These measures will be included in Nursing Home Compare and the rating system. New Long-stay measures will be added: Number of Hospitalizations per 1,000 Resident Days and Emergency Department Transfers.The Physical Restraint QM will be removed but will be reported to Nursing Home Compare.QM thresholds, weighting, and scoring will be updated every six months by a percentage (50 percent) of the overall improvement on each QM.The Five Star Quality Measure (QM) rating will be divided into a Long-stay star rating, a Short-stay star rating, and an overall QM star rating.Facilities reporting four or more days with no RN on-site during a quarter will be automatically assigned 1 star for their staffing rating. The threshold for RN staffing will drop from seven days to four days without an RN in the building. Changes are also forthcoming regarding staffing.Cycle 1 will be weighted as 1/2, Cycle 2 will receive a weighting of 1/3, and Cycle 3 will have a weighting of 1/6 of the health inspection. Survey star ratings will unfreeze in April 2019, and three surveys will be used for the star rating at the previous calculation rates.LeadingAge NY would like to draw your attention to the following changes: Per the memo, the effective date is April 24, 2019. With regard to the changes to Five Star, CMS provided further details in memo QSO-19-08-NH issued to State Survey Agency Directors. According to CMS, “The April 2019 changes include revisions to the calculation of the Health Inspection domain, enhancement of new staffing information, and implementation of new quality measures.” CMS has also issued revisions to Appendix Q of the State Operations Manual (SOM) providing updated guidance on Immediate Jeopardy (IJ) citations, which is effective as of March 5 th. On March 5, 2019, the Centers for Medicare and Medicaid Services (CMS) issued a press release detailing all the changes to Nursing Home Compare and the Five Star Rating System that will be occurring in April 2019. CMS Updates Five Star, Nursing Home Compare, and Immediate Jeopardy Standards
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