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CMS created the Five-Star (5 Star) Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily. The Five-Star Quality Rating System Technical Users' Guide provides in-depth descriptions of the ratings and the methods used to calculate them. Updated April 2018.
The Five Star Preview Reports will be available on April 23. To access these reports, select the CASPER Reporting link located on the CMS QIES Systems for Providers page. Once in the CASPER Reporting system, select the 'Folders' button and access the Five Star Report in your 'st LTC facid' folder, where st is the 2-character postal code of the state in which your facility is located and facid is the state-assigned Facility ID of your facility.
Nursing Home Compare will update with April's Five Star data on April 25, 2018.
Important Note: The 5 Star Help line (800-839-9290) will be available April 23, 2018 through April 27, 2018. Please direct your inquiries to BetterCare@cms.hhs.gov if the Help Line is not available.
The LTCSP Procedure Guide provides instruction on the procedural and software steps necessary for completing the Long-term Care Survey Process. Surveyors use the Procedure Guide for all standard surveys of SNFs and NFs, whether freestanding, distinct parts, or dually participating. The LTCSP steps are organized into seven parts: 1) offsite preparation; 2) facility entrance; 3) initial pool process; 4) sample selection; 5) investigation; 6) ongoing and other survey activities; and 7) potential citations. Below is a broad overview of the key onsite parts of the LTCSP (parts 3 – 7).
This month, the Centers for Medicare & Medicaid Services (CMS) will begin 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. By May 1 at the latest, CMS will update 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.
Valued-based purchasing is coming to long-term care facilities nationwide—and it’ll be here before you know it.
This payment model is designed to support the practice of resident-centered care—which many long-term care facilities have already implemented to some degree. Still, in an industry with deep traditional roots, particularly in regard to reimbursements, the shift in payment model may be jarring—and preparing for the change may be overwhelming.
But it doesn’t need to be.
With the help of a few tools and a little advance planning, you can help make your facility’s transition to value-based care a simple one.
“It's important that we stay ahead of the curve, and that's always a challenge,” says Michelle Bulger.
Bulger, alongside Patty Embree, vice president of innovation at Vincentian Collaborative System, will be co-instructing a conference session at the 2018 AADNS annual conference in National Harbor, MD, on this very subject. The June 29 session, called “Making the Move to Value-Based Care,” will shed light on practical, actionable steps and tools you can implement within your own facility today to prepare for this coming change.
New CMS eLearning course: The BLSC Training Online Course is intended to cultivate and refine surveyor skills, foster understanding of the survey process, and enhance surveyors’ overall ability to conduct LSC surveys for Medicare and Medicaid certification on behalf of CMS.
CMS has extended the Skilled Nursing Facility Quality Reporting Program (SNF QRP) deadlines for calendar year (CY) 2017. Minimum Data Set (MDS) assessment data for January-December (Q1-Q4) of CY 2017 are due May 15, 2018. However, providers are encouraged to verify their MDS submissions on at least a quarterly basis.
It is recommended that the applicable CMS CASPER validation reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted. We encourage you to verify all facility information prior to submission, including CCN and facility name.
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