Does your nursing facility need help understanding the changes to the Nursing Home Five-Star Quality Rating System and what the changes actually mean for your facility?Ĭontact your local Blue & Co. Non-Critical Access Hospitals (CAHs) with swing beds are hospitals that provide Medicare Part A Skilled Nursing Facility (SNF) services to beneficiaries and must report data on certain measures of quality to Medicare through the Skilled. Non-consumers are using the ratings for financial loans, insurance contracts, network referrals, and incentive payments. Nursing homes including rehab services Skilled Nursing Facility Quality Reporting Program - Swing Beds - Provider Data. Contact BlueĬonsumers are increasingly using Care Compare as a tool when choosing a nursing home for their loved ones. Beginning in July 2022, only nursing facilities with a five-star rating in staffing will get the additional increase in its overall star rating. In previous years, nursing facilities that had a four- or five-star staffing rating would also get an additional star in its facility’s overall star rating. The point ranges for the Staffing Rating is as follows, with a maximum possible score of 380 points.ĬMS is also revising how assigning overall quality star rating is determined. Points from each of the six measures are added together, and then the total staffing score is compared to the staffing rating point thresholds to assign a rating of one to five out of five stars. These staffing hours come from the hours reported on the Payroll-Based Journal (PBJ) System. The facility receives more points for higher case-mix adjusted staffing levels. For all of the measure except administrator turnover the points are determined based on deciles. Points are assigned to each of the six staffing measures.
Changes to the Staffing RatingĬMS is basing the new staffing rating on six different staffing measures, as seen in the table below.
CMS NURSING HOME COMPARE QUALITY MEASURES CODE
Life Safety Code survey LTCSP Procedure Guide and Surveyor Materials Updated. Here is what your facility needs to know. The Centers for Medicare & Medicaid Services (CMS) has updated the survey forms used for Health Care Life Safety Code Surveys as of July 2018.The updated documents can be found on the CMS Life Safety Code & Health Care Facilities Code Requirements webpage. On Jthe Center for Medicare and Medicaid Services (CMS) released the updated Nursing Home Five-Star Quality Rating Technical Users’ Guide with the methodology for the changes to the Staffing Rating and the Overall Quality Rating.
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