Inaugural Release of SNF QRP Data on Nursing Home Compare Website

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare®

Today, October 24, 2018, “CMS is announcing the inaugural release of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) quality data on Nursing Home (NH) Compare.  Section 1899B(g)(1) of the Social Security Act requires CMS to provide for the public reporting of SNF provider performance on the quality measures.  “The law requires certain post-acute care (PAC) providers, including SNFs, to report provider performance data on quality.  The Improving Medicare Post-Acute Care Transformation (IMPACT) Act also requires CMS to publicly report quality measure data submitted by SNFs on certain quality measures specified in the Act.”

The Fact Sheet provides background information on the SNF QRP (Quality Reporting Program) measures, data collection, source of the data (MDS – SNF QRP measures are calculated based on the admission and discharge data submitted for each SNF resident) and 5 new measures added to Nursing Homes Compare:

Assessment-based measures:

  1. Percent of Residents or Patients in a SNF that develop new or worsened pressure ulcers (NQF #0678)
  2. Percentage of residents or patients whose activities of daily living and thinking skills were assessed and related goals were included in their treatment plan (NQF #2631)
  3. Percentage of SNF patients who experience one or more falls with major injury during their SNF stay (NQF #0674)

Claims-based measures:

  1. Medicare Spending Per Beneficiary (MSPB) for patients in SNFs
  2. Rate of successful return to home or community from an SNF

“CMS has decided not to publish a 6th quality measure, Potentially Preventable 30-Day Post-Discharge Readmissions, at this time.  Additional time would allow for more testing to determine if there are modifications that may be needed both to the measure and to the method for displaying the measure.  This additional testing will ensure that the future publicly reported measure is thoroughly evaluated so that Compare users can depend upon an accurate picture of provider quality.”

“These data can demonstrate how a SNF’s performance on SNF QRP quality measures compares to that of other SNFs, as well as to the national average.  These data can showcase a SNF’s ongoing commitment to quality, improving engagement and confidence among staff, residents, caregivers, families, and stakeholders.  The SNF QRP measures are calculated based on the admission and discharge data submitted for each SNF resident.”

A Summary of Findings is provided in this Fact Sheet that identifies the new SNF QRP measures that are included on Nursing Home Compare and displays the national average rate of performance on the measures:

Measures1

Measures2

Also available on this Fact Sheet are links to additional resources for SNFs, Help Desks, additional Compare websites and the email address to direct questions related to public reporting of quality data.