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Capturing Social Determinants of Health Using Z Codes

The Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 supports CMS's Meaningful Measures Initiative by focusing on quality measures and core issues critical to high-quality care.

The IMPACT Act encourages coding for social risk factors by health care facilities like:

  • Long-term care hospitals (LTCHs)
  • Skilled nursing facilities (SNFs)
  • Home health agencies (HHAs)
  • Inpatient rehabilitation facilities (IRFs)

The act focuses on social risk factors captured using demographic information and other SDOH-related codes describing income, disability, and housing conditions.