Issue: July 17, 2014

Published on July 17, 2014

Articles in this issue:

CMS Five-Star Rating System: Five Year Report

Author: Karen Morris* Published in Clinical & Quality

The Nursing Home Compare Five-Star Quality Rating System: Year Five Report [Public Version] was issued on June 16, 2014.  The study was completed by Abt Associates Inc. and is the Final Report since the rating system began in 2008.  
 
The report provides the following conclusions based on the analyses (see page 38 of the report):

  1. Because of the design of the Five-Star Rating System, there is essentially no change in the distribution of Health Inspection ratings.  (By design, the distribution of Health Inspection Star ratings is fixed within each state so that 10 percent of nursing centers receive 5 stars, 20 percent receive 1 star, and 70 percent receive 2, 3, or 4 stars.)

  2. Over the five years, the proportion of nursing homes receiving a one-star Quality Measure (QM) rating decreased from 20.0 percent to 3.2 percent.  The proportion receiving a four- or five-star rating increased from 34.1 percent to 71 percent.  There have been large improvements in the reported QMs since July 2012, which CMS is analyzing in greater detail.
  3. From January 2009 to December 2013, the proportion of nursing homes with a one-star Staffing rating decreased from 22.9 percent to 12.1 percent.  Although there was a modest increase in the proportion of nursing homes with a five-star Staffing rating (7.2 percent to 10.5 percent), the proportion with a four-star Staffing rating increased from 30.6 percent to 42.5 percent.

  4. There were improvements in the Overall ratings during the five years examined.  In January 2009, 22.7 percent of nursing homes had a one-star rating while 35.2 percent had a four- or five-star rating.  By December 2013, the proportion with a one-star rating had declined to 10.5 percent and just over half (50.5 percent) had a rating of four or five stars.

 
Further, the report acknowledges it is not possible to attribute the changes in star ratings exclusively to the introduction of the Five Star Rating System.   However, using the current rating algorithm, Abt Associates did analyze health inspection, quality measure and staffing data from the 11 months just prior to the public reporting of the measures and determined that more recent changes may be at least partly attributable to the introduction of the Five Star Rating System.

NYSHFA CONTACT:
Karen Morris

Director, Clinical & Quality Services
518-462-4800, ext. 15


 

33rd Annual FQC Health Care Open Golf Tournament

Author: Scott Jackson CMP* Published in Foundation for Quality Care News

COME JOIN US!

33rd Annual FQC Health Care Open Golf Tournament
Monday, September 22, 2014
Van Patten Golf Club, Clifton Park, NY


Golf Ball on Green


Brochure and Registration Form

NYSHFA CONTACT
Scott Jackson
Director, Education & Conference Planning
518-462-4800 ext. 27

 


Audio Conference Announcement: Respecting Resident's Independence While Making Capacity Determinations

Author: Scott Jackson CMP* Published in Education

Join us on August 22, 2014 for "Respecting Resident's Independence While Making Capacity Determinations" audio conference from 10:00 am - 12:00 pm presented by Dr. Robert Figlerski, IPC, The Hospitalist Company.

Program
A frequent question faced by staff of skilled nursing facilities is whether a resident has the cognitive ability to make independent decisions about their care and preferences. This question of capacity should always be understood through the lens of our obligation to foster residents’ rights, dignity, and independence. As a result, the question of capacity is always a balancing act between the resident’s well being and their right to exercise free choice and have their preferences respected.

This audio conference will address different types of capacity, common situations which raise the question of capacity in a skilled nursing setting, factors which contribute to determining capacity, and related implications. Participants will gain a better appreciation of when the question of capacity should be raised, ways to establish a workable process for the determination of capacity, family involvement, and implications for care planning.

Brochure and Online Registration

2.0 CEUs for LNHAs and ALAs
 
NYSHFA CONTACT:       
Scott Jackson, CMP
Director, Education & Conference Planning
518-462-4800 ext. 27

Audio Conference Announcement: Advanced Medicaid Case Mix Management

Author: Scott Jackson CMP* Published in Education

Join us on August 28, 2014 for "Advanced Medicaid Case Mix Management:  A MDS Coordinator's Perspective to Accurate Reimbursement" audio conference from 10:00 am - 12:00 pm presented by Elisa Bovee & Kim Steele, Harmony Healthcare International.

Program
Keeping MDS Coordinators up to speed to prepare for case mix is an ongoing quest.  This New York Medicaid skilled nursing facility Case Mix program discusses the necessary documentation required to support the assigned Medicaid RUG to ensure accurate reimbursement for care provided.  New York OMIG Auditors have been focused on “high risk” Medicaid Case Mix MDSs for skilled nursing facilities with a change in CMI greater than five percent since 2012.  Learn strategies for accurate coding and medical record preparation.  This program will enable healthcare providers to ensure accurate reimbursement for Medicaid residents through an understanding of the NY Medicaid Reimbursement System in a skilled nursing facility.

Brochure and Online Registration

2.0 CEUs for LNHAs and ALAs
2.0 CPEs for CPAs

 
NYSHFA CONTACT:       
Scott Jackson, CMP
Director, Education & Conference Planning
518-462-4800, ext. 27    

AHCA/NCAL Convention & Expo Early Bird Registration Ends Friday

Author: AHCA* Published in AHCA / NCAL News

Early bird registration for the AHCA/NCAL 65th Annual Convention & Expo ends Friday, July 18. Don’t wait—register today and get the maximum discount available. Join thousands of long term and post-acute care professionals at National Harbor on the banks of the Potomac River, just outside Washington, D.C., October 5-8.

The AHCA/NCAL Convention & Expo offers more than 60 education sessions with top-rated speakers from the field and from academia, special constituency events for targeted learning, plenty of networking opportunities, and one of the largest Expos supporting your special business needs.  Our keynote speakers this year include Colin L. Powell, U.S.A. (Ret.), and Captain Richard Phillips. Pat Benatar and Neil "Spyder" Giraldo will headline the Gala Dinner & Show! Enjoy all this as well as access to the historic surroundings of our nation’s capital.

Visit the official Convention & Expo website for a complete schedule of events, registration, tours, and all the information you need to make the most of your convention experience.

The early bird deadline is just days away so complete your registration now and save.

CONTACT:
Jon Ewing
Senior Director, Marketing
AHCA