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Nursing Home Quality Data Refresh on Medicare Care Compare Website

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Nursing home quality data on the Medicare Care Compare Website was updated on January 27, 2021.

Quarterly updates of most of the quality measures (QMs) posted on Care Compare and used in the Five Star Quality Rating System resumed with this January 2021 refresh. For the January 2021 update, CMS used data for July 2019 – June 2020 for all of the measures that were updated. The two QMs that are part of the Skilled Nursing Facility Quality Reporting Program (Percentage of SNF residents with pressure ulcers/pressure injuries that are new or worsened and Rate of successful return to home and community from a SNF) were not updated in January 2021.

Measures for Long-Stay residents (defined as residents who are in the nursing home for greater than 100 days) that are derived from MDS assessments:

  • Percentage of long-stay residents whose need for help with daily activities has increased
  • Percentage of long-stay residents whose ability to move independently worsened
  • Percentage of long-stay high-risk residents with pressure ulcers
  • Percentage of long-stay residents who have or had a catheter inserted and left in their bladder
  • Percentage of long-stay residents with a urinary tract infection
  • Percentage of long-stay residents experiencing one or more falls with major injury
  • Percentage of long-stay residents who got an antipsychotic medication

Measures for Long-Stay residents that are derived from claims data:

  • Number of hospitalizations per 1,000 long-stay resident days
  • Number of outpatient emergency department (ED) visits per 1,000 long-stay resident days

Measures for Short-Stay residents that are derived from MDS assessments:

  • Percentage of short-stay residents who improved in their ability to move around on their own
  • Percentage of short-stay residents who got antipsychotic medication for the first time

Measures for Short-Stay residents that are derived from claims data:

  • Percentage of short-stay residents who were re-hospitalized after a nursing home admission
  • Percentage of short-stay residents who have had an outpatient emergency department (ED) visit

Note: In a memo on December 4, 2020, CMS outlined how they had waived the timeframes that facilities are required to submit resident assessment information through the Minimum Data Set (MDS) per 42 CFR 483.20. But they noted that while the timeframes for submitting data were waived, nursing homes have still been submitting the required data. Since nursing homes have continued to submit MDS data, the data can be used to update quality measures without any issues. CMS also analyzed the data used to support the claims-based quality measures, and similarly, found no issues updating these measures. Therefore, the quality measures posted on the Nursing Home Compare website and used in the Five Star Quality Rating System will be updated on January 27, 2021. To update the quality measures, CMS will use data based on the data collection period ending June 30, 2020. We note that these updates do not apply to quality measures that are part of the Skilled Nursing Facility Quality Reporting Program (SNF QRP).

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