Quality Assurance and Performance Improvement (QAPI)

Quality care is the heart of what we do, and QAPI is the road to get there! You may be thinking that is easier said than done. The resources below have been gathered to assist you in achieving your facility goals for quality care outcomes. Need another reason to better understand QAPI? As value-based payment becomes a reality, facilities are required to demonstrate the quality of care to consumers and payers, continuously improving efficiency and resident outcomes. Learn how you can get ahead of the game with helpful resources.

  • SNF QRP Review and Correct Reports: CMS IDs Two Problems (8/17)

    By CMS - August 21, 2017

    CMS has identified two issues with the SNF Review and Correct Report.

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  • Q1 2017 Antipsychotic Medication Use Data Report From CMS (8/17)

    By CMS - August 09, 2017
    National Partnership to Improve Dementia Care in Nursing Homes: Antipsychotic Medication Use Data Report: CMS is tracking the progress of the National Partnership by reviewing publicly reported measures. The official measure of the Partnership is the percentage of long-stay nursing home residents who are receiving an antipsychotic medication, excluding those residents diagnosed with schizophrenia, Huntington's Disease or Tourette’s Syndrome. In 2011Q4, 23.9 percent of long-stay nursing home residents were receiving an antipsychotic medication; since then there has been a decrease of 34.1 percent to a national prevalence of 15.7 percent in 2017Q1. Success has varied by state and CMS region, with some states and regions having seen a reduction of greater than 35 percent.

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  • SNF QRP QMs and MDS Items Finalized in FY 2018 SNF PPS Final Rule (8/17)

    By CMS - August 01, 2017
    Specifications for the quality measures and standardized resident assessment data elements for the SNF QRP as finalized in the FY 2018 SNF PPS Final Rule are now posted. 
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  • Fiscal Year 2017 HHS OIG Work Plan UPDATED

    By CMS - July 18, 2017
    The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan for fiscal year (FY) 2017 summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current fiscal year and beyond. Work planning is an ongoing and evolving process, and the Work Plan is updated throughout the year.
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  • Mega-Rule Appendix PP Survey Resources From CMS - Revised (7/17)

    By CMS - July 14, 2017
    CMS has released an Advance Copy of Appendix PP of the State Operations Manual with updated Interpretive Guidance for multiple F-tags, a list of revised F-tags by regulatory grouping, a crosswalk between old and new F-tags, and a survey-and-certification memo explaining upcoming changes, training opportunities, and enforcement issues.
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  • CMS Releases New Appendix PP Interpretive Guidance for Multiple Tags

    By Caralyn Davis, Staff Writer - June 30, 2017

    Nov. 28, 2017, marks the implementation of some significant changes in how the Centers for Medicare & Medicaid Services (CMS) expects nursing homes to operate—and in the survey process that state surveyors will use to assess those operations. CMS survey-and-certification memo S&C: 17-36-NH gives providers critical information about how to prepare for these changes that are required under Phase 2 of the roll-out of the Reform of Requirements for Long-term Care Facilities (aka Mega-Rule) updating the Medicare/Medicaid conditions of participation. This information includes an advance copy of 696 pages of revisions to the F-tags and the Interpretive Guidance in Appendix PP, “Guidance to Surveyors of Long-term Care Facilities,” of the State Operations Manual. Providers should note that the Appendix PP revisions include new subregulatory guidance for multiple F-tags, not just the Phase 2 regulatory changes.

    Here’s a summary of critical news—and what’s still to come:

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  • SNF QRP Review and Correct Reports Available (6/17)

    By QTSO - June 19, 2017

    The Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Review and Correct reports are now available on demand in the CMS Certification and Survey Provider Enhanced Reporting (CASPER) application. Providers can access these reports by selecting the CASPER Reporting link on the “Welcome to the CMS QIES Systems for Providers” webpage. NOTE: You must log into the CMS Network using your CMSNet user ID and password in order to access the “Welcome to the CMS QIES Systems for Providers” webpage.

