Quality Measures

Ask The Payment Expert: Patricia Boyer

Ask The Payment Expert: Patricia Boyer

Can you clear up confusion over quality measures and how long people remain on the report?

SNF/LTC Open Door Forum to hit hot topics

The Centers for Medicare & Medicaid Services' monthly Open Door Forum conference call for skilled nursing and long-term care stakeholders will discuss a blockbuster list of hot topics Thursday. The agenda includes a Payroll-Based Journal update, talk about SNF waivers for the CJR initiative, and Nursing Home Compare Quality Measure updates.

Do the new QMs have you seeing stars?

Do the new QMs have you seeing stars?

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Actions providers take now will make or break their Five-Star Quality Rating experience in July. That's because the Centers for Medicare & Medicaid Services has changed quality measures in a way that will affect all nursing homes.

Nursing homes announce campaign to lessen poor outcomes, decrease employee turnover

Nursing homes announce campaign to lessen poor outcomes, decrease employee turnover

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Increasing staff stability, adopting a customer satisfaction questionnaire, reducing unintended healthcare outcomes, reducing hospital readmissions, improving discharges to the community, and adopting functional outcome measurements are the focus of the next round of quality improvement for the American Health Care Association.

Changes to Five Star expected, providers fear lower ratings

Changes to Five Star expected, providers fear lower ratings

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The Centers for Medicare & Medicaid Services is expected to unveil major changes to Nursing Home Compare today that could cause facilities to lose rating stars, according to industry sources.

Good performance on SNF quality measures does not prevent deaths or readmissions, study finds

Good performance on SNF quality measures does not prevent deaths or readmissions, study finds

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A skilled nursing facility that scores well on quality measures is not necessarily reducing residents' risk of death or readmission within 30 days of arriving from a hospital, according to findings in the latest issue of the American Medical Association journal JAMA.

Ask the payment expert ... about supporting MDS completion

Ask the payment expert ... about supporting MDS completion

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What is the best nursing structure to support the MDS process?

The fault in our (5) stars

The fault in our (5) stars

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So, let me start off by saying that I am sure a lot of us have our own rating systems. For example, my sisters and I have a tissue-box rating system for tearjerker books and movies. The book the "Fault in Our Stars" (excellent in my opinion) was a 5-tissue-box book. The movie "Terms of Endearment" a 5-tissue-box movie, for sure.

Also in the news for June 5, 2014 . . .

New LTC pain management quality measures submitted ... CMS 'provider relations coordinator' created to take questions on Medicare reviews ... Few docs discuss end-of-life care with heart failure patients ... Poor sleep leads to Alzheimer's?

Administrators pan pay-for-performance

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Most nursing home administrators do not believe that pay-for-performance initiatives lead to improved resident care or stronger bottom lines, according to findings recently published in the Journal of Aging and Social Policy.

CMS pushes back on quality measure recommendations

CMS pushes back on quality measure recommendations

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Healthcare providers face unfairly reduced reimbursements if they serve economically disadvantaged patients, according to a recent National Quality Forum draft report. The government rejected recommendations to address this problem.

Nursing homes trail hospitals in quality improvement, AHRQ report shows

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About 60% of nursing home quality measures have been showing significant year-to-year improvement, but hospitals have been improving more quickly, according to the Agency for Healthcare Research and Quality.

Pressure sore stats predict readmissions

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Compared with other quality measures, pressure ulcer prevalence is particularly good at predicting whether a nursing home will readmit residents to the hospital, according to findings published recently in HSR: Health Services Research.

Current quality measures are unfair to providers serving economically disadvantaged populations, National Quality Forum tells CMS

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Nursing homes and other healthcare providers face reduced reimbursements from government programs if they serve economically disadvantaged patients, according to a recent National Quality Forum report. NQF recommended adjustments to address this problem, but the government rejected the proposals.

CMS: Hospice quality reporting to begin July 1, will require admission and discharge records

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Providers will have to report certain hospice quality measures to the federal government starting July 1, the Centers for Medicare & Medicaid Services formally announced in a recent Federal Register notice.

