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Rehabilitation Dataset Directory: Dataset Profile

Dataset: Inpatient Rehabilitation Facilities Patient Assessment Instrument (IRF-PAI)

Basic Information
Dataset full name: Inpatient Rehabilitation Facilities Patient Assessment Instrument
Dataset acronym IRF-PAI
Summary The IRF-PIA contains information on individuals discharged from inpatient rehabilitation facilities (IRF) who are Medicare beneficiaries. These files exist from the year 2002 onwards and detail functional status at the time of admission and discharge from inpatient rehabilitation facilities. They also contain information related to the quality of rehabilitation services provided.
Key Terms Functional Status, Rehabilitation Outcomes, Quality Indicators
Study Design Longitudinal
Data Type(s) Administrative
Sponsoring Agency/Entity Department of Health and Human Services (HHS): Centers for Medicare and Medicaid Services (CMS)
Health conditions/Disability measures
Health condition(s) Any/All, Primarily: Stroke, Brain Dysfunction, Neurological Conditions, Spinal Cord Injury, Amputation, Arthritis, Pain Syndrome, Orthopedic Conditions, Cardiac Disorders, Pulmonary Disorders, Burns, Congenital Deformities, Major Multiple Trauma, Developmental Disability, Debility, Medically Complex Conditions
Disability Measures Any/All
Measures/outcomes of interest
Topics Rehabilitation Outcomes, Functional status, Activities of Daily Living, Mobility, Cognitive status, Case mix groups, Comorbidities, IRF quality indicators
Sample
Sample Population Medicare beneficiaries (discharged from IRF)
Sample Size/Notes 400,000(±) Medicare patients qualified to receive post-acute care at IRF
Unit of Observation Patient
Geographic Coverage National
Geographic specificity Zip Code (of beneficiary’s mailing address)
Data Collection
Data Collection Mode Administrative
Years Collected 2002 - present
Data Collection Frequency Annual
Strengths and limitations
Strengths Provides a large sample size. Includes longitudinal functional status data and quality indicators. Can be linked with claims data.
Limitations No rehabilitation intervention details. Lacks other clinical information/observation details.
Data details
Primary Website Main IRF page:https://www.cms.gov/InpatientRehabFacPPS/04_IRFPAI.asp
IRFPAI Page: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS/IRFPAI.html
Data Access https://www.resdac.org/cms-data/files/irf-pai
Data Access Requirements Data Use agreement, $ Cost
Summary Tables/reports NA
Selected papers
Technical Inpatient Rehabilitation Facility Patient Assessment Instrument: https://www.cms.gov/InpatientRehabFacPPS/downloads/CMS-10036.pdf
Variable List: https://www.resdac.org/cms-data/files/irf-pai/data-documentation
Other Papers

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The Rehabilitation Research Cross-dataset Variable Catalog has been developed through the Center for Large Data Research & Data Sharing in Rehabilitation (CLDR). The Center for Large Data Research and Data Sharing in Rehabilitation involves a consortium of investigators from the University of Texas Medical Branch, Cornell University's Yang Tan Institute (YTI), and the University of Michigan. The CLDR is funded by NIH - National Institute of Child Health and Human Development, through the National Center for Medical Rehabilitation Research, the National Institute for Neurological Disorders and Stroke, and the National Institute of Biomedical Imaging and Bioengineering. (P2CHD065702).

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