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SNF Quality Reporting Program Spotlights and Announcements

What’s new with Skilled Nursing Facilities (SNFs)

Visit the SNF QRP Reconsideration and Exception & Extension webpage for Natural Disaster Protocols 

Updates  

June 12, 2019

The 2019 Data Collection Periods for SNF Compare are now available in the downloads section of the SNF Quality Reporting Program Public Reporting webpage.

June 07, 2019 

The SNF QRP Table for Reporting Assessment-Based Measures for the FY 2021 SNF QRP APU is now available for download on the Skilled Nursing Facility (SNF) Quality Reporting Program Measures and Technical Information webpage. This table indicates the MDS data elements that are used in determining the APU minimum submission threshold for the FY 2021 SNF QRP determination.

June 07, 2019

Video Tutorials Available to Assist with Coding Specific Section GG Items

Accessible from the following webpages:

Home Health QRP Training webpage

Inpatient Rehabilitation Facility QRP Training webpage

Long-Term Care Hospital QRP Training webpage

Skilled Nursing Facility QRP webpage

May 31, 2019

Update of the Discharge to Community Measure for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)

Beginning fall 2019, CMS will publicly display on Nursing Home Compare the updated measure results for the Discharge to Community Measure adopted for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP), using updated methodology related to the assignment of categorical ratings to each provider based on their performance on this measure (better than, same as, or worse than the national average). For additional information, please visit the SNF Quality Reporting Program Public Reporting webpage.

May 30, 2019

Publication of Potentially Preventable Readmission Measures for the Post-Acute Care Quality Reporting Programs (QRPs)

Beginning fall 2019, CMS will publicly display measure results on Nursing Home Compare for the Potentially Preventable 30-Day Post-Discharge Readmissions Measure adopted for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP). For additional information, please visit the SNF Quality Reporting Program Public Reporting webpage.

May 14, 2019

The PDF file labeled “MDS 3.0 RAI Manual v1.17 October 1, 2019” is now available in the Related Links section of the MDS 3.0 RAI Manual Page: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html

Please note this early, preliminary release is being provided in response to stakeholder feedback. The MDS 3.0 RAI Manual v1.17 contains many updates, including information related to the Patient Driven Payment Model. Please check back shortly prior to October 1, 2019, for a final posting that may contain additional updates.

May 02, 2019

May 7 and 8 SNF QRP Pre-Training Materials Are Now Available

Available on the SNF Quality Reporting Training webpage.

May 02, 2019

The data collection time frames and final submission deadlines documents for the FY 2020 SNF QRP and FY 2021 SNF QRP have been updated to reflect the Quarter 3 data submission deadline extension (February 15, 2019 to February 21, 2019). The updated documents are available in the Downloads section of the SNF QRP Data Submission Deadlines webpage. 

May 01, 2019

SNF Provider Preview Reports- Now Available

Skilled Nursing Facility Provider Preview Reports have been updated and are now available. Providers have until May 30, 2019 to review their performance data prior to the July 2019 Nursing Home Compare site refresh, during which this data will be publicly displayed. 

For more information:

April 30, 2019

Policy Change for Assessment Submission Timeframe

The current CMS policy for submission of patient assessment records allows providers to submit records for up to 36 months from the assessment target date.  Effective October 1, 2019, the CMS policy for patient assessment submission will be changed to 24 months from the assessment target date.  The policy change applies to new, modified, and inactivated records.

April 25, 2019 

The submission deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) is approaching. MDS assessment data for October 1 – December 31 (Q4) of calendar year (CY) 2018 are due with this submission deadline. 

All data must be submitted no later than 11:59 p.m. Pacific Standard Time on May 15, 2019. 

It is recommended that the applicable CMS CASPER reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted. We encourage you to verify all facility information prior to submission, including CCN and facility name. 

View the list of measures required for the May 15, 2019 deadline on the SNF Quality Reporting Program Data Submission Deadlines webpage. 

For more information, visit the QTSO Nursing Home (MDS) Reference & Manuals webpage

CORMAC sends informational messages to SNFs that are not meeting APU thresholds on a quarterly basis ahead of each submission deadline. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@cormac-corp.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates.

April 24, 2019

Nursing Home (NH) Compare Quarterly Refresh with Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Data

The April 2019 quarterly NH Compare Refresh, including updated quality measure results based on SNF QRP data submitted to CMS, is now available.  

For more information, please visit the CMS SNF QRP Public Reporting Website.

April 19, 2019

Specifications for the quality measures and standardized patient assessment data elements for the SNF QRP, IRF QRP, and LTCH QRP as proposed in the FY 2020 SNF PPS Proposed Rule, FY 2020 IRF PPS Proposed Rule, and FY 2020 IPPS/LTCH PPS Proposed Rule respectively are now posted.

In addition, the new and modified sections of the MDS, IRF-PAI, and LTCH CARE Data Set, along with a change table, effective October 1, 2020 for the measures and standardized patient assessment data elements proposed for the SNF QRP, IRF QRP, and LTCH QRP in the FY 2020 SNF PPS Proposed Rule, FY 2020 IRF PPS Proposed Rule, and FY 2020 IPPS/LTCH PPS Proposed Rule respectively can be found on the IMPACT Act Downloads and Videos webpage at https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/post-acute-care-quality-initiatives/impact-act-of-2014/impact-act-downloads-and-videos.html

The Proposed Rules are available at https://www.federalregister.gov/.

April 09, 2018

SNF QRP Requirements for the Fiscal Year 2021 Program Year Now Available

The SNF QRP Requirements for the Fiscal Year 2021 Program Year Fact Sheet is now available for download on the SNF Quality Reporting Program Data Submission Deadlines webpage. This Fact Sheet contains information about requirements for the SNF QRP for the FY 2021 program year, which reflects data collected from 1/1/19–12/31/19.

April 05, 2019

SNF QRP Help Desk Q+A Document for Quarter 3 2018 Now Available

A new Question and Answer (Q+A) document is now available in the "Downloads" section of the SNF Quality Reporting Program FAQs webpage. The Q+A document reflects frequently asked questions that were received by the SNF QRP Help Desk during the fourth quarter (Oct - Dec) of 2018.

April 05, 2019

SNF QRP Review and Correct Reports Now Available

The enhanced Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) review and correct reports are now available, on demand in the Certification and Survey Provider Enhanced Reporting (CASPER) application. In addition to enhanced sorting functionality, this report now includes patient level data and automated CSV file creation functionality that contains patient level results. Providers can access these reports by selecting the CASPER Reporting link on the “Welcome to the CMS QIES Systems for Providers” webpage.

NOTE: You must log into the CMS Network using your CMSNet user ID and password in order to access the “Welcome to the CMS QIES Systems for Providers” webpage.

In addition to the sorting enhancements and inclusion of resident level data, these reports:

  • Contain quality measure information at the facility level
  • Allow providers to obtain aggregate performance for the past four quarters (when data is available)
  • Include data submitted prior to the applicable quarterly data submission deadlines
  • Display whether the data correction period for a given CY quarter is “open” or “closed”.

March 21, 2019

REGISTRATION OPEN – SNF QRP Provider In-Person Training Event, May 7 and 8, 2019

The Centers for Medicare & Medicaid Services (CMS) will be hosting a 2-day Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) in-person 'Train the Trainer' event for providers on May 7 and 8, 2019, in Kansas City, MO. See the SNF Quality Reporting Training webpage for details.

March 04, 2019 

New SNF Provider Threshold Report Now Available 

The new Skilled Nursing Facility (SNF) Provider Threshold Report (PTR) is now available. This PTR is a user-requested, on demand report which enables users to obtain the status of their data submission completeness related to the compliance threshold required for the SNF Quality Reporting Program (QRP). 

Currently, Fiscal Year (FY) 2020 and FY2021 are available for user selection for this report to assist providers in reviewing Calendar Year (CY) 2018 and CY2019 data submission. The SNF PTR will display an asterisk (*) for future dates (monthly and quarterly) when a measure is active, but data are not available yet. 

This report is available in the ‘SNF Quality Reporting Program’ category in the CASPER Reporting application. Please refer to Section 13-SNF Quality Reporting Program in the CASPER Reporting MDS Provider User’s Guide for additional information about this report.

The CASPER Reporting User’s Guide is available on the 'Welcome to the CMS QIES Systems for Providers' web page and the Nursing Home (MDS)/Swing Bed Providers Reference & Manuals page on the QIES Technical Support Office (QTSO) website (https://qtso.cms.gov/providers/nursing-home-mdsswing-bed-providers/reference-manuals).

February 20, 2019 

Post-Acute Care Quality Reporting Program Quarter 3 Data Submission Deadline Extension 

CMS is aware of the issue with CMSNet that impacted post-acute care (PAC) providers’ ability to submit assessment data for the quality reporting programs (QRP) to the QIES-ASAP system on the Quarter 3 data submission deadline of February 15, 2019. We have extended the data submission deadline, and we will be accepting QRP assessment data submissions through, Thursday, February 21, 2019. Providers can also apply for an extension following the instructions listed on the PAC QRP Reconsiderations and Exception & Extension webpages if they are unable to meet this extension deadline. 

February 15, 2019

SNF QRP Help Desk Q+A Document for Quarter 3 2018 Now Available

A new Question and Answer (Q+A) document is now available in the “Downloads” section of the SNF Quality Reporting Program FAQs webpage. The Q+A document reflects frequently asked questions that were received by the SNF QRP Help Desk during the third quarter (July - September) of 2018.

February 01, 2019

SNF Provider Preview Reports- Now Available

Skilled Nursing Facility Provider Preview Reports have been updated and are now available. Providers have until March 4, 2019 to review their performance data prior to the April 2019 Nursing Home Compare site refresh, during which this data will be publicly displayed. 

For more information:

January 31, 2019

NH Compare Quarterly Refresh with SNF QRP Data

The January 2019 quarterly Nursing Home (NH) Compare Refresh, including updated quality measure results based on SNF QRP data submitted to CMS, is now available.  

For more information, please visit the CMS SNF QRP Public Reporting Website.

January 25, 2019 

Section GG Decision Tree Training Document Now Available

A decision tree training document to help with coding Section GG self-care and mobility data elements is now available. This document provides an overview of the 6 codes and coding instructions for admission/discharge. Please see the SNF Quality Reporting Training webpage for details.

January 18, 2019 

TEP on Development of A Claim-based Quality Measure of Healthcare-Associated Infections for SNF QRP: Nominations due February 15, 2019.

Nominations are due February 15, 2019 for a Technical Expert Panel (TEP) to develop a claim-based quality measure of healthcare-associated infections for SNFs in support of the CMS quality missions. 

Visit the Technical Expert Panels webpage for more information.

December 06, 2018

A table providing the data collection time frames and final submission deadlines for the FY 2021 SNF QRP is available in the Downloads section of the SNF QRP Data Submission Deadlines webpage. 

December 06, 2018

Disaster Information Now Available on the Reconsiderations and Exceptions & Extensions Page

For all disaster related information moving forward, please visit the Reconsiderations and Exceptions & Extensions web page for your Quality Reporting Program. Memos will be posted in the downloads section of this page with additional information for each specific disaster impacting the Quality Reporting Programs.

November 06, 2018

The Fact Sheet on Transitions for New Quality Measures and Data Elements Effective October 1, 2018 is now available for download on the SNF-Quality-Reporting-Program-FAQs webpage.  This Fact Sheet contains information about the completion of MDS 3.0 Assessments and APU information for data elements and new measures effective October 1, 2018 for the Skilled Nursing Facility Quality Reporting Program (SNF QRP).

October 29, 2018

For all QRP web pages that reference  qtso.com please update to new web address to qtso.cms.gov

October 11, 2018

SNF QRP Annual Payment Update Warning Edits

Section 1888(e)(6)(B)(i)(II) of the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act of 2014) amended the Social Security Act requiring that SNFs submit data, including data on quality measures. SNFs that fail to submit such data are subject to a 2 percentage point reduction to their Annual Payment Update. In turn, CMS established a data completion threshold for such data reporting. SNFs must report 100 percent of the data elements necessary to calculate the SNF QRP measures, as well as standardized patient assessment data elements, on at least 80 percent of the Minimum Data Set (MDS) assessments they submit for the program year involved. SNFs that do not meet this requirement are subject to a two percent reduction in their Annual Payment Update.

To assist SNFs, CMS is excited to announce new Skilled Nursing Facility (SNF) Annual Payment Update (APU) warning edits are being incorporated into the MDS technical submission specifications.  These warning edits appear as both pop-up messages in jRAVEN, the free CMS software that allows SNFs to submit MDS data to CMS in the proper format, and also on the MDS 3.0 Final Validation Report (FVR). The edits will appear when required standardized patient assessment data elements and data elements required for quality measure calculation for the purposes of the SNF QRP are dashed. These warning edit will display on FVR as error identification numbers:-3897, -3907 or -3908. Warning edits do not prevent MDS 3.0 assessment from being accepted by the Assessment Submission and Processing (ASAP) system.

A staggered release of the items associated to the APU warning edits is planned, at the completion of this process all APU required data elements will trigger a warning edit. The first release of warning edits was implemented on September 9th, 2018. Future releases of warning edits will be announced here. For more details on warning edits please refer to MDS 3.0 Providers User’s Guide, Section 5- Error Messages. 

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. For additional information, including a list of the new measures, we refer you to the SNF Quality Reporting Public Reporting webpage.

October 12, 20108

Post-Training Materials Available: September 12 SNF Follow-Up Webinar on Section GG (New Items) and Section I

Post-training materials from the SNF Follow-Up Webinar on Section GG (New Items) and Section I held on September 12, 2018, are now available in the Downloads section of the SNF Quality Reporting Training webpage.

October 11, 2018

Hurricane Florence - Disaster Exceptions/Exemptions for Medicare Certified Providers Affected by Severe Storms and Flooding

The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs located in areas affected by Hurricane Florence. These healthcare providers and suppliers will be granted exceptions without having to submit a request if they are located in one of the counties listed in the memo posted on October 11, 2018, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county. Please check this site for the most up to date list of affected counties.

For SNF's outside the FEMA-designated counties affected by Hurricane Florence, please follow the directions related to requesting an exemption or extension, as listed on the SNF Quality Reporting Reconsideration and Exception & Extension

 

October 02, 2018

SNF QRP Outreach Available

CORMAC sends informational messages to SNFs that are not meeting APU thresholds on a quarterly basis ahead of each submission deadlines. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@cormac-corp.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates.

September 12, 2018

SNF Quality Reporting Program Measure Calculations and Reporting User's Manual V2.0

The SNF Quality Reporting Program Measure Calculations and Reporting User's Manual V2.0 has been added to the Downloads section of the SNF Quality Reporting Measures Information page. This version of the MDS-based User's Manual is effective on October 1, 2018 and provides detailed information for each quality measure, including quality measure definitions, inclusion and exclusion criteria, and measure calculation specifications. A Change Table has been added to highlight the changes from SNF Quality Reporting Program Measure Calculations and Reporting User's Manual V1.0 to V2.0. Additionally, we have included a Risk Adjustment Appendix File for the SNF Quality Reporting Program Measure Calculations and Reporting User's Manual V2.0, which contains the risk-adjustment values used to calculate the risk-adjusted quality measures. The Change Table and Risk Adjustment Appendix File are also available for download on the SNF Quality Reporting Measures Information webpage.

SNF Quality Reporting Archives