Hospital Inpatient Quality Reporting (IQR) Program Overview
The Hospital IQR program was developed as a result of the Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003. Section 5001(a) of Pub. 109-171 of the Deficit Reduction Act (DRA) of 2005 provided new requirements for the Hospital IQR program, which built on the voluntary Hospital Quality Initiative.
The Hospital IQR program is intended to equip consumers with quality of care information to make more informed decisions about healthcare options. It is also intended to encourage hospitals and clinicians to improve the quality of inpatient care provided to all patients. The hospital quality of care information gathered through the program is available to consumers on the Hospital Compare website.
The Hospital IQR program requires "sub-section (d)" hospitals to submit data for specific quality measures for health conditions common among people with Medicare, and which typically result in hospitalization.
Eligible hospitals that do not participate in the Hospital IQR program will receive an annual market basket update with a 2.0 percentage point reduction.
Resources for Fiscal Year (FY) 2014 Payment Determination
- Program Updates, PDF-119 KB (12/11/12)
- Confidence Interval Calculation, PDF-280 KB (09/18/12)
- Reporting Quarters used for payment determination
-
Validation Blood Culture Template - FY 2014, XLSX-106 KB (01/04/13)
- Validation Blood Culture Quick Reference Guide - FY 2014, PDF-124 KB (10/23/12)
-
Validation Blood Culture Template training, WRF-12 min. (07/20/12)
- Training transcript, PDF-27 KB
- Important Dates and Deadlines, PDF-116 KB (Updated 12/27/12)
- Reference Checklist for FY 2014, PDF-192 KB (11/02/12)
Resources for FY 2015 Payment Determination
- Reporting Quarters used for payment determination
- Validation Blood Culture Template, XLSX-106 KB (01/04/13)
- Validation Urine Culture Template, XLSX-25 KB (01/04/13)
- Validation HAI Quick Reference Guide, PDF-125 KB (11/02/12)
- Reference Checklist for FY 2015, PDF-190 KB (03/26/13)
