United States

Senior Living Health Care Connection: New quality reporting measures

SENIOR LIVING HEALTH CARE CONNECTION  | 

On Oct. 24, 2018, Centers for Medicare and Medicaid Services (CMS) released the skilled nursing facility (SNF) quality data on the Nursing Home Compare website. These new measures for SNFs allow comparison among SNFs nationally. The SNF quality reporting program (QRP) data uses both the minimum data set (MDS) and Medicare claims data to calculate the measures. SNFs complete MDS clinical assessments on each resident and those assessments include the admission and discharge assessments. The recently added SNF QRP measures have been added to the Nursing Home Compare website and include:

MDS assessment-based measures:

  • Percentage of residents or patients in an SNF that develop new or worsened pressure ulcers during the SNF stay
  • Percentage of residents or patients whose activities of daily living or thinking skills were assessed and related goals were included in their treatment plan
  • Percentage of SNF patients who experience one or more falls with major injury during an SNF stay

Claims-based measures:

  • Medicare spending per beneficiary for patients in an SNF: This measure shows how much Medicare pays during an episode of care and compares the amount with other Medicare stays nationally
  • Rate of successful return to home or community from an SNF: This measure shows the rate that patients returned home or to the community from an SNF and remained alive without any unplanned hospitalizations in the 31 days following a discharge from an SNF stay

A sixth quality measure—potentially preventable 30-day post discharge readmissions—is being tested prior to publishing the results to ensure accuracy.

Facilities are encouraged to monitor the new measures that refer to Medicare residents during a Medicare stay. For additional information, view the measures at the Nursing Home Compare website or contact Joan McCarthy, RSM health care consultant, at +1 312 634 3479.

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