It’s important that your local hospital discharge planners understand your quality measure data
September 26th, CMS issued a final rule requiring hospitals to provide patients greater access to information about available post-acute provider choices as part of the discharge planning process. Required performance data reporting includes several quality measures including falls, pressure ulcers and readmissions. The final rule states that “The hospital must assist patients, their families, or the patient’s representative in selecting a post-acute care provider by using and sharing data that includes, but is not limited to, HHA, SNF, IRF, or LTCH data on quality measures and data on resource use measures. The hospital must ensure that the post-acute care data on quality measures and data on resource use measures is relevant and applicable to the patient’s goals of care and treatment preferences.”
This rule is similar to the current SNF discharge planning requirement at §483.21(c)(1)(viii) which requires that the facility’s discharge planning process includes for residents who are transferred to another SNF or who are discharged to a HHA, IRF, or LTCH, that the facility assists “residents and their resident representatives in selecting a post-acute care provider by using data that includes, but is not limited to SNF, HHA, IRF, or LTCH standardized patient assessment data, data on quality measures, and data on resource use to the extent the data is available. The facility must ensure that the post-acute care standardized patient assessment data, data on quality measures, and data on resource use is relevant and applicable to the resident’s goals of care and treatment preferences.” (CMS, 2017)
With this new requirement, it is important that your local hospital discharge planners understand your quality measure data and how your data compares to other post-acute care providers in your area. Prepare to speak with discharge planners regarding your quality measure data and the services you offer to meet resident’s goals of care and treatment preferences. For QM areas with performance data trends below that of your peers, it is important to establish performance improvement plans to improve quality outcomes and sustain improved performance.
Proactive Medical Review specializes in assisting facilities with Five-Star Rating Improvement plans including advancing QMs. Check Out these Proactive Resources for 5-Star Improvement:
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- QAPI Toolkit (Click here to download)
- On-Demand Webinars
- 5-Star Ready! 2019 5-Star Quality Rating System Changes (Click here to access)
- 2017 Analyzing 5 Star Quality Measures Series On-Demenad Webinars (See 5 Star webinars here)
- Pain
- Falls & Restraint Reduction
- Increase in ADL Help
- UTI & Catheters
- Antipsychotics
- Discharge to Community, Hospital Readmissions, &ER visit
- 2018 F-Tag Series On-Demand Webinars (See all F-Tag webinars here)
- Accidents/Bed Rails F689, 700
- ADL Care for Dependent Residents F677
- Bowel/Bladder Incontinence F690
- Treatment/Services to Prevent/heal Pressure Ulcers
- Unnecessary Drugs F757
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Blog by Shelly Maffia, MSN, MBA, RN, LNHA, QCP, CHC, Director of Regulatory Services, Proactive Medical Review
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