Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
Upcoming Adjustment to Staffing and Quality Measures
Effective with the April 2024 refresh, CMS will update the staffing level case-mix adjustment methodology and freeze four of the Quality Measures (QMs) used in the Five-Star Quality Rating System. These changes are needed to accommodate changes (e.g., replacing Section G items with Section GG) to the Minimum Data Set (MDS). CMS will freeze (i.e., hold constant) the staffing level measures for three months during the transition. In July 2024, CMS will change the staffing case-mix adjustment methodology to a model based on the Patient-Driven Payment Model (PDPM) and will post staffing level measures that use this methodology. For more details about the updated case-mix adjustment for staffing level measures, please refer to “Updated Case-Mix Adjustment Methodology for Staffing Level Measures” in the Appendices section. CMS will revise the staffing rating thresholds to maintain the same overall distribution of points for affected staffing measures. In addition, beginning in April 2024, to incentivize providers to submit accurate staffing data, CMS will revise the staffing rating methodology so providers that fail to submit staffing data or submit erroneous data receive the lowest score possible for corresponding staffing turnover measures. Please refer to the CMS Memorandum QSO-23-21-NH for more information about these upcoming updates to staffing and quality measures.
This 41-page updated Users’ Guide was posted September 20, 2023.
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