024 payment determination and subsequent years are shown in Table 6.

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