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  • SNF QRP Technical Specs Table for Reporting MDS-Based QMs for FY 2017 (6/17)

    By CMS - June 05, 2017
    his table presents information to understand the reporting requirements for the assessment based quality measures that are included in the Centers for Medicare & Medicaid Services (CMS) Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) for FY 2017. This table provides details for each MDS item and assessment type, allowable item values when coding for the 3 assessment based quality measures, Falls with Major Injury, Pressure Ulcers New or Worsened, and Functional Assessment and Care Plan.
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  • MDS 3.0 Quality Measures (QM) User's Manual V11 - plus ERRATA (5/17)

    By CMS - May 31, 2017

    CMS has released an errata for the MDS 3.0 QM User's Manual Version 11.0. The MDS 3.0 QM User’s Manual V11.0 contains detailed specifications for the MDS 3.0 CASPER/Nursing Home Compare/Five Star quality measures.This errata addresses an error pertaining to N015.01 Percent of High-Risk Residents with Pressure Ulcers (long stay).
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  • Want to Learn More About CAAs? Try This CMS Course (5/17)

    By CMS - May 26, 2017
    CMS has made available to providers a web-based training course on the care area assessments (CAAs) used for state RAI coordinator training.
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  • Catheter-associated UTIs in Nursing Homes: AHRQ CUSP Program Success (5/17)

    By AHRQ - May 26, 2017

    Rates of catheter-associated urinary tract infections (CAUTIs) dropped by 54 percent across more than 400 long-term care facilities that participated in a patient safety project funded by the Agency for Healthcare Research and Quality (AHRQ), according to a study published in JAMA Internal Medicine. The project adapted AHRQ's Comprehensive Unit-based Safety Program (CUSP) for use in long-term care facilities. Data from nursing homes in 38 states were included in the new analysis.

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  • May 2 SNF QRP Review & Correct Reports Provider Training Q&As (5/17)

    By CMS - May 26, 2017

    May 2 Review and Correct Reports Provider Training Question and Answer (Q&A) Document for the Skilled Nursing Facility Quality Reporting Program Is Now Available: The question and answer (Q+A) document from the Review and Correct Reports Provider Training is now available in the “Downloads” section below. The Q+A document contains participant questions from the Live Webcast which took place on Tuesday, May 2, 2017.

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  • SNF QRP Review and Correct Reports Provider Training Slides and Video (5/17)

    By CMS - May 26, 2017

    TRAINING MATERIALS AVAILABLE for the May 2 Review and Correct Reports Provider Training – Webcast. The focus of this training is to assist providers from the following care settings in better understanding how Review and Correct Reports fit within the overall Quality Reporting Program: Skilled Nursing Facilities, Inpatient Rehabilitation Facilities, and Long-Term Care Hospitals. Additionally, this training will provide information about re-submitting data to correct errors prior to the quarterly submission deadlines to ensure the accuracy of the data which will ultimately be publicly displayed.

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  • SNF QRP Quality Measure (QM) User's Manual - NEW (5/17)

    By CMS - May 23, 2017

    This manual presents methods used to calculate quality measures that are included in the Centers for Medicare & Medicaid Services (CMS) Skilled Nursing Facility (SNF) Quality Reporting Program (QRP). This manual provides detailed information for each quality measure, including quality measure definitions, inclusion and exclusion criteria and measure calculation specifications.

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  • Your Medicare $ is at risk: FY 2018 SNF PPS Proposed Rule

    By Carolyn Davis, Staff Writer - May 05, 2017
    Money will be extremely tight in fiscal year (FY) 2018—particularly for providers that haven’t met FY 2018 data submission requirements for the Skilled Nursing Facility Quality Reporting Program (SNF QRP), according to the FY 2018 SNF Prospective Payment System (PPS) Proposed Rule. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established a special rule for FY 2018 that requires a market basket percentage of 1.0 percent. That alone means that growth in aggregate SNF payments will slow dramatically in FY 2018 compared to FY 2017.

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