The much-anticipated 5-Star user’s guide including cut point revisions has been posted! These revisions affect the October Care Compare refresh and provider 5-star ratings. As you may be aware, In March 2019, CMS released memorandum QSO-19-08-NH. This memo outlined a plan to update the quality measure (QM) rating thresholds twice annually. The plan was to… Continue reading Knock Knock! Who’s there? The Revised 5-Star User’s Guide!
When I was a teenager, I was always very aware that I was not one of the “popular” kids. When you’re a 15 year old that can be very awkward. I didn’t understand it at the time. That’s just the way things were in the social order of junior high and high school. It didn’t… Continue reading State Health Inspection Cut Point Levels. The How and the Why Part III
Things are moving at a breakneck pace already and we are only just a few weeks into the new year. As we noted in our last update, CMS has decided to use Care Compare to publicly report weekend staffing hours and staff turnover. They have also indicated that these new measures will affect individual facility… Continue reading Regulatory Reminder 5-Star: Update Part 2
Here we go! Are you ready for the ride? Just when you thought, “PDPM is finally here so we can take a break on the learning curve”, think again. “No rest for the weary”, could not be a truer statement. On 10/9, CMS released revisions to 4 important documents that providers will need to assimilate,… Continue reading As if PDPM Weren’t Enough (Part 1)
In today’s posting I am going to explain how to use Staffing Navigator™ to diagnose and troubleshoot a staffing issue that is causing problems in a 5 Star Rating. This post will also explain staffing cut points which can be confusing. If you haven’t already, download Staffing Navigator™. It’s free in the app stores. Hypothetical… Continue reading Staffing Navigator™ – A Case Study
CMS released the long-awaited update to Nursing Home Compare. While we’re all pouring over the data and analyzing the changes, one thing has gone largely unnoticed: CMS also changed the staffing cut-points. (upward of course) Be sure to check the latest version of the manual. For reference, here is the latest:
There is a problem on the horizon. Under PDPM, the staffing study used to determine how many nursing hours to expect for a given RUG level will not longer work. That study, called STRIVE, was originally done between 2005 and 2009. The data from that study is used to estimate how many nursing hours (RN,… Continue reading PDPM, Staffing & STRIVE
We’re getting a lot of inquiries about 5 star ratings. It’s understandable because of the changes coming in April. One question we’re getting asked is “What would it take to improve my staffing rating?” or “How can I get another star?” In this post we’re going to take a look at that, using the new… Continue reading 5 Star Staffing Ratings