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Latest Quality Data Refresh on CMS Nursing Home Compare

The latest quarterly nursing home quality data refresh has been posted to CMS Nursing Home Compare on Oct 24, 2018.

Nursing home quality data was updated on CMS Nursing Home Compare as follows:

1. Short-stay residents measures (15 measures):
a) Quality measures used to calculate the star rating (7 measures) reporting data for 17Q2_18Q2 except for 3 measures:

  1. Percentage of short-stay residents who were re-hospitalized after a nursing home admission (16Q4_17Q3)
  2. Percentage of short-stay residents who have had an outpatient emergency department visit (16Q4_17Q3)
  3. Percentage of short-stay residents who were successfully discharged to the community (16Q3_17Q3)

b) Flu and pneumonia prevention measures (2 measures) reporting data for 17Q2_18Q2

c) Additional quality measures (6 measures) reporting data for 17Q1_17Q4 expect for 3 measures:

  1. Rate of successful return to home and community from a SNF (16Q4_17Q3)
  2. Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (15Q4_17Q4)
  3. Medicare Spending Per Beneficiary (MSPB) for residents in SNFs (16Q4_17Q3)

2. Long-stay residents measures (16 measures):
a) Quality measures used to calculate the star rating (9 measures) reporting data for 17Q3_18Q2

b) Flu and pneumonia prevention measures (2 measures) reporting data for 17Q3_18Q2)

c) Additional quality measures (5 measures) reporting data for 17Q1_18Q2 except for 1 measure:

  1. Number of hospitalizations per 1,000 long-stay resident days (61Q4_17Q3)

Star Rating Calculation: CMS are implementing a new Nursing Home health inspection process, so they have changed how the star ratings are calculated.

CMS creates the overall star rating for nursing homes from 3 parts: 1) Health inspections 2) Quality of resident care measures and 3) Staffing. The Centers for Medicare & Medicaid Services (CMS) has updated the nursing home health inspection process. In order to participate in the Medicare and Medicaid programs, all nursing homes must meet certain health inspection requirements. The new inspection process began on November 28, 2017. Because of the large number of nursing homes, it will take approximately a year for most nursing homes to be inspected under the new process. As each nursing home is inspected under the new process, a summary of the findings and the full reports from the new inspection process will be available on Nursing Home Compare. However, for approximately one year, the findings from the new inspections won’t be used to calculate each nursing home’s star rating. Instead, ratings will be calculated using results from surveys that occurred before November 28, 2017. Therefore, the ratings may not reflect the most recent assessment of compliance and quality that exists in a given facility. Results from inspections done under the old process will also continue to be available on Nursing Home Compare.

More information available at https://www.medicare.gov/NursingHomeCompare/Data/About.html

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