Medical College of Virginia Hospitals operates a Medicare-certified inpatient psychiatric unit that reports under the federal IPFQR program. The measures below are specific to that unit — not the hospital as a whole. They cover restraint and seclusion use, screening for medication side effects, substance-use and tobacco treatment, transitions of care, follow-up after discharge, and readmissions.
Physical Restraint Use 0.5 hours per 1,000 patient-hours
National median: 0.1 hours Worse than national median
HBIPS-2 — hours of physical restraint use per 1,000 patient-hours. Lower is better; restraints carry physical and psychological risks.
Seclusion Use 0.0 hours per 1,000 patient-hours
National median: 0.0 hours Near national median
HBIPS-3 — hours of seclusion per 1,000 patient-hours. Lower is better; seclusion is used only when no other intervention works.
Metabolic Screening (SMD) 87.0 %
National median: 92.0 % Near national median
SMD — % of patients on antipsychotics screened for metabolic side effects (BMI, blood glucose, cholesterol). Antipsychotics raise metabolic-syndrome risk; screening catches it early.
Substance-Use Treatment Provided 26.0 %
National median: 74.0 % Worse than national median
SUB-2 — % of patients with alcohol/drug use referred for treatment during admission.
Substance-Use Treatment at Discharge 95.0 %
National median: 77.0 % Better than national median
SUB-3 — % of patients with substance-use disorder offered or referred to treatment at discharge.
Tobacco-Use Treatment at Discharge 81.0 %
National median: 64.0 % Better than national median
TOB-3 — % of patients using tobacco who received counseling and/or medication at discharge.
Transition Record Completed 0.0 %
National median: 77.0 % Worse than national median
TR-1 — % of discharges with a completed transition record including medications, follow-up plan, and crisis instructions.
Follow-up Within 7 Days 36.8 %
National median: 35.4 % Near national median
FAPH-7 — % of patients with a follow-up outpatient mental-health visit within 7 days of discharge. Predicts lower readmission risk.
Follow-up Within 30 Days 63.2 %
National median: 60.7 % Near national median
FAPH-30 — % of patients with a follow-up outpatient mental-health visit within 30 days of discharge.
Medication Continuation 72.3 %
National median: 78.2 % Near national median
MedCont — % of discharged patients with continued antipsychotic / antidepressant medication post-discharge.
30-Day Readmission Rate 19.9 %
National median: 19.1 % Near national median
READM-30-IPF — risk-standardized 30-day readmission rate. No Different Than the National Rate
Influenza Immunization 23.0 %
National median: 87.0 % Worse than national median
IMM-2 — % of patients given a flu vaccine during the inpatient stay.
Source: CMS Inpatient Psychiatric Facility Quality Reporting Program.
Reporting period ending 12/31/2024.