FY2022 State Performance Standards System (SPSS) Guidance Released

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

CMS posted Admin Info: 22-06-ALL on Thursday, March 10, 2022.  This is a 27-page Memorandum.

Every year, CMS conducts a formal assessment of each State Survey Agencies’ (SAs’) performance relative to measures included in the SPSS program. CMS works with the SAs to strengthen oversight so that the care provided in nursing homes and other acute and continuing care providers and suppliers is of the highest quality.

This year’s SPSS guidance is informed by several factors, such as the ongoing public health emergency, the resulting backlog of recertification and complaint surveys, and a desire to ensure State Survey Agencies are consistently monitoring compliance of health care facilities. The SPSS is aligned with CMS expectations for State Survey Agency performance in accordance with the §1864 Agreement and all related regulations and policies intended to protect and improve the health and safety of Americans such as the State Operations Manual, the Mission and Priority Document, survey procedure guides, and other relevant documents. The three domains of the SPSS for the 2022 fiscal year include:

• Standard and Complaint Survey Process

• COVID Infection Control Surveys

• Quality of the Survey Process

A fundamental change in the SPSS for this fiscal year compared to previous years is a focus on measures that CMS can construct with available data. CMS is committed to making the SPSS as objective and consistent as possible to ensure State Survey Agencies are assessed consistently throughout the fiscal year. To that end, CMS will also release interim SPSS results each quarter to provide State Survey Agencies and CMS Locations the information needed to assess State performance as often as possible and make improvements as soon as possible.