Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Public Reporting

Now available! Our new Provider Data Catalog makes it easier for you to search and download our publicly reported data. We’ve also improved Medicare’s Compare sites.

Background:

The Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 modified the Social Security Act requiring that Skilled Nursing Facilities (SNFs) be required to submit data for public reporting. In response, the Centers for Medicare & Medicaid Services (CMS) established the SNF Quality Reporting Program (QRP) and authorized the Secretary to report quality measures that relate to care provided by SNFs on a CMS website. The SNF QRP data will be publicly reported on Care Compare (CCXP). Please visit the Care Compare website to view the SNF QRP quality data on the Nursing homes including rehab services webpages.

 Quality Measures for SNF Public Reporting:

  • Discharge to Community (DTC) - Post Acute Care (PAC) SNF QRP
  • Potentially Preventable 30-Days Post-Discharge Readmission Measure (PPR) for SNF QRP
  • Medicare Spending Per Beneficiary (MSPB) – PAC SNF QRP
  • Application of Percent of Long-Term Care Hospital Patients (LTCH) with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function (NQF #2631)
  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) (NQF #0674)
  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues – PAC SNF QRP
  • Application of IRF Functional Outcome Measure: Change in Self-Care (NQF #2633)
  • Application of IRF Functional Outcome Measure: Change in Mobility (NQF #2634)
  • Application of IRF Functional Outcome Measure: Discharge Self-Care Score (NQF #2635)
  • Application of IRF Functional Outcome Measure: Discharge Mobility Score (NQF #2636)

SNF Provider Preview Reports

Before Quality Measure (QM) data is publicly reported on CCXP, SNFs have an opportunity to review and correct, as well as preview, their data. A Review and Correct Report is available for providers to access in the CMS reporting system, which will assist them in identifying whether there are any issues with the data already collected and submitted before the applicable quarterly data submission deadlines. Correction of any errors identified by the facility must be submitted by the final submission deadlines found in the Downloads section of the SNF QRP Data Submission Deadlines webpage.

Following the QRP data submission deadline, a quarterly Provider Preview Report issued by CMS displays the data that will be publicly reported. The purpose of these reports is to give SNFs the opportunity to review their quality measure results on each quality measure prior to public display on Care Compare. Reports can be accessed via the CMS designated data submission system, Certification and Survey Provider Enhanced Reports (CASPER) application, which is accessible from a SNF’s “Welcome to the CMS QIES Systems for Providers” page.

Instructions on how to access the reports are available in the Downloads section below.

SNFs will have 30 days to preview their quality measure results beginning on the date the reports are available. SNFs reviewing their preview reports will not be able to correct any of the underlying data, as all data submission/correction deadlines for the targeted period will have passed.

A SNF may request CMS review of the data contained within their Provider Preview Report, should they believe the quality measure results to be inaccurate (denominator or quality metric). All such requests must be made during the 30-day preview period.

Procedures for requesting CMS’ Review during Preview Period:

We encourage SNFs to review their data as provided in the SNF Provider Preview Reports. If a SNF disagrees with their quality measure results (denominator or quality metric) contained within their Provider Preview Report, they will have an opportunity to request review of that assertion by CMS. In order to make such a request, SNFs must adhere to the process outlined below:

  • Requests may be submitted to CMS beginning on the day the SNF Provider Preview Reports are available in their CMS designated data submission system (CASPER) folders and may be submitted through 11:59:59 p.m. PST on day 30 of the preview period.
  • CMS will not accept any requests for review of data that are submitted after the posted deadline, which falls on the last day of the preview period.
  • SNFs are required to submit their request to CMS via email with the subject line: “[Provider Name] SNF Public Reporting Request for Review of Data” and include their CMS Certification Number (CCN) (e.g., ABC Skilled Nursing Facility Public Reporting Request for Review of Data, XXXXXX). The request must be sent to the following email address: SNFQRPPRquestions@cms.hhs.gov.    

The email request must include the following information:

  • SNF CMS Certification Number (CCN)
  • SNF Agency Name and Mailing Address
  • CEO or CEO-designated representative contact information including: name, email address, telephone number, and physical mailing address
  • Information supporting the SNF’s belief that the data contained within their Provider Preview Report are erroneous, including, but not limited to quality measures affected and aspects of quality measures affected (denominator or quality metric)

SNFs will receive an email confirming receipt of their request and may be asked to provide additional information to allow CMS to fully evaluate the request. Such requests from CMS will be sent to the contact person named above.

  • CMS will review all requests and provide a response outlining the decision via email. Please note that SNF-identified errors resulting from inaccurate data submissions that a SNF failed to correct prior to the applicable quarterly data submission deadline are not acceptable reasons for granting reconsideration.
  • Data that CMS decides/agrees to correct will be displayed during the subsequent quarterly release of SNF quality data on Care Compare.
  • The data used to generate the SNF Provider Preview Reports are frozen for the upcoming Care Compare refresh, and corrections submitted after the generation of the SNF Provider Preview Report will not be reflected until the next quarterly preview report is generated.

Please note: The only method for submitting a request to CMS for review of your preview report data is via email (SNFQRPPRquestions@cms.hhs.gov). Requests submitted by any other means will not be reviewed. CMS will not review any requests that include protected health information (PHI) or other Health Insurance Portability and Accountability Act (HIPAA) violations in the request being submitted to CMS.

Resources

Sign up for SNF QRP updates today!

SNF Public Reporting helpdesk: SNFQRPPRquestions@cms.hhs.gov

Updates

October 28, 2020

NHC Quarterly Refresh with SNF QRP Data

The October 2020 refresh of Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data is now available on Nursing Home Compare (NHC), as well as the Nursing homes including rehab services webpages within Care Compare (CCXP) and Provider Data Catalog (PDC).

The data are based on quality assessment data submitted by SNFs to the Centers for Medicare & Medicaid Services (CMS) from Quarter 1 2019 through Quarter 4 2019 (01/01/2019 –12/31/2019) and the annual update of the claims-based measures data from Quarter 4 2017 through Quarter 3 2019 (10/01/2017 – 9/30/2019).

Starting in October 2020, six additional SNF QRP measures will be publicly reported on NHC, CCXP and PDC:

  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury,
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues – PAC SNF QRP,
  • Application of IRF Functional Outcome Measure: Change in Self-Care (NQF #2633),
  • Application of IRF Functional Outcome Measure: Change in Mobility (NQF #2634),
  • Application of IRF Functional Outcome Measure: Discharge Self-Care Score (NQF #2635), and
  • Application of IRF Functional Outcome Measure: Discharge Mobility Score (NQF #2636).

In summary, the following SNF QRP measures will display on NHC, CCXP, and PDC during the October 2020 refresh:

  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
    • Q1 2019 - Q4 2019 (01/01/2019 - 12/31/2019)
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues – PAC SNF QRP
    • Q1 2019 – Q4 2019 (01/01/2019 – 12/31/2019)
  • Percentage of SNF residents who experience one or more falls with major injury during their SNF stay
    • Q1 2019 – Q4 2019 (01/01/2019 – 12/31/2019)
  • Application of IRF Functional Outcome Measure: Change in Self-Care (NQF #2633)
    • Q1 2019 - Q4 2019 (01/01/2019 - 12/31/2019)
  • Application of IRF Functional Outcome Measure: Change in Mobility (NQF #2634)
    • Q1 2019 – Q4 2019 (01/01/2019 – 12/31/2019)
  • Application of IRF Functional Outcome Measure: Discharge Self-Care Score (NQF #2635)
    • Q1 2019 – Q4 2019 (01/01/2019 – 12/31/2019)
  • Application of IRF Functional Outcome Measure: Discharge Mobility Score (NQF #2636)
    • Q1 2019 – Q4 2019 (01/01/2019 – 12/31/2019)
  • Application of Percent of Long-Term Care Hospital (LTCH) Patients With an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function (NQF #2631)
    • Q1 2019 – Q4 2019 01/01/2019 – 12/31/2019
  • Discharge to Community-Post Acute Care (PAC) Skilled Nursing Facility Quality Reporting Program (NQF #3481)
    • Q4 2017 – Q3 2019 (10/01/2017 – 9/30/2019)
  • Potentially Preventable 30-Day Post-Discharge Readmission Measure for Skilled Nursing Facility Quality Reporting Program
    • Q4 2017 – Q3 2019 (10/01/2017 – 9/30/2019)
  • Medicare Spending Per Beneficiary (MSPB) - Post Acute Care (PAC) Skilled Nursing Facility Quality Reporting Program
    • Q4 2017 – Q3 2019 (10/01/2017 – 9/30/2019)

Please visit the Nursing homes including rehab services webpages within Care Compare (CCXP) and Provider Data Catalog (PDC) websites to view the updated quality data.

For questions about SNF QRP Public Reporting please email SNFQRPPRQuestions@cms.hhs.gov.

Please note that the October 2020 refresh of the SNF QRP data on Nursing Home Compare/Care Compare Sites is the last scheduled refresh of this data until the January 2022 refresh. For additional information, please review the available SNF QRP Public Reporting Tip Sheet (PDF) (PDF).

August 5, 2020

SNF Provider Preview Reports - Now Available

Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. The data contained within the Preview Reports is based on quality data submitted by SNFs between Q1 2019 and Q4 2019 (1/01/19 – 12/31/19) (for assessment-based measures) and Q4 2017 and Q3 2019 (10/01/17 – 9/30/19) (for claims-based measures). The data reflects what will be published on Nursing Home (NH) Compare during the October 2020 refresh of the website. Providers have until August 30, 2020 to review their performance data. Corrections to the underlying data will not be permitted during this time; however, providers can request CMS review of their data during the preview period if they believe the quality measure scores that are displayed within their Preview Reports are inaccurate.

Beginning with the October 2020 refresh, CMS will publicly display on the NH Compare website six new measures:

  • Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury,
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues – PAC SNF QRP,
  • Application of IRF Functional Outcome Measure: Change in Self-Care (NQF #2633),
  • Application of IRF Functional Outcome Measure: Change in Mobility (NQF #2634),
  • Application of IRF Functional Outcome Measure: Discharge Self-Care Score (NQF #2635), and
  • Application of IRF Functional Outcome Measure: Discharge Mobility Score (NQF #2636)

SNF performance data for these measures will be included for the first time on this preview report. 

The following existing measures will continue to be reported as part of the October 2020 refresh:

  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay)
  • Application of Percent of Long-Term Care Hospital (LTCH) Patients With an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function

We are implementing the annual refresh of the SNF Quality Reporting Program (QRP) claims-based measures during the October 2020 refresh of NH Compare:

  • Medicare Spending Per Beneficiary – PAC SNF QRP
  • Discharge to Community – PAC SNF QRP
  • Potentially Preventable 30-Day Post-Discharge Readmission Measure – SNF QRP

For more information please visit:

July 30, 2020

NH Compare Quarterly Refresh with SNF QRP Data

The July 2020 Nursing Home (NH) Compare refresh, including quality measure results based on Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data submitted to the Centers for Medicare and Medicaid Services (CMS), is now available. For this refresh, SNF QRP assessment-based measures performance scores will be based upon data submitted to CMS between Q4 2018 and Q3 2019 (10/01/18 – 09/30/19); claims-based measures performance scores will be based upon SNF Prospective Payment System (PPS) claims dated between Q4 2016 and Q3 2018 (10/01/16 – 9/30/18).

In summary, the following SNF QRP measures will be displayed on NH Compare during the July 2020 refresh:

1. Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay)

  • Submitted between Q4 2018 and Q3 2019 (10/01/18 – 09/30/19)

2. Application of Percent of Long-Term Care Hospital (LTCH) Patients With an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function

  • Submitted between Q4 2018 and Q3 2019 (10/01/18 – 09/30/19)

3. Medicare Spending Per Beneficiary-Post-Acute Care (PAC) SNF QRP

  • Submitted between Q4 2016 and Q3 2018 (10/01/16 – 9/30/18)

4. Discharge to Community-PAC SNF QRP

  • Submitted between Q4 2016 and Q3 2018 (10/01/16 – 9/30/18)

5. Potentially Preventable 30-Day Post-Discharge Readmission Measure – SNF QRP

  • Submitted between Q4 2016 and Q3 2018 (10/01/16 – 9/30/18)

Please visit the NH Compare website to view the updated quality data.

For questions about SNF QRP Public Reporting please email SNFQRPPRQuestions@cms.hhs.gov.

SNF Quality Reporting Program Archives

Page Last Modified:
12/31/2020 02:00 PM