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Latest Nursing Home Quality Data Refresh on CMS Care Compare

Nursing Home quality of care data has been updated on Nursing Home Compare including quality measure results based on SNF QRP data submitted to CMS (data was updated on Oct 28th). For this refresh SNF QRP assessment-based measures performance scores are based upon data submitted to CMS between Q1 2019 – Q4 2019 (01/01/19 – 12/31/19); claims-based measures performance scores will be based upon SNF Prospective Payment System (PPS) claims dated between Q4 2017 and Q3 2019 (10/01/17 – 9/30/19).

Note: Starting in this October 2020 update, six additional SNF QRP measures are publicly reported on NHC, CCXP and PDC:

  1. Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury,
  2. Drug Regimen Review Conducted with Follow-Up for Identified Issues – PAC SNF QRP,
  3. Application of IRF Functional Outcome Measure: Change in Self-Care (NQF #2633),
  4. Application of IRF Functional Outcome Measure: Change in Mobility (NQF #2634),
  5. Application of IRF Functional Outcome Measure: Discharge Self-Care Score (NQF #2635), and
  6. Application of IRF Functional Outcome Measure: Discharge Mobility Score (NQF #2636).

Summary of data updated on Nursing Home Compare as follows:

Quality of resident care measures

Short-stay residents
Measures used to calculate the star rating – Short-stay residents (5 measures)

  •     Percentage of short-stay residents who were re-hospitalized after a nursing home admission (19Q1_19Q4)
  •     Percentage of short-stay residents who have had an outpatient emergency department visit (19Q1_19Q4)
  •     Percentage of short-stay residents who got antipsychotic medication for the first time (18Q4_19Q4)
  •     Percentage of SNF residents with pressure ulcers that are new or worsened (19Q1_19Q4)
  •     Percentage of short-stay residents who improved in their ability to move around on their own (18Q4_19Q4)

Flu and pneumonia prevention measures – Short-stay residents (2 measures)

  •     Percentage of short-stay residents who needed and got a flu shot for the current flu season (18Q4_19Q4)
  •     Percentage of short-stay residents who needed and got a vaccine to prevent pneumonia (18Q4_19Q4)

Additional quality measures – Short-stay residents (9 measures)

  • Percentage of SNF residents whose medications were reviewed and who received follow-up care when medication issues were identified. (19Q1_19Q4)Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. (19Q1_19Q4)
  • Percentage of SNF residents whose functional abilities were assessed and functional goals were included in their treatment plan. (19Q1_19Q4)
  • Percentage of residents who are at or above an expected ability to care for themselves at discharge. (19Q1_19Q4)
  • Percentage of residents who are at or above an expected ability to move around at discharge. (19Q1_19Q4)
  • Change in residents’ ability to care for themselves. (19Q1_19Q4)
  • Change in residents’ ability to move around. (19Q1_19Q4)
  • Rate of successful return to home and community from a SNF.This measure is also used in the Five Star Quality Rating System. (17Q4_19Q3)
  • Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF. (17Q4_19Q3)
  • Medicare Spending Per Beneficiary (MSPB) for residents in SNFs.(17Q4_19Q3)

Long-stay residents
Measures used to calculate the star rating – Long-stay residents (9 measures)

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

Flu and pneumonia prevention measures – Long-stay residents (2 measures)

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

Additional quality measures – Long-stay residents (5 measures)

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

Note: This October 2020 refresh of the SNF QRP data on Nursing Home Compare/Care Compare Sites is the last scheduled refresh of this data until the January 2022 refresh.

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