SNF QRP Updates: What the NAC Needs to Know

By Jane Belt, MS, RN, RAC-MT, RAC-MTA, QCP - June 06, 2019

Keeping up with the changes occurring in long-term care is no easy task. Many of these developments significantly affect the role of the nurse assessment coordinator (NAC), which is evolving to encompass many different responsibilities. The NAC is central to numerous tasks of vital importance to a facility. For example, with the new Patient-Driven Payment Model (PDPM), the 5-Day PPS assessment can potentially set the payment for an entire skilled stay, unless an Interim Payment Assessment is opted for by the facility; managing residents with multiple and complex medical needs; alternative payments models, such as managed care, bundled payments, and health maintenance organizations; and recurring, prominent needs, like annual certification surveys, Five-Star ratings, and Nursing Home Compare quality measures, also require NAC attention. In this article, we will focus on one NAC function: the Skilled Nursing Facility Quality Reporting Program (SNF QRP). Although the SNF QRP represents only a small fraction of the NAC’s responsibilities, it demands significant time to complete associated tasks. Here, we’ll discuss which measures are being collected and reported in the SNF QRP and share suggestions to enable the busy NAC to stay on top of this responsibility.