Beginning in 2015, CMS will implement the following improvements to the Nursing Home Five-Star Quality Rating System: Beginning in January, focused survey inspections for a sample of nursing homes improve verification of staffing and quality measure information that is part of the Five-Star Quality Rating System. Implementing a quarterly electronic reporting system to audit payrolls
In a recent blog, Olivia MacDonald writes about a recent publication from the OIG with findings that over 20% of Medicare patients experience adverse events during skilled nursing facility stays, 60% of those events being preventable. Hospitalizations resulting from such events cost the Medicare program an estimated $208 million.Â She also notes that research by
CMS has issued the final rule (beginning on page 13814) pertaining to the ACA PSO provision requiring larger hospitals to participate with a PSO.Â The final rule, as expected, delays the PSO participation requirement until at least 2017, instead allowing hospitals to meet safety assurances for participation in Quality Health Plans, that are part of
In response to the December 2 publication of a proposed rule for the Affordable Care Act Benefit and Payment Parameters, including requirements for Qualified Health Plans (QHP) to meet patient safety requirements, the Center for Patient safety submitted comments along with several other PSOs across the nation.Â Among other provisions, the rule proposes a two-year
A proposed rule implementing several provisions of the Affordable Care Act (ACA) has been issued for comment through December 26th. The proposed rule, beginning on page 171, addresses the ACA’s requirement for hospitals to meet patient safety and quality improvement requirements in order to be eligible to contract with a qualified health plan that participates
On March 15, 2013, the Centers for Medicare and Medicaid Services (CMS) released a memo about the Agency for Healthcare Research and Qualityâ€™s (AHRQâ€™s) Common Formats. The memo provides information on the Common Formats and how their use may help hospitals meet the CMS Quality Assessment and Performance Improvement (QAPI) requirements. Hospitals are required to
CMS has released a new online tool to empower consumers to make informed choices about their health care. The Quality Care Finder links consumers with all of Medicareâ€™s compare tools in one convenient location (www.Medicare.gov/QualityCareFinder). Also released is a revised Hospital Compare website with additional data related to outpatient surgical infections and heart attack care
A newly published federal rule requires Medicaid programs to implement non-payment policies for preventable events by July 2012.