Skilled Nursing Facility Quality Reporting Program
The IMPACT Act mandates a quality reporting program for skilled nursing facilities. For federal fiscal year 2018 (FY18), SNFs that do not report required quality data to CMS will have their market basket updates reduced by two percent. CMS has finalized three measures affecting payment in FY18 and beyond: (1) falls with major injury; (2) pressure ulcers that are new or worsened; and (3) assessments and care planning relating to a resident’s level of function. CMS has proposed three additional measures affecting payment in FY2018 and beyond: (4) Medicare spending per beneficiary-post acute care, (5) discharge to community; and (6) potentially preventable readmissions. CMS has proposed a seventh measure – drug regimen review – that may affect payment in FY2019 and beyond.
Sources of additional information
- CLICK HERE to visit the CMS SNF Quality Reporting Program webpage, which includes an overview of the program and technical specifications for the adopted and proposed measures.