Starboard Stars
Quality Measure Reef
Avoiding Rough Waters
Final Jeopardy: The Lighthouse Challenge
Staying in Front of The Tide
100

This CMS rating system combines Health Inspections, Staffing, and Quality Measures

What is the CMS Five-Star Quality Rating System?

100

How many quality measures are included in your Five-Star calculation?

What is 15

100

How often should you review Quality Measures as a IDT team?

What is weekly?

100

These are the 3 outcomes used to determine achievement of the Marquis Quality Award.

What are Falls, RTH, and 90-day retention

100
This program allows for admissions to nursing home without a QHS?

What is a 3 Night Waiver

200

These are the three major domains used to calculate a nursing home's overall rating.

What are Health Inspections, Staffing, and Quality Measures?

200

Name the 2 data sources used to calculate the Five-Star quality measures.

What is MDS and claims

200

These visits are tracked separately from hospital admissions in CMS Quality Measures.

What are Emergency Department Visits?


200

The two different scores used to calculate the SNF VBP.

What is the achievement score and the improvement score?

200

How Many Months is a SNF required to be a 3 Star Overall to participate as CMS ACO Approved SNF Waiver facility.

What is 7 out of 12 months 

300

This domain carries the greatest weight in determining the overall Five-Star Rating.

What is the Health Inspection Rating?

300

What is the length of time included in Short-Stay measures? 

What is < 100 days

300

Regular skin assessments help prevent this quality measure outcome.

What are Pressure Ulcers?

300

Name a reason that the staffing star level will automatically drop to 1 star

What is four or more days in the quarter with no RN staffing hours (8 hours), data not submitted or significant audit discrepancies?

300

TEAM’s bundled payment approach encourages hospitals to collaborate with these post-acute care providers.

Who are skilled nursing facilities, home health agencies, and rehab centers?

400

This component reflects resident outcomes and clinical performance.

What are Quality Measures?

400

This measure utilizes both MDS and claims data to identify residents receiving certain psychotropic medications.

What is long-stay antipsychotic medication use

400

Therapy, nursing, life enrichment, and environmental services often collaborate to reduce this risk.

What are Falls?

400

This score often reflects the nursing home's ability to safely transition to community. 

What's is the Rate of successful return to home or community from a SNF?

400

Hospitals selected for the TEAM model are responsible for patient costs and outcomes for this number of days post-procedure. 

What is 30 days?

500

Families often use this CMS tool to compare nursing homes.

What is Care Compare?

500

This score is used to determine whether residents achieve what CMS calculates as their expected level of function. 

What is Discharge Function Score?

500

This is one thing regional support teams can provide to help facilities improve performance.

What is Coaching, Education, Data Analysis, or Clinical Support?

500

A Red Hand Posted on Nursing Home Care Compare is reporting communicating what?

What is nursing home untimely reporting of abuse?

500
SNF ACO 3 Night Waiver Admission is required to be seen by a physician within how many hours?

What is 24 hours from admission

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