The first step used in determining a center's overall 5-star rating
What is the survey score?
The number of days a resident resides in the facility before moving to the Long Stay Category
What is 101 days?
Protecting Access to Medicare Act of 2014 required CMS to implement a SNF value-based program that links Medicare Part A rates to this measure
What is a SNF’s 30 day rehospitalization rate?
Instead of documenting section GG daily on skilled residents, the nurse can now do this.
What is the GG huddle?
These three areas comprise the overall 5 Star score
What are survey, quality measures and staffing?
Schizophrenia, Tourrette's syndrome or Huntington's Disease
What is the diagnosis that excludes someone using an antipsychotic from triggering on the long stay measure?
The month and year that the SNF VBP began affecting our payment.
What is October of 2018 (CMS Fiscal year 2019)
Instead of dashing a question on section GG, the nurse can use one of these answers.
What are Resident refused; N/A - resident did not perform this activity prior to the current illness; Not attempted due to environmental issues; or Not attempted due to medical conditions or safety concerns?
Will lower my overall 5 star rating
What is a 1 star in staffing or a 1 star in QMs?
A diagnosis that will prevent a catheter from triggering on a QM
What is obstructive uropathy or neurogenic bladder?
CMS considers SNF - VBP to be this type of program
What is an incentive program?
Dashing this new section of the N2001 of the Medicare 5 Day MDS can cause a 2% reduction in payment for an entire year.
What is the Drug Regimen Review?
Web site that allows the public to see 5 star rating
What is Nursing Home Compare ?
The number of points needed for 5 stars in QMS
What is 1055 points or greater?
The two different scores used to calculate the SNF VBP.
What is the achievement score and the improvement score?
Legislation that set- up the QRP Penalty program
What is the IMPACT Act?