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 Five-Star Ratings, New MDS Measures Released To Providers

Changes to the Nursing Home Compare website, as well as each provider’s Five-Star ratings, are now available for viewing via the Certification and Survey Provider Enhanced Reporting (CASPER) system, according to the American Health Care Association (AHCA).

Nursing home providers can take a peek at their new ratings and other data to be posted on the site, including the new minimum data set (MDS) 3.0 quality measures, now, the association has learned. The new quality measures will be released to the public on July 19, and a new Technical Users’ Guide will be posted for providers on or before July 19, with information on how the measures are calculated.
In addition, the Centers for Medicare & Medicaid Services (CMS) sent to each nursing home this month a “preview report,” which included information about the new measures and the new website modifications.

Also slated for release on the Nursing Home Compare website in July are survey deficiency reports, ownership information, and physical therapist staffing levels, AHCA told its members via an e-mail sent earlier today.

“The Five-Star rating system has been modified to incorporate the new quality measures and to adjust expected staffing calculations based on MDS 3.0 data,” David Gifford, MD, AHCA senior vice president of quality & regulatory affairs, said in the e-mail. “The approach to revising these measures and calculations has been designed to transition with minimal change to the overall distribution of ratings.”

Following are the new quality measures, with the subset of measures to be used in calculating the Five-Star ratings indicated in bold:

Long-Stay Quality Measures
• % of residents given influenza vaccination during the flu season
• % of residents who were assessed and given pneumococcal vaccination
 % of residents experiencing one or more falls with major injury
• % of residents who have moderate to severe pain
• % of high-risk residents who have pressure sores
• % of residents who had a urinary tract infection
• % of low-risk residents who lose control of their bowels or bladder
• % of residents who have/had a catheter inserted and left in their bladder
• % of residents who were physically restrained
• % of residents whose need for help with daily activities has increased
• % of residents who lose too much weight
• % of residents who are more depressed or anxious
• % of residents who received an antipsychotic medication

Short-Stay Quality Measures
• % of residents given influenza vaccination during the flu season
• % of residents who were assessed and given pneumococcal vaccination
• % of residents who had moderate to severe pain
• % of residents with pressure ulcers that are new or worsened
• % of residents who newly received an antipsychotic medication

The provider Five-Star Help line at (800) 839-9290 will be open from June 18 to August 3. Providers can also address questions to: bettercare@cms.hhs.gov.

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