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This manual presents methods used to calculate quality measures that are included in the Centers for Medicare & Medicaid Services (CMS) Skilled Nursing Facility (SNF) Quality Reporting Program (QRP). This manual provides detailed information for each quality measure (QM), including quality measure definitions, inclusion and exclusion criteria and measure calculation specifications.
Section GG, Section I, and Section N training materials related to Oct. 1, 2018, implementation of RAI Manual v1.16
The Skilled Nursing Facility Quality Reporting Program (SNF QRP) is a stand-alone IMPACT Act program, meaning its requirements and outcomes are not connected to the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program. So under traditional fee-for-service Medicare Part A, SNFs potentially can take a financial hit from the SNF QRP or the SNF VBP—or from both programs in a single fiscal year—every year effective with FY 2019 beginning Oct. 1, 2018.
The SNF QRP runs on two separate but related tracks: the payment track and the publicly reported quality measure (QM) track.
Anyone who works in a long-term care facility knows providing the best resident-centered care involves constant hands-on attention.
Helping a resident dress, brush his teeth, use the bathroom, take a shower, walk to the dining quarters, eat her meal, and perform all the various tasks involved in daily living is paramount.
CNAs constantly have their hands full with these duties. So it’s easy to understand why the more hands-off tasks—such as documentation—might sometimes get pushed to the back burner, and subsequently result in errors in coding activities of daily living (ADLs).
Still, that doesn’t mean you want them happening at your facility. Accuracy in ADL coding is a vital part of resident-centered care, and you don’t want it falling through the cracks. You may have noticed ADL documentation errors occurring at your facility. If so, there are steps you can take to address them. Here are some of the most common errors:
The National Nursing Home Quality Improvement Campaign (NNHQIC) seeks pilot testers for a new Dementia Care and Psychotropic Medication Tracking Tool. This Excel-based tool will track information for individuals living with dementia AND any resident for whom psychotropic medications are prescribed. It will support and prompt individualized care, document key processes, and provide information to identify opportunities and drive improvement. Interested organizations please send a message to Help@nhQualityCampaign.org to request additional information on participating in the pilot test.
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