Expert panel recommends functional status quality measures for skilled nursing facilities

Expert panel recommends functional status quality measures for skilled nursing facilities

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An expert panel convened by federal regulators has offered recommendations for functional status quality measures in skilled nursing facilities. Released Friday was a summary of the experts' advice to create a functional status quality measure in SNFs, as well as inpatient rehabilitation facilities and long-term care hospitals.

CMS budget defines nursing home quality targets, requests an additional $50 million for surveys

CMS budget defines nursing home quality targets, requests an additional $50 million for surveys

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The Centers for Medicare & Medicaid Services' proposed budget for fiscal year 2015 requests additional funds for survey activities and lists the agency's targets for nursing home quality measures.

Hospital admission rates show need for new nursing home quality measure , OIG and CMS say

Hospital admission rates show need for new nursing home quality measure , OIG and CMS say

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One in four nursing home residents on Medicare was hospitalized in 2011, costing the program $14.3 billion, according to a new report from the Department of Health and Human Services Office of Inspector General. In light of its findings, the OIG has recommended a new quality measure to track hospital admissions.

Ask the nursing expert ... about stopping staff turnover

Ask the nursing expert ... about stopping staff turnover

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As one of the leaders in my nursing facility, how do I stop turnover and motivate my staff to improve our performance?

60 seconds with ... NQF leader Christine Cassel, M.D.

60 seconds with ... NQF leader Christine Cassel, M.D.

Q: You've been at the National Quality Forum since July, bringing deep experience in geriatric medicine to the work of creating and reviewing quality measures. What measures do you see on the horizon for long-term care?

Post-acute providers continue to improve on most quality measures, report finds

Post-acute providers continue to improve on most quality measures, report finds

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Post-acute providers have improved across a broad range of quality measures, according to a comprehensive report released by the Alliance for Quality Nursing Home Care. Providers improved outcomes in 13 of 15 measures — such as pain, pressure ulcers and pneumonia vaccination — between 2011 and the second quarter of 2012.

Shining some light on the new Five Star system

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The Five Star overall score is comprised of three domains: Survey, Staffing and Quality Measures. This month, look a little deeper into the overall Five Star Scores.

Panel endorses patient safety quality measures

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A set of 14 patient safety measures seeking to curb preventable errors in healthcare settings has been approved by a national standards-setting organization.

Quality measures recommended for dual eligible coordination programs

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Implementing an effective quality measurement system is paramount in improving care and lowering costs in the dual eligible population, according to a new stakeholder report.

Nursing home quality scores are on the rise, federal data shows

Nursing home quality scores are on the rise, federal data shows

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The quality of care in U.S. nursing homes is improving, according to newly released federal health data. In evaluating the scores of 15,000 skilled nursing facilities across the country, the Centers for Medicare & Medicaid Services found that the proportion of 4- and 5-Star centers has increased 4% and 4.1%, respectively.

Five-Star insights: Will those stars ever illuminate your path?

Five-Star insights: Will those stars ever illuminate your path?

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I recently asked a hospital discharge planner how she chooses which nursing home to discharge to. "Five-Star" was the reply. Was I surprised? Not at all. Once again, it demonstrates just how far this Centers for Medicare & Medicaid Services consumer initiative reaches.

Quality measures needed to evaluate end-of-life care in nursing homes, study urges

Quality measures needed to evaluate end-of-life care in nursing homes, study urges

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As the number of people who choose nursing homes for end-of-life care continues to rise, more quality measures are needed to help consumers judge quality, a new study recommends.

A good first step but more to do with MDS 3.0

A good first step but more to do with MDS 3.0

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It was a long first day, but there was tremendous value and everyone who is here has learned what the Centers for Medicare & Medicaid Services' positions are with the April updates and some of the policy changes they're talking about. The changes are thought provoking and some are what I would consider on the edge of being a little controversial.

Analytically Speaking: CMS Quality Measures for MDS 3.0

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At first, the MDS 3.0 Quality Measures do not appear to be very different from those based on MDS 2.0. But "the devil is in the details" and nearly every measure that seems familiar is different in some way. One of the most significant changes is in the resident and record selection.

Panel endorses quality measures of palliative and end-of-life care

The National Quality Forum voted to endorse 14 quality measures regarding palliative and end-of-life care for patients and their families. The quality measures focus on areas of care including pain management, weight loss and depression.