CMS Adds New Measurements To Nursing Home 5 Star Rating Criteria

The CMS has implemented additional criteria for its five-star rating system informing potential patients and their families how they rank in healthcare provision for nursing home patients. The new criteria include:

  1. Percentage of short-stay residents who were successfully discharged to the community (Medicare claims- and MDS-based)
  2. Percentage of short-stay residents who have had an outpatient emergency department visit (Medicare claims- and MDS-based)
  3. Percentage of short-stay residents who were re-hospitalized after a nursing home admission (Medicare claims- and MDS-based)
  4. Percentage of short-stay residents who made improvements in function (MDS-based)
  5. Percentage of long-stay residents whose ability to move independently worsened (MDS-based)
  6. Percentage of long-stay residents who received an anti-anxiety or hypnotic medication (MDS-based)

Although all of the data points above will be measured, only the first five items no including the medication measurement will play into the 5 star rating system that CMS uses to rank nursing homes.  “These new quality measures broaden the set of quality measures already on the site so that patients, their family members, and caregivers have more meaningful information when they consider facilities,” said the CMS Deputy Administrator and Chief Medical Officer. For more, read the story

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Robert W. Carter, Jr. is a Virginia attorney whose law practice is dedicated to protecting the rights of the victims of nursing home and assisted living neglect and abuse in Richmond, Roanoke, Norfolk, Lynchburg, Danville, Charlottesville, and across Virginia.

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