5 Star
Quality Measures
SNF - VBP
QRP Programs
100

The first step used in determining a center's overall 5-star rating

What is the survey score?

100

The number of days a resident  resides in the facility before moving to the Long Stay Category

What is 101 days?

100

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?

100

Instead of documenting section GG daily on skilled residents, the nurse can now do this.  



What is the GG huddle?

200

These three areas comprise the overall 5 Star score

What are survey, quality measures and staffing?

200

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?

200

The month and year that the SNF VBP began affecting our payment.

What is October of 2018 (CMS Fiscal year 2019)

200

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?

300

Will lower my overall 5 star rating






What is a 1 star in staffing or a 1 star in QMs?

300

A diagnosis that will prevent a catheter from triggering on a QM

What is obstructive uropathy or neurogenic bladder?

300

CMS considers SNF - VBP to be this type of program

What is an incentive program?

300

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?

400


Web site that allows the public to see 5 star rating

What is Nursing Home Compare ?

400

The number of points needed for 5 stars in QMS

What is 1055 points or greater?  

400

The two different scores used to calculate the SNF VBP.

What is the achievement score and the improvement score?

400

Legislation that set- up the QRP Penalty program

What is the IMPACT Act?