SNF Quality Reporting Program Public Reporting
The IMPACT Act of 2014 modified the Social Security Act requiring that Skilled Nursing Facilities be required to submit data for public reporting. In response, CMS established the Skilled Nursing Quality Reporting Program (SNF 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 NH Compare.
Quality Measures for SNF Public Reporting:
- Discharge to Community- Post Acute Care (PAC) SNF QRP
- Potentially Preventable 30-Days Post-Discharge Readmission Measure for SNF QRP
- Medicare Spending Per Beneficiary –PAC SNF QRP
- Application of Percent of Long-Term Care Hospital Patients 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
- Percent of Patients or Residents with Pressure Ulcers that are New or Worsened- NQF #0678
SNF Provider Preview Reports
Prior to the release of SNF QRP data on NH Compare, SNFs are given the opportunity to review their quality measure results during a 30-day preview period using a SNF Provider Preview Report, which will be issued quarterly by CMS. 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 NH Compare. Reports can be accessed via the 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 Download 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 it 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 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 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 for SNF-identified errors resulting from inaccurate data submissions that a SNF failed to correct, will not be corrected. CMS will not consider correcting quality measure calculations that SNFs find to be inaccurate due to inaccurate or missing data that was identified beyond the applicable quarterly data submission deadline.
- Data that CMS decides/agrees to correct will be displayed during the subsequent quarterly release of SNF quality data on NH Compare.
- The data used to generate the SNF provider preview reports are frozen for the upcoming NH 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.
Sign up for SNF QRP updates today!
SNF Public Reporting helpdesk: SNFQRPPRquestions@cms.hhs.gov
Please continue to check this webpage for updates.
November 1, 2018
SNF Provider Preview Reports- Now Available
Skilled Nursing Facility Provider Preview Reports have been updated and are now available. Providers have until November 30, 2018 to review their performance data on quality measures based on Quarter 2 -2017 to Quarter 1 - 2018 data, prior to the January 2019 Nursing Home Compare site refresh, during which this data will be publicly displayed. Corrections to the underlying data will not be permitted during this time. However, providers can request a CMS review during the preview period if they believe their data scores displayed are inaccurate. For help accessing your preview report, please refer to the SNF Preview Report Access Instructions located under the Downloads section of this webpage below.
October 24, 2018
Attention SNF Providers: Inaugural Release of SNF QRP Data on NH Compare
In accordance with Section 1899B(g)(1) of the Social Security Act, which requires CMS to provide for the public reporting of SNF provider performance on the quality measures, CMS is announcing the inaugural release of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) quality data on Nursing Home (NH) Compare.
Nursing Home Compare allows you to find and compare SNFs that are certified by Medicare and nursing homes that are certified by Medicaid. This website contains quality of resident care and staffing information for more than 15,000 nursing homes around the country, and will now additionally include SNF QRP quality data that can be used to compare SNF providers by their performance on important indicators of quality, such as the percentage of patients with new or worsening pressure ulcers, or the percentage of patients that experienced a fall and sustained a major injury. Specifically, the following five SNF QRP measures are now being displayed on the NH Compare site:
- Percent of Residents or Patients with Pressure Ulcers that are New or Worsened (Short Stay) (National Quality Forum #0678)
- 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)
- Application of Percent of Residents Experiencing One or More Falls with Major Injury (NQF #0674)
- Medicare Spending Per Beneficiary-PAC SNF QRP
- Discharge to Community-PAC SNF QRP
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. While we conduct this additional testing, CMS will not post reportable data for this measure, including each SNF’s performance, as well as the national rate.
Visit the NH Compare website to view the new SNF QRP quality data.
June 05, 2018
Public Reporting of SNF QRP Data on Nursing Home Compare - Coming Soon!
Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) quality measure scores will be publicly reported on Nursing Home (NH) Compare. CMS will report information on SNFs across the nation allowing patients, family members, and health care providers to get a snapshot of the quality of care in each facility. SNFs can be compared based on important measures of quality, such as pressure ulcers and readmissions.
The information on NH Compare:
- Helps consumers make more informed decisions about where they get healthcare, and
- Encourages SNFs to improve the quality of care that they provide to patients and their families.
- Page last Modified: 11/01/2018 9:37 AM
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