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On April 24, the Centers for Medicare & Medicaid Services (CMS) made a series of changes to the Five-Star Quality Rating System on Nursing Home Compare. Now that directors of nursing services (DNSs) have that update under their belt, they can take the following steps to get a handle on the biggest surprises:
Payroll-Based Journal (PBJ) electronic staffing data has gone live, forming the basis for revised RN and total nursing staffing star rating, as well as the Five-Star Quality Rating System star ratings, on Nursing Home Compare. The updated Five -Star Technical Users’ Guide has all of the technical specifications, and while those specifications are critical to understanding the “how to” calculations, many providers still need to go back to the basics to ensure that the data going into PBJ is accurate—and that they are prepared for whatever additional measures come down the pike.
Often nurses think that the Payroll-Based Journal (PBJ) electronic staffing data submission system is an issue for payroll or the business office, notes Suzy Harvey, RN-BC, RAC-CT, managing consultant for BKD in Springfield, MO. “However, now that PBJ will impact ratings in the Five Star Quality Rating System, the director of nursing services (DNS) needs to be aware of PBJ and involved in the process.”
The Centers for Medicare & Medicaid Services (CMS) offers several reports that can help DNSs be sure their PBJ data is accurate, timely, and ready for prime-time viewing as staffing measures and Five-Star staffing star ratings on Nursing Home Compare. Industry experts suggest DNSs take the following steps:
This month, the Centers for Medicare & Medicaid Services (CMS) began using Payroll-Based Journal (PBJ) electronic staffing data to calculate the nursing and physical therapy (PT) staffing measures, as well as the Five Star Quality Rating System staffing ratings, on Nursing Home Compare, according to CMS survey-and-certification memo QSO-18-17-NH. CMS updated the Five Star Technical Users’ Guide to include the technical specifications for the updated staffing measures and ratings’ methodology, and effective June 1, providers will no longer have to complete the staffing section of the CMS-671 although the rest of the form will still need to be completed for survey.
Many directors of nursing services (DNSs) should see some changes in their staffing measures and Five Star staffing ratings, says Suzy Harvey, RN-BC, RAC-CT, managing consultant for BKD in Springfield, MO.
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