Monday, April 10, 2017

The RoP & Baldrige Connection

In October 2016, the Centers for Medicare and Medicaid Services (CMS) published a final rule revising the Medicare and Medicaid Requirements of Participation (RoP) for nursing centers. This represents the first comprehensive revision to the regulations since 1991. The changes to the RoP are significant, and meeting all of the detailed requirements can feel overwhelming. This is why AHCA is encouraging member providers to take a step back and look at the big picture. At its core, the requirements are tied together by three key themes that focus on knowing your residents, your staff, and your center.

While these themes are straightforward, it can be easier said than done. The operations of a nursing center are complex, fast-paced, and demanding. And the requirements add to the burden that staff and management already face. However, successfully incorporating these elements will result in a better environment for staff and residents, as well as more efficient and effective operations.

So how can member centers get there? Through the AHCA/NCAL National Quality Award Program, members can become better prepared to meet the new requirements. The critical component of the Program is its use of the Baldrige Performance Excellence Framework, a nationally recognized method known for improving business performance. By applying the Baldrige criteria, providers are better prepared to meet the RoP.

Click here to read more about the connection between RoP and the Baldrige criteria.

The bottom line is that member centers that meet the demands of the Baldrige Criteria through the Quality Award Program are better prepared to meet the RoPs. The proof of the Programs’ effectiveness lies in the outcomes. AHCA data shows that Gold and Silver recipients have better survey performance, Five-Star Ratings, and rehospitalization rates than other centers in the nation.

AHCA has developed several tools and resources to help members implement the RoPs. For more information about the RoPs and to access these member resources, visit RequirED at

To learn more about the AHCA/NCAL National Quality Award Program, visit here.

And to learn more about Baldrige, visit here.

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