December Newsletter
2017
PREPARING FOR SNF VALUE-BASED PURCHASING

The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program offers Medicare incentive payments based on performance on specified measures of readmissions. Your performance score will be the higher of your achievement score or improvement score. The program is intended to:
  • Motivate facilities to coordinate care
  • Protect individuals from potential harms or adverse events associated with hospital readmissions


Why and how?
Focusing on the processes involved in transfers to and from the hospital has multiple benefits. When you take a system-level approach to reducing readmissions, you’ll be helping your Nursing Home Compare Readmission QM, SNF Quality Reporting Program scores, and your VBP performance. But you’ll also be improving care for your residents, staff communications and performance, and developing strong relationships with the hospitals you work with most.
  • Stay focused on the individual
  • Reduce avoidable transfers
  • Optimize every transfer that happens so that it is clinically appropriate, timely, consistent with the resident’s expressed preferences, and includes seamless communications along the way, ensuring consistent care for the individual across care settings.
UPCOMING EVENTS
NEW! January 8, 2018
1-2 pm ET
Incentivizing Consistent Assignment
Discussion to learn about state programs in Tennessee and Utah that provide incentives for nursing homes to implement consistent assignment.
Click here to register today!
December 14 1:30-3 pm ET
National Partnership to Improve Dementia Care and QAPI Call
Topics include compliance with the new psychotropic medication prescribing requirements, practical QAPI examples, and Partnership updates.
IN CASE YOU MISSED IT
SNF Value-Based Purchasing Program FY 2018 Final Rule Call 11/16/17
DID YOU KNOW?

Adults aged 65 years and older account for more than half
(50-70%) of all flu-related hospitalizations and even more (85%) flu-related deaths.
Try This: Hospitalizations Tracking 
Use the Campaign’s Hospitalizations Tracking Tool to Calculate 30-day and 90-day Readmissions, Unplanned Transfers Resulting in Inpatient Admission, Transfers to Emergency Department Only, and Transfers Resulting in Observation Stay. Tracking for patterns and processes, such as day of week, clinical and non-clinical reasons for transfer, medication reconciliation, use of SBAR, review of resident preferences, and more are also available.
IMPORTANT FOR 2018: Hospitalizations Tool
Homes tracking hospitalizations should download a new copy of the Hospitalizations Tracking Tool (Excel workbook) to use beginning January 2018 and review the  Bridging Instructions . Both of these items are available on the  Hospitalizations Identify Baseline  page.


Getting started with Tracking Tools or a new performance improvement project?
We're here to help! Help@nhQualityCampaign.org
FAQ: 2018 HOSPITALIZATIONS TRACKING TOOