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State-specific MDS items.
SNF Quality Reporting Program Training: The focus of this train-the-trainer event will be to provide SNFs with assessment-based data collection instructions and updates associated with the changes in the October 1, 2016 release of the MDS 3.0 and other reporting requirements of the SNF QRP. This training is an abbreviated version of the 2-day event hosted in Atlanta, GA, on June 21 and 22, 2016, and is intended to provide an additional opportunity to learn about upcoming changes for those who could not attend the original training.
Preview the many changes to the MDS item sets and data specs that will be implemented on Oct. 1, 2016, but remember these are drafts -- changes could still occur. Most recently, CMS issued another errata in July 2016.
The Five Star Preview Reports will be available on July 21st. Nursing Home Compare will update with June's Five Star data on July 27, 2016.
Three MDS-based quality measures (QMs) affecting Medicare Part A fiscal year (FY) 2018 payment determinations were finalized for adoption into the Skilled Nursing Facility Quality Reporting Program (SNF QRP) in the FY 2016 SNF PPS final rule, noted officials with the Centers for Medicare and Medicaid Services (CMS) during the July 12 SNF QRP National Provider Call (NPC). (Call slides, as well as an audio recording and a transcript of the call when available, can be accessed here.)
Detailed information about the specifications for these QMs is available in Skilled Nursing Facility Quality Reporting Program – Specifications for the Quality Measures Adopted through the Fiscal Year 2016 Final Rule, as well as in the slide set from the June 21 – 22 SNF QRP training session in Atlanta. However, CMS officials provided a high-level overview of the specifications for the three QMs during the NPC:
While the Centers for Medicare and Medicaid Services (CMS) previously indicated that the finalized v1.14 of the RAI User’s Manual for the MDS 3.0 would be published in September, the manual may in fact arrive somewhat earlier—and be somewhat different than the draft manual that was released in May. “We do intend to release a final RAI Manual in the next few weeks that will contain several revisions,” said officials during the July 14 Skilled Nursing Facility/Long-term Care Open Door Forum (SNF/LTC ODF).
In the meantime, the draft v1.14 manual remains available for review. Providers should submit any questions about the draft to MDSforSandC@cms.hhs.gov, suggested officials.
Other topics covered in the SNF/LTC ODF include the following:
CMS created the Five-Star (5 Star) Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily. The Five-Star Quality Rating System Technical Users' Guide provides in-depth descriptions of the ratings and the methods used to calculate them.
Now that the Skilled Nursing Facility Quality Reporting (SNF QRP) program is gearing up for data collection effective Oct. 1, it’s more important than ever that nurse assessment coordinators (NACs) understand how to use MDS Section X (Correction Request). This section is the vehicle for making corrections to MDS data that affects both quality measures and RUG-IV classifications, points out Kristin Bernard Breese, BSN, RN, CPC, RAC-MT, director of operations for Celtic Consulting in Torrington, Conn.
Here are some steps that NACs can take to make sure they use—and code—Section X correctly:
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