Scope & Severity
Name the letters and points in the severity category of [actual harm that is not immediate jeopardy]
What is G=20 points, H = 35 or (40) points, I = 45 (50) points
How many quality measures are included in your Five-Star calculation?
What is 15
How often should you review Quality Measures as a IDT team?
What is monthly
What scope of deficiencies can be considered substandard quality of care?
Scope = F, H, I, J, K, or L (if identified in red on the CMS Federal Regulatory Groups for Long Term Care Facilities
Name at least 2 categories of measures included in your Five-Star report?
What is MDS LS, MDS SS, Claims-Based LS, and Claims-Based LS
Name pro-active ways to capture potential QM flags prior to coding MDS
Morning meeting
Daily orders reviews
PCC Diagnosis
How many survey cycles are included in your Five-Star calculation
What is 3
What is the length of time included in Short-Stay measures?
What is < 100 days
How are survey cycles weighted?
What is cycle 1 = 1/2 of the total cycle points
What is cycle 2 = 1/3 of the total cycle points
What is cycle 3 = 1/6 of the total cycle points
What excludes a SS resident on an AP medication from triggering the SS AP Measure?
What is they were on the AP medication at the time of admission.
How does CMS determine substandard quality of care?
Deficiencies cited at levels F, H, I, J, K, or L
Identified in red on CMS Federal Regulatory Groups for Long Term Care Facilities
How does Claims-Based rehospitalization effect VBP?
What is the ability to earn the 2% MC payment reduction back