Friday, December 20, 2019

Updated Five-Star Quality Measure Predictor Tool Released on LTC Trend Tracker

Kiran Sreenivas

Starting December 19, LTC Trend Tracker users have access to a tool that shows what is determining their Five-Star Quality Measure ratings and how they can improve.

The tool reflects three major changes the Centers for Medicare & Medicaid Services (CMS) introduced to the Five-Star rating in April and October 2019. The first was the addition of short- and long-stay quality component star ratings. The second was a change in individual measure weighting. Measures deemed by CMS in need of greater national improvement are weighted up to 150 points, while other measures have a max of 100 points. The third major change was in the measures used. Some measures were removed (e.g. pain and restraints), while others were added (e.g. long-stay ED visits) or substituted (e.g. short-stay pressure ulcers with quality reporting program’s pressure ulcer measure).

The tool is dynamic and allows users to model how a change in one or more quality measures would impact their Five-Star Quality ratings. Users can also save these values.

The below image shows the sub-component short- and long-stay star ratings alongside the overall quality rating.

In the below image, you see the individual short-stay measures used in Five-Star. The shaded bars show how many points you have received for each measure and how close you are to gaining or losing additional points based on your current rate on Nursing Home Compare. 

LTC Trend Tracker is a free member benefit. Make sure you registered today to take advantage of this and other tools. 

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