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 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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  • Five Star Preview Reports Avail. June 20, Help Line Open June 26 - 30

    By QTSO - June 19, 2017

    The Five Star (5 Star) Preview Reports will be available on June 20th. Nursing Home Compare will update with May's Five Star data on June 28, 2017. The 5 Star Help line (800-839-9290) will be available June 26, 2017 through June 30, 2017.

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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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  • Q4 2016 Antipsychotic Medication Use Data Report From CMS (5/17)

    By CMS - May 18, 2017
    National Partnership to Improve Dementia Care in Nursing Homes: Antipsychotic Medication Use Data Report: 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 33.2 percent to a national prevalence of 16 percent in 2016Q4. Success has varied by state and CMS region, with many states and regions having seen a reduction of greater than 30 percent.

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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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  • FY 2018 SNF PPS Proposed Rule: SNF QRP QM Data Specs and Standardized MDS items (5/17)

    By CMS - May 04, 2017

    Proposed MDS item set changes for v1.16 and proposed new Skilled Nursing Facility Quality Reporting Program (SNF QRP)  quality measures (QMs). If adopted data collection would begin Oct. 1, 2018.

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  • Strategic Innovation Engine Wants Your Innovative Practices (3/17)

    By CMS - March 26, 2017
    Do you have an innovation that is improving health care quality and safety in your practice?  We would like to hear from youThe SIE has simplified and streamlined the submission process to gather innovative practices. These practices will be evaluated for their effectiveness in advancing CMS’ goals of better care, healthier people, and smarter spending. Selected innovative practices will be widely disseminated via various channels throughout the CMS quality community.
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  • SNF QRP QMs Adopted in FY 2016 SNF PPS Final Rule: Data Specs - Pressure Ulcer QM REVISED (2/17)

    By CMS - February 13, 2017

    The final Skilled Nursing Facility Quality Reporting Program specifications for the three MDS-based quality measures adopted through the FY 2016 final rule. Data collection on these three measures begins Oct. 1, 2016. NOTE: In February 2017 CMS revised the specifications for the pressure ulcer SNF QRP QM. Those specs are now found in a separate document.

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  • SNF QRP: TEP Summary Report for Refinement of Pressure Ulcer QM (2/17)

    By CMS - February 13, 2017
    The summary report for the refinement of percent of residents or patients with pressure ulcers that are new or worsened (Short-Stay) (NQF #0678) is now available. This report summarizes proceedings from a follow-up cross-setting pressure ulcer TEP meeting.
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