Post-acute care providers are already stretched to collect all the data required to process each patient. Now they are being required by HHS / CMS to collect more and more data, identified as Quality Indicators. In many cases, the data is duplicative to data they are already collecting. The most recent example is the inpatient rehabilitation facility (IRF) patient assessment instrument (IRF PAI) which has grown from 3 to 4 pages in 2012, from 4 to 8 pages in 2014 and from 8 to 18 pages in 2016. The burden on the providers comes in many forms. Additional FTEs, staff education and training, information and technology spending on data collection interfacing and transmission and facility compliance.