The Centers for Medicare & Medicaid Services (CMS) has many sources of information about the SNF QRP for SNFs and other stakeholders including:
- Training Materials and In-person Training
- Training Question and Answers (Q&As)
- SNF Open Door Forum (ODF) Presentations
- Special Open Door Forum (SODF) Presentations
- CMS Quality Partner/Vendor Workgroup Presentations
This page is organized to be a library of training materials available to SNFs. Trainings added to this page in the most recent six months will display as *NEW*.
If you have technical questions or feedback regarding the trainings, please email the PAC Training mailbox. Content-related questions should be submitted to the SNF Quality Reporting Program Help Desk.
Introduction to the SNF QRP Web-Based Training
CMS offers a web-based training course for those who are new to the SNF QRP. The Introduction to the SNF QRP course is designed to provide a general overview of the program as well as a variety of links and resources for additional information. Specific topics include:
- Lesson 1: What is the SNF QRP?
- Lesson 2: The Minimum Data Set (MDS).
- Lesson 3: MDS Data Submission.
- Lesson 4: SNF QRP Resources.
From Data Elements to Quality Measures – Cross-Setting QRP Web-Based Training.
CMS is offering a web-based training course that provides a high-level overview of how data elements within CMS patient/resident assessment instruments are used to construct quality measures (QMs) across post-acute care (PAC) settings. The PAC settings included are those covered under the CMS QRPs for Home Health Agencies (HHAs), Inpatient Rehabilitation Facilities (IRFs), Long-Term Care Hospitals (LTCHs) and SNFs. Information covered in this 60-minute course will include a short review of the QRPs’ cross-setting QMs, how data elements feed into these cross-setting QMs, how QMs are calculated and appear on QM reports and how to access and use this data for quality improvement.
Achieving a Full APU Webinar Training
A video of the SNF QRP: Achieving a Full Annual Payment Update (APU) webinar that took place on Tuesday, March 30, 2021, is available to view on YouTube at the following link: https://www.youtube.com/watch?v=hkU2ega3j3s. The training materials are here:
- SNFQRP_Achieving_a_Full_APU_Slides (PDF)
- SNFQRP_FullAPU_Post-Event_Slides (PDF)
- SNFQRP_FullAPU_QandA (PDF)
Section C and D Training Materials
Cognitive & Mood Assessment
This four-course series provides an overview of the general and key clinical considerations important for conducting standardized cognitive and mood assessments and include interactive exercises to test your knowledge. While it is intended that the courses be completed in sequential order, you may jump directly to any topic of interest. The courses contained within this training are:
- Course 1: Approaches to Cognitive & Mood Assessments for SNF Providers.
- Course 2: Assessment of Cognitive Function for SNF Providers (BIMS).
- Course 3: Assessing Delirium in the SNF Care Setting (CAM©).
- Course 4: The Resident Mood Interview (PHQ-9©) for SNF Providers.
Section D Training Materials
Resident Mood Interview (PHQ-9©) Video Tutorial
This video provides a depiction of a scenario that demonstrates the coding of D0200. Resident Mood Interview (PHQ-9©) and D0300. Total Severity Score.
Section GG Training Materials
Section GG 3-Course Training Series
This web-based training series is designed to be used on demand anywhere you can access a browser and includes interactive exercises to test your knowledge related to the assessment and coding of Section GG items. This training series consists of three courses:
- Course 1: Understanding Prior Functioning and Prior Device Use.
- Course 2: GG0130. Self-Care Items.
- Course 3: GG0170. Mobility Items.
Video Tutorials Available to Assist with Coding Specific Section GG Items
These videos, ranging from 4 to 12 minutes, are designed to provide targeted guidance using simulated patient scenarios. To access the videos, click on the links below.
- GG0110. Prior Device Use with Information from Multiple Sources. (3:58)
- GG0130A. Eating. (6:19)
- GG0130B. Oral Hygiene (4:25)
- GG0130H. Putting on/taking off footwear. (6:25)
- GG0170C. Lying to Sitting on side of bed. (4:33)
- GG0170L. Walking 10 feet on uneven surfaces. (5:52)
- GG1070P. Picking up object. (5:49)
- Decision Tree for Coding Section GG0130. Self-Care and GG0170. Mobility. (11:56)
Section J Training Materials
Health Conditions: Coding the Standardized Patient Assessment Data Elements Related to Falls
This 45-minute web-based training provides an overview of the assessment and coding of the standardized patient assessment data elements in Section J: Health Conditions and is designed to include interactive exercises to test your knowledge. To access the videos, click the links below.
- Section J: Health Conditions – Coding the Standardized Patient Assessment Data Elements Related to Falls
Section K Training Materials
Swallowing/Nutritional Status: Height, Weight, and Nutritional Approaches
This 30-minute course provides an overview of the assessment and coding of K0200: Height and Weight and K0500: Nutritional Approaches and includes interactive exercises to test your knowledge. To access the video, click the links below
Section M Training Materials
Assessment and Coding of Pressure Ulcers/Injuries
This 90-minute web-based training provides an overview of the assessment and coding of the standardized patient assessment data elements in Section M: Skin Conditions and is designed to include interactive exercises to test your knowledge. To access the videos, click the links below.
Section N Training Materials
Medications – Drug Regimen Review
This 45-minute web-based training provides an overview of the assessment and coding of the Drug Regimen Review standardized patient assessment data elements to Section N and is designed to be used on demand anywhere you can access a browser. To access the videos, click the links below.
Section O Training Materials
Section O: O0100. Special Procedures, Treatments, and Programs
This 30-minute web-based training provides an overview of the assessment and coding of Section O: O0100. Special Procedures, Treatments, and Programs and is designed to include interactive exercises to test your knowledge related to the assessment and coding of O0100.
CMS is offering companion job aids to assist providers in the assessment and coding of assessment items. The job aids provide clinically relevant information to assist providers in understanding specific guidelines and clinical considerations that should be applied to coding these items. The job aids are provided in multiple file types designed for printing, viewing, or sharing electronically. An explanation of the file types is provided in the ZIP file.
Job Aids – GG0130A. Eating, GG0130B. Oral Hygiene, GG0130C. Toileting Hygiene, GG0130E. Shower/Bathe Self, GG0130F. Upper Body Dressing, GG0130G. Lower Body Dressing, and GG0130H. Putting On/Taking Off Footwear
Pocket Guides / Badge Buddies
CMS is offering Pocket Guides to assist providers in the assessment and coding of assessment items. The pocket guides provide a quick reference for important terms and definitions that promote coding accuracy. These pocket guides are approximately 2 x 3.5 inches in size and are designed to be worn behind a provider identification badge.
Quick Assessment Reference Pocket Guides / Badge Buddies for Coding
- Pocket Guide #1: Coding for Self-Care and Mobility Items (PDF).
- Pocket Guide #2: Definitions for Coding Section J Fall Items (PDF).
- Pocket Guide #3: Pressure Ulcers/Injuries Stages and Definitions (PDF).
SNF QRP Tip Sheets
The purpose of the tip sheets are to help providers understand the CMS public reporting strategy for the SNF QRP to account for CMS quality data submissions that were optional and excepted from public reporting due to the COVID-19 public health emergency (PHE). The tip sheets also outline the impact on the CMS’ Care Compare website refreshes.
- SNF_QRP COVID_19_PR_Tip_Sheet_October_2020 (PDF)
- Second Edition SNF QRP Public Reporting Tip Sheet_Feb 2022 (PDF)
If you have any questions about accessing the courses, pocket guides, job aids or tip sheets, or have feedback regarding the materials, please email the PAC Training Mailbox. Content-related questions should be submitted to the SNF QRP Help Desk.
January 11, 2023
NEW RESOURCE AVAILABLE: Third Edition SNF QRP COVID-19 Public Reporting Tip Sheet
The purpose of the Third Edition Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) COVID-19 Public Reporting (PR) Tip Sheet is to help providers understand CMS’ public reporting approach to the SNF QRP to account for CMS quality data submissions that were either optional or excepted from public reporting due to the COVID-19 public health emergency. The impacts on CMS’ Care Compare website refreshes are also outlined. Additionally, this tip sheet contains information regarding the revised data submission threshold related to the SNF QRP annual payment update. This tip sheet serves as a companion document to the first and second edition SNF QRP COVID-19 PR Tip Sheets published in October 2020 and February 2022.
The tip sheet is available in the Downloads section below.
If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Mailbox.
Content-related questions should be submitted to the SNF QRP Help Desk.