NYSDOH 2015 Nursing Home Quality Incentive Program (NHQI)

Nancy Leveille in Clinical & Quality

Nancy Leveille, NYSHFA, participated in the NYSDOH meeting to discuss the proposed NHQI plan for 2015 on Wednesday, May 27.  The 2015 program retains many of the same measures to ensure that we can maintain two categories of awards: the best of the best and those that have demonstrated improvement over the last year.  DOH is proposing a few revisions and also adding a new measure.  Those are as follows:

  1. Revising a method for smaller facilities related to risk adjusted measures
  2. New scoring method for a long stay resident’s pneumococcal immunization measure
  3. Proposal for a new long stay resident antipsychotic measure
  4. New annualized staffing measure
  5. A new staff turnover measure
  6. Redistribution of points across components
  7. Change in methodology for Efficiency components


Many of the revisions to smaller facilities, annualized staffing and scoring measures at this time seem to favor the SNF. Redistribution of points will only be finalized once we have the full program agreed upon, but generally make sense as we have done this over the last two years.  The elements needing further exploration include defining direct care staff for the cost reports, a valid method for determining staff turnover and a re-look at the hospitalization measure.

NYSHFA does not feel we have a stable measure for turnover and also is advocating for a better hospitalization measure that does not rely on the hospital to provide nursing home hospitalization rates based on claims data.

NYSHFA staff will be developing specific comments for DOH’s review within the next couple weeks and will also send this out to members in a follow up member mailing.

In addition, the 2013 NHQI is in process of payment, but we are still awaiting the cycle numbers.  The 2014 NHQI has been sent to budget and should be finalized in the near future as well.

If members have any questions, feel free to contact Nancy Leveille.

NYSHFA CONTACT:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20