Provider Magazine – covers nursing homes – assisted living - memory care – rehab - policy



AHCA Documentary Wins Capital Emmy Award<p style="text-align&#58;center;"><img src="/Breaking-News/PublishingImages/2022/emmy2.jpg" class="ms-rtePosition-4" alt="" style="margin&#58;5px;width&#58;500px;height&#58;240px;" /><br></p><p><br></p><p>The American Health Care Association (AHCA) documentary, <a href="https&#58;//" target="_blank">“Closed Doors, Open Hearts&#58; Nursing Homes and COVID-19,”</a> received a National Capital Chesapeake Bay Chapter (Capital) Emmy Award Saturday evening in the <a href="https&#58;//" target="_blank">Documentary – Cultural/Topical</a> category.&#160;&#160;</p><p>The documentary, which was up against three other nominees, features two nursing homes on opposite sides of the country and their struggles and perseverance at the height of the COVID-19 pandemic. It highlights the heroic caregivers who continued to serve through the most challenging times. It also provides a glimpse into what has really happened inside nursing homes since early 2020 and why it is so important to continue supporting these vital providers’ ongoing efforts to keep residents safe and healthy.&#160;</p><p>The <a href="https&#58;//" target="_blank">Capital Emmy Chapter</a> is one of 19 regional chapters that make up The National Academy of Television Arts &amp; Sciences. It is a non-profit, professional organization serving the Maryland, Virginia, and Washington, DC television and media community. The organization’s foundation is The Emmy® Award, the TV industry’s gold-standard for the recognition of television excellence.&#160;</p><p>“It is an honor merely to be nominated, but to win is truly special,” said AHCA President &amp; CEO Mark Parkinson. “Nursing homes have been at the epicenter of the COVID-19 pandemic since the very beginning, and these providers have gone above and beyond to protect this highly vulnerable population. Thank you for allowing us to share their important story and for recognizing the hard work and passion that went into making this film. It is dedicated to everyone in long term care – staff, residents, families, and those who support them.”&#160;</p><p>The Capital Emmy is the next in a number of awards AHCA’s 26-minute film has received this year. It recently received Telly Awards in three categories&#58; <a href="https&#58;//" target="_blank">Gold recognition</a> in Social Video/General Documentary, Silver <a href="https&#58;//" target="_blank">recognition</a> in the People’s Telly Award/General-Social Video, and Silver <a href="https&#58;//" target="_blank">recognition</a> in General Documentary – Individual. The Telly Awards are premier awards honoring video and television across all screens. The documentary was also recognized with a Silver <a href="https&#58;//" target="_blank" title="https&#58;//">Digital Health Award</a> earlier this month.&#160;&#160;</p>2022-06-27T04:00:00Z<img alt="" src="/Breaking-News/PublishingImages/740%20x%20740/emmy.jpg" style="BORDER&#58;0px solid;" />Caregiving;QualityAHCA StaffAccolades continue for the Association’s short film focused on nursing homes during the COVID-19 pandemic.
2022 AHCA/NCAL Silver National Quality Award Recipients Announced<p><img src="/SiteCollectionImages/logos/qualityaward_silver.jpg" class="ms-rtePosition-2" alt="" style="margin&#58;5px;width&#58;200px;height&#58;200px;" />The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) is pleased to announce the&#160;names of the 46 recipients of the&#160;2022&#160;Silver – Achievement in Quality Award. <br></p><p>This year, 40 skilled nursing care centers, 3 assisted living communities, and 3 skilled nursing/ assisted living providers in 24 states and the&#160;District of Columbia achieved the Silver Award.</p><p>A <a href="https&#58;//" target="_blank">complete list</a> of the 2022 Silver recipients is available on the AHCA/NCAL Quality Award website.</p><p><span>The Silver award is the second of three distinctions possible through the&#160;<a data-linkto="https&#58;//" href="https&#58;//" title="https&#58;//" target="_blank">AHCA/NCAL National Quality Award Program</a>,&#160;which recognizes providers across the nation that have demonstrated improved quality outcomes for staff, residents and individuals with disabilities in long term and post-acute care.&#160;Each application is reviewed and judged against a set of nationally recognized standards for achieving excellence.</span></p><p>On August 5, 2022, Gold Quality Award recipients will be announced.</p><p>The awards will be presented during <a href="https&#58;//" target="_blank">AHCA/NCAL’s 73rd&#160;Convention &amp; Expo</a> in Nashville, Tennessee, on October 9-12, 2022.<br></p>2022-06-27T04:00:00Z<img alt="" src="/SiteCollectionImages/logos/qualityaward_silver.jpg" style="BORDER&#58;0px solid;" />Quality AwardsAHCA/NCAL StaffThis year, 40 skilled nursing care centers, 3 assisted living communities, and 3 skilled nursing/ assisted living providers in 24 states and the District of Columbia achieved the Silver Award.
Survey: More Than Half of Assisted Living Providers Say Their Overall Workforce Situation Has Worsened<p>​Today, the National Center for Assisted Living (NCAL), representing more than 4,000 assisted living communities across the country, released a survey of assisted living providers highlighting how the industry is still facing a serious staffing and economic crisis.&#160;&#160;</p><p>Key findings include&#58;</p><ul><li><p>More than half (52 percent) of assisted living providers say their overall workforce situation has worsened since January 2022.&#160;</p></li><li><p>63 percent are experiencing staffing shortages. A quarter of those assisted living providers say they have a high level of staffing shortages.&#160;</p></li><li><p>93 percent have increased wages to help attract and retain caregivers.</p></li><li><p>98 percent have asked staff to work overtime or extra shifts due to the staffing shortages. Half have hired temporary agency staff due to shortages.&#160;</p></li><li><p>87 percent say they have difficulty hiring new staff.&#160;</p></li><li><p>The biggest obstacle for assisted living providers in hiring new staff is a lack of interested or qualified candidates, with two-thirds of providers saying it was an “extremely big” challenge.&#160;</p></li><li><p>Nearly half (48 percent) are concerned they may have to close their assisted living communities if workforce challenges persist.&#160;</p></li><li><p>On average, assisted living providers say their operational costs have increased since this time last year by 40 percent.&#160;</p></li><li><p>More than one-third are currently operating at a loss (37 percent) and can’t sustain current operating pace for more than one year (35 percent).&#160;</p></li></ul><p>Assisted living professionals will share these findings as well as their own unique, local perspectives with members of Congress during the association’s Congressional Briefing event, taking place Monday, June 6 and Tuesday, June 7. More than 500 long term and post-acute professionals are expected to visit the Hill, advocating for legislation and policies that will help address these workforce and economic crises.&#160;</p><p>“The survey shows that the workforce crisis in assisted living has not improved, and we are deeply concerned that more assisted living communities will have to close their doors,” said&#160;NCAL Executive Director LaShuan Bethea. “Assisted living has been largely forgotten by public health officials during this pandemic—it’s time they received the resources and the support they desperately need.”</p><p>View the assisted living provider survey results&#160;<a href="https&#58;//" target="_blank">HERE</a>. The survey also included other long term care providers, and the nursing home results may be found&#160;<a href="https&#58;//" title="https&#58;//" target="_blank">HERE</a>.<br></p><p style="text-align&#58;center;"><img src="/SiteCollectionImages/logos/ncal_large_color.jpg" alt="" style="margin&#58;5px;width&#58;250px;height&#58;167px;" /><br></p>2022-06-07T04:00:00Z<img alt="" src="/Breaking-News/PublishingImages/740%20x%20740/survey.jpg" style="BORDER&#58;0px solid;" />WorkforceAHCA/NCAL StaffSurvey of assisted living providers highlights how the industry is still facing a serious staffing and economic crisis.
2022 AHCA/NCAL Bronze National Quality Award Recipients Announced<table role="presentation" class="x_stylingblock-content-wrapper" width="100%" cellspacing="0" cellpadding="0" style="background-color&#58;transparent;min-width&#58;100%;"><tbody style="color&#58;#000000;font-family&#58;arial, helvetica, sans-serif;font-style&#58;normal;font-weight&#58;normal;letter-spacing&#58;normal;text-align&#58;start;text-indent&#58;0px;text-transform&#58;none;white-space&#58;normal;word-spacing&#58;0px;text-decoration&#58;none;"><tr></tr></tbody></table><p><img src="/SiteCollectionImages/logos/qualityaward_bronze.jpg" class="ms-rtePosition-2" alt="" style="margin&#58;5px;width&#58;140px;height&#58;140px;" />The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) is pleased to announce the&#160;names of the 180 recipients of the&#160;2022&#160;Bronze – Commitment to Quality Award.&#160;</p><p>This year, 151&#160;skilled nursing care centers, 26 assisted living communities, and 3 skilled nursing/assisted living providers in 40 states achieved the Bronze award.</p><p>A <a href="https&#58;//;cm_cat=2022+Bronze+Quality+Award+Recipients+Announced%21+-+20220525_133109&amp;cm_pla=Marks+Memos+2022+List&amp;cm_ite=https&#58;//;cm_lm=1686246924&amp;cm_ainfo=&amp;&amp;&amp;&amp;&amp;" target="_blank">complete list</a> of the 2022 Bronze recipients is available on the AHCA/NCAL Quality Award website.</p><p>The Bronze award is the first of three distinctions possible through the&#160;<a href="https&#58;//" title="https&#58;//" target="_blank">AHCA/NCAL National Quality Award Program</a>, a comprehensive organizational assessment and recognition program for long term care providers. Each application is reviewed and judged against a set of nationally recognized standards for achieving excellence.<br><br>Silver award applicants will be notified on June 23, and Gold award applicants will be notified on August 5.<br><br>The awards will be presented during <a href="https&#58;//;utm_medium=main_rotator&amp;utm_campaign=rotator_convention&amp;cm_ven=ExactTarget&amp;cm_cat=2022+Bronze+Quality+Award+Recipients+Announced%21+-+20220525_133109&amp;cm_pla=Marks+Memos+2022+List&amp;cm_ite=https&#58;//;cm_lm=1686246924&amp;cm_ainfo=&amp;&amp;&amp;&amp;&amp;" target="_blank">AHCA/NCAL’s 73rd&#160;Convention &amp; Expo</a> in Nashville, Tennessee, on October 9-12, 2022.</p><p>Contact the AHCA/NCAL National Quality Award team with any questions at&#160;<a href="mailto&#58;" title="" target="_blank"></a>.</p><p></p><p></p>2022-05-27T04:00:00Z<img alt="" src="/SiteCollectionImages/logos/qualityaward_bronze.jpg" style="BORDER&#58;0px solid;" />Quality AwardsAHCA/NCAL StaffThis year, 151 skilled nursing care centers, 26 assisted living communities, and 3 skilled nursing/ assisted living providers in 40 states achieved the Bronze award.

  • Members of the AHCA/NCAL Population Health Management Council explain why PHM is important and how more providers can transition to provider-owned institutional special needs plans.
  • ​"One of the things that has worked well for us is Compass Total Benefit Solutions’ ability to manage change and transitions seamlessly."
  • AHCA/NCAL State Executives and leaders weigh in on what they see as the sector’s biggest challenges and what issues they are facing head-on in their local communities.



Skilled Nursing Facilities Must Keep Up with Multiple Quality Programs Nursing Facilities Must Keep Up with Multiple Quality Programs<p><img src="/PublishingImages/Headshots/JessieMcGill.jpg" alt="Jessie McGill, RN" class="ms-rtePosition-1" style="margin:5px;width:175px;height:175px;" />​There are over 40 different quality measures (QMs) that affect skilled nursing facilities (SNFs) across several programs. MDS 3.0 Quality Measures, SNF Quality Reporting Program (QRP) measures, SNF Value-Based Purchasing (VBP) Program measures, Nursing Home Compare (NHC) claims-based measures, and the Five-Star Quality Rating System are just a few of the quality measures nurse leaders must keep track of. </p><p>To add to the confusion, some measures are used in more than one program, like the Changes in Skin Integrity Post-Acute Care (PAC): Pressure Ulcer/Injury SNF QRP measure that also factors in the MDS 3.0 Quality Measures. The cross-over between programs may become even more complex if the Centers for Medicare & Medicaid Services (CMS) finalizes changes to the SNF VBP and SNF QRP programs as proposed in the fiscal year (FY) 2023 SNF Prospective Payment System (PPS) proposed rule. SNF leadership will need to recognize the key differences among each of the programs to understand how the measures will impact their facilities. <br></p><h3>MDS 3.0 Quality Measures </h3><p>The MDS 3.0 Quality Measures are the foundation of quality measurement for both short-stay and long-stay residents of all payer types. Facilities use these measures for quality improvement, while surveyors use them to identify potential problems. The MDS 3.0 measures are facility-reported using MDS assessment data submitted to the national database. The specifications for these measures can be found in the MDS 3.0 Quality Measures User’s Manual.<br></p><h3>Five-Star Quality Rating System Measures and NHC Claims-Based Quality Measures</h3><p>The Five-Star Quality Rating System publicly reports quality ratings for facilities’ health inspections, staffing, quality measures, and an overall star rating. The quality measure domain compiles ratings from MDS 3.0 measures, SNF QRP measures, and NHC claims-based measures to calculate a star rating for short-stay measures, long-stay measures, and an overall quality measure rating. Additionally, the staffing domain has recently developed two staffing measures, which are expected to be incorporated into the staffing star methodology in July 2022. </p><p>The Five-Star quality measures are publicly reported on the Care Compare website, along with outcomes from several other measures from both the MDS 3.0 and SNF QRP measures that are not used in the Five-Star QM domain methodology. Consumers use the Five-Star ratings when comparing nursing homes, and hospitals consider them when making referrals. Additionally, the Five-Star rating may impact the facility’s ability to obtain contracts with some managed care plans, or to participate in an Accountable Care Organization (ACO). <br></p><h3>SNF QRP Measures </h3><p>The SNF QRP is a reporting program. The Improving Medicare Post-Acute Care Transformation (IMPACT) Act requires SNFs and other post-acute settings to report standardized data elements on Medicare beneficiaries to enable comparison of outcomes across the different settings. Specifications and reporting requirements for each fiscal year are available on CMS’s <a href="" target="_blank">SNF QRP Measures and Technical Information website</a>. This program penalizes facilities only if they fail to report the data needed to calculate the SNF QRP measures. Facilities are not penalized based on the outcomes of these measures. For the SNF QRP program, facilities must submit at least 80 percent of MDS assessments with 100<span> percent</span> of the required MDS data as well as 100<span> percent</span> of the data submitted to the Centers for Disease Control and Prevention’s (CDC’s) National Healthcare Safety Network (NHSN). Failure to submit the required data results in a 2<span> percent</span> reduction to the annual payment update for the SNF QRP program year. While facilities are only penalized if they fail to comply with the reporting requirements, it is important to note that the measure outcomes are publicly reported on Care Compare. <br></p><h3>SNF VBP Measures </h3><p>The SNF VBP program is a result of the Protecting Access to Medicare Act (PAMA) and connects Medicare reimbursement to quality outcomes. This program withholds 2<span> percent</span> of Medicare funds for the program year and redistributes 50<span> percent</span> to 70<span> percent</span> back to the SNFs as an incentive payment. Facilities are scored based on the higher of either an achievement score (facility compared to all facilities) or an improvement score (facility compared to its own baseline score). Since the inception of this program, it has been based on one Medicare beneficiary readmission measure; however, the Consolidated Appropriations Act of 2021 allows for up to nine additional measures to be added to the program. The poorest performing facilities may receive no incentive payment and lose the full 2<span> percent</span> that was withheld, while the best-performing facilities can earn incentive payments that could exceed the 2<span> percent</span> withholding. <br></p><h3>Understanding Measures in Multiple Programs </h3><p>CMS has proposed adopting two existing SNF QRP measures into the SNF VBP program: the Healthcare-Associated Infection (HAI) Requiring Hospitalizations measure for the FY 2026 program year and the Discharge to the Community measure for the FY 2027 program year. These two measures are both 100<span> percent</span> claims-based measures, meaning the data comes solely from hospital Medicare claims and not from the MDS assessments. This also means that facilities are not penalized in the SNF QRP program since the facility is not reporting the data. However, these measures are both publicly reported on Care Compare. Furthermore, the Discharge to Community measure also applies in the Five-Star quality star rating but uses the name “Rate of Successful Return to Home and Community from a SNF.” Currently, facilities face no direct penalty related to the reporting or outcomes of these measures. However, if the proposal is finalized, the outcomes of these measures would affect the incentive payments received under the VBP program. </p><p>Additionally, CMS has proposed a new measure for the FY 2026 VBP program year: the Total Nursing Hours Per Resident Day Staffing measure. In the proposed rule, this measure references the methodology for total nursing hours per resident day in the Five-Star staffing domain. However, this measure is different than the weekend staffing and turnover measures, which are also expected to impact the staffing domain starting in July 2022. While staffing hours and the star rating are publicly reported and historically may have impacted referrals and consumer perspective, if finalized, the staffing measure scores will also impact the SNF VBP incentive payments. </p><p>Overall, when an existing measure is adopted into another program, the measure specifications remain the same, but the data is used in a new way. This allows facilities to continue the quality improvement efforts currently in place for the measure, even if the measure’s impact on the facility has expanded. When the focus is on overall quality improvement, the facility and residents will benefit, regardless of which program the measure belongs to. <br><br><em>Jessie McGill, RN, RAC-MT, RAC-MTA, is Curriculum Development Specialist for the American Association of Post-Acute Care Nursing (AAPACN).</em><br></p>The MDS 3.0 Quality Measures are the foundation of quality measurement for both short-stay and long-stay residents of all payer types. 2022-08-02T04:00:00Z<img alt="" src="/PublishingImages/Headshots/JessieMcGill.jpg" style="BORDER:0px solid;" />Caregiving;ManagementJessie McGill, RN

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