Human Resources

Recruitment and retention of qualified nursing staff are challenges that many facilities face. The nursing staff is the front line of care and the most important asset in providing the best resident outcomes possible. Learn how to engage, prepare, and support the staff that you have and recruit the staff that you need with the articles below.   

  • PBJ Policy Manual v2.3, FAQs UPDATED (5/17)

    By CMS - May 26, 2017
    This manual and FAQs provide basic policy information to be used for electronically submitting staffing and census information through the Payroll Based Journal system. 
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  • QIES Security Notice: Disabling and Deleting Accounts (5/17)

    By QTSO - May 22, 2017
    To better secure our applications, QIES security will require each user to successfully login every 60 days, effective June 26, 2017. If this does not occur, the account will be disabled and can only be re-enabled by contacting the QTSO Help Desk at (800) 339-9313.
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  • PBJ Update: CMS Says Nonsubmission Will Impact Star Ratings (4/17)

    By CMS - April 24, 2017

    Payroll-Based Journal: The Nursing Home Compare website now reflects whether providers have submitted data by the required deadline. Additionally, providers that have not submitted any data for two consecutive deadlines will have their overall and staffing star ratings suppressed.

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  • CASPER Reporting User’s Guide for PBJ Providers UPDATED (3/17)

    By QTSO - April 07, 2017
    This user’s guide provides information and instructions pertaining to the CASPER Reporting application. Section 12, Payroll Based Journal (PBJ) Reports, addresses the staffing and census reports available to providers, including the Employee Report, the Census Report, the Staffing Summary Report, and the PBJ Submitter Final File Validation Report.
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  • PBJ Electronic Data Staffing Submissions Data Specs Effect. June 26, 2016 - UPDATED

    By CMS - March 26, 2017
    The PBJ 2.0 Data Submission Specifications Version 2.00.0 package is now available.  These specifications went into effect on June 26, 2016. The latest updates were released in March 2017.
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  • PBJ Provider User Guide V2.3.0, Incl. Error Messages / Descriptions - UPDATED (3/17)

    By QTSO - March 26, 2017
    This manual explains how to connect to the Payroll-Based Journal (PBJ) system and submit data. It also defines error messages and descriptions, identifying errors by number, severity, error message, and error description. The description section includes potential corrective actions for providers to take to resolve the errors.
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  • Payroll-Based Journal (PBJ) Mandatory Data Submission: Important Actions (10/16)

    By QTSO - October 03, 2016
    Mandatory data submission for PBJ began July 1, 2016 for Federal Fiscal Quarter 4. Federal Fiscal Quarter 4 represents July 1, 2016 thru September 30, 2016. Direct care staffing and census data will be collected quarterly, and is required to be timely and accurate. Facilities that do not meet these requirements will be considered noncompliant. Facilities may enter and submit data at any frequency throughout a quarter which is why it is very important to submit data early and often to ensure compliance is achieved. Submissions must be received by the end of the 45th calendar day (11:59 PM Eastern Standard Time) after the last day in each fiscal quarter in order to be considered timely. 
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  • FY 2017 Minimum Computer System Requirements for Using QIES ASAP (10/16)

    By QTSO - October 03, 2016
    Minimum System Requirements for Home Health Agencies, Hospice Providers, Long-Term Care Facilities, Inpatient Rehabilitation Facilities and Long-Term Care Hospitals for FY 2017
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  • PBJ Submission / Data Specification / Report FAQs (6/16)

    By QTSO - June 15, 2016
    These FAQs cover Payroll-Based Journal Data Specification Questions, PBJ Training Questions,  PBJ Submission Questions, and PBJ Report Questions.


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  • The DON's Role in Making the Most of Staff Education

    By Lynn Sywyj, MA, Staff Writer - June 15, 2016
    A director of nursing services’ (DNS’s) active involvement in staff education is vital, even though the level at which the DNS is involved in the planning and execution of education is largely determined by the size and resources of the facility. In smaller facilities, the role of organizing and leading in-services often falls to the DNS. For example, AADNS’s curriculum development specialist Amy Stewart, RN, DNS-CT, RAC-MT, was responsible for in-servicing her 111-bed facility as a DON. However, points out Linda Shell, MA, RN, principal and co-owner of Legacy Market Services, even if your facility is large enough to have a dedicated staff educator, “as a DNS, you need to have a good working knowledge of how to effectively conduct in-services to ensure that you are providing good oversight.” No matter how hands-on or hands-off your involvement with staff education, the eight expert-approved tips below will help you to achieve greater impact in your role.
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  • Q&A: What if a staff nurse refuses to get a flu shot?

    By Linda Winston RN, MSN, BS, DNS-CT, RAC-CT - May 18, 2016
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  • OSHA Final Rule on Workplace Injury Reporting Effective Aug. 10, 2016

    By OSHA - May 12, 2016
     The U.S. Department of Labor’s Occupational Safety and Health Administration today issued a final rule to modernize injury data collection to better inform workers, employers, the public and OSHA about workplace hazards. With this new rule, OSHA is applying the insights of behavioral economics to improve workplace safety and prevent injuries and illnesses. 
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  • Are You Ready for Mandatory Electronic Staffing Data Submission (PBJ)?

    By Marianna Kern Grachek, MSN, RN, NHA, FACHCA, DNS-CT - April 13, 2016
    The Payroll-Based Journal (PBJ) mandate is fast approaching. Is your organization ready to demonstrate compliance with this new Condition of participation? Section 6106 of the Patient Protection and Affordable Care Act (ACA) requires that nursing facility staff electronically submit information on direct-care staffing (including agency and contract staff) based on payroll and other auditable data. The data, when combined with census information, can be used to report on the level of staff in the facility as well as employee turnover and tenure, all of which can impact the quality of care delivered.
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  • Payroll-Based Journal (PBJ): CMS May Use Enforcement Authority re: Noncompliance (4/16)

    By CMS - April 01, 2016

    The requirement for LTC facilities to electronically submit staffing data through the PBJ goes into effect July 1, 2016.

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  • The Mystery of Adequate Staffing, Solved

    By Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, C-NE - March 09, 2016

    Are you tired of guessing at how to staff your unit? No single staffing model seems to work: a budget-based staffing model stretches your staff too thin; a nurse-patient–ratio staffing model doesn’t take into account the different levels of care needed by residents; and how do you even figure out how to staff by resident acuity?


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