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 National Quality Forum Endorses Long-Stay Hospitalization Measure

The National Quality Forum (NQF) has endorsed a metric designed to measure hospitalization rates among long-stay residents who have been in a skilled nursing center’s care for more than 100 days. It’s the first measure of its kind to receive NQF recognition.
Sponsored by the American HealthCare Association (AHCA) and PointRight, the Minimum Data Set-based, risk-adjusted measure helps providers monitor conditions that may increase a long-stay resident’s chance of being sent to the hospital from a nursing care center.
Hospitalizations often impact a resident’s quality of life, increasing their exposure to issues such as infection and loss of function.
“This endorsement is another example of how we are improving lives by delivering solutions for quality care,” said AHCA President and Chief Executive Officer Mark Parkinson. “This also speaks to the importance of strong partnerships. Together with PointRight, we have been able to provide the profession with a measure to improve quality care and reduce hospital admissions for the long-stay population.”
“The use of this NQF-endorsed measure will help providers identify areas to focus on in order to reduce potentially harmful hospitalizations for the resident,” said David Gifford, MD, MPH, AHCA’s senior vice president of quality and regulatory affairs. “It will also be a great source of information for Accountable Care Organizations and Managed Care Organizations. I’m confident we will continue to see improvements nationwide.”
Gifford noted that AHCA expanded its multi-year Quality Initiative in 2014 to include a goal to safely reduce hospitalizations among long-stay residents by 15 percent or achieve/maintain a performance rate of 10 percent or less by March 2018. As of March 2016, 38 percent of AHCA member providers had achieved the goal.
“A large proportion of long-stay residents are hospitalized at the end of life,” added Steven Littlehale, executive vice president and chief clinical officer of PointRight. “This measure, along with associated root cause analysis tools, will enable skilled nursing centers to better care for these residents and other at-risk populations.”
NQF endorsement requires extensive testing and evaluation of a measure’s reliability and validity. As part of this process, sponsors are asked to provide detailed descriptions of how the measure is calculated and risk adjusted.
The long-stay measure is currently available to all AHCA members, along with peer comparison rates, through LTC Trend Tracker. It’s also available directly through PointRight.
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