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Latest Quality Data Refresh Including SNF QRP Data on CMS Nursing Home Compare

Nursing Home quality of care data has been updated on CMS Nursing Home Compare including quality measure results based on SNF QRP data submitted to CMS (data was updated on July 29th). For this refresh SNF QRP assessment-based measures performance scores are based upon data submitted to CMS between Q4 2018 – Q3 2019 (10/01/18 – 09/30/19); claims-based measures performance scores will be based upon SNF Prospective Payment System (PPS) claims dated between Q4 2016 and Q3 2018 (10/01/16 – 9/30/18).

Summary of data updated on CMS Nursing Home Compare as follows:

Quality of resident care measures

Short-stay residents
Measures used to calculate the star rating – Short-stay residents

  1. Percentage of short-stay residents who were re-hospitalized after a nursing home admission (19Q1_19Q4)
  2. Percentage of short-stay residents who have had an outpatient emergency department visit (19Q1_19Q4)
  3. Percentage of short-stay residents who got antipsychotic medication for the first time (19Q1_19Q4)
  4. Percentage of SNF residents with pressure ulcers that are new or worsened (19Q1_19Q4)
  5. Percentage of short-stay residents who improved in their ability to move around on their own (19Q1_19Q4)

Flu and pneumonia prevention measures – Short-stay residents

  1. Percentage of short-stay residents who needed and got a flu shot for the current flu season (19Q1_19Q4)
  2. Percentage of short-stay residents who needed and got a vaccine to prevent pneumonia (19Q1_19Q4)

Additional quality measures – Short-stay residents

  1. Percentage of SNF residents who experience one or more falls with major injury during their SNF stay (18Q4_19Q3)
  2. Percentage of SNF residents whose functional abilities were assessed and functional goals were included in their treatment plan (18Q4_19Q3)
  3. Rate of successful return to home and community from a SNF. This measure is also used in the Five Star Quality Rating System (16Q4_18Q3)
  4. Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (16Q4_18Q3)
  5. Medicare Spending Per Beneficiary (MSPB) for residents in SNFs (16Q4_18Q3)

Long-stay residents
Measures used to calculate the star rating – Long-stay residents

  1. Number of hospitalizations per 1,000 long-stay resident days (19Q1_19Q4)
  2. Number of outpatient emergency department visits per 1,000 long-stay resident days (19Q1_19Q4)
  3. Percentage of long-stay residents who got an antipsychotic medication (19Q1_19Q4)
  4. Percentage of long-stay residents experiencing one or more falls with major injury (19Q1_19Q4)
  5. Percentage of long-stay high-risk residents with pressure ulcers (19Q1_19Q4)
  6. Percentage of long-stay residents with a urinary tract infection (19Q1_19Q4)
  7. Percentage of long-stay residents who have or had a catheter inserted and left in their bladder (19Q1_19Q4)
  8. Percentage of long-stay residents whose ability to move independently worsened (19Q1_19Q4)
  9. Percentage of long-stay residents whose need for help with daily activities has increased (19Q1_19Q4)

Flu and pneumonia prevention measures – Long-stay residents

  1. Percentage of long-stay residents who needed and got a flu shot for the current flu season (19Q1_19Q4)
  2. Percentage of long-stay residents who needed and got a vaccine to prevent pneumonia (19Q1_19Q4)

Additional quality measures – Long-stay residents

  1. Percentage of long-stay residents who were physically restrained (19Q1_19Q4)
  2. Percentage of long-stay low-risk residents who lose control of their bowels or bladder (19Q1_19Q4)
  3. Percentage of long-stay residents who lose too much weight (19Q1_19Q4)
  4. Percentage of long-stay residents who have symptoms of depression (19Q1_19Q4)
  5. Percentage of long-stay residents who got an antianxiety or hypnotic medication (19Q1_19Q4)

Nursing homes are now required to report information about how COVID-19 is impacting their residents: https://data.cms.gov/stories/s/COVID-19-Nursing-Home-Data/bkwz-xpvg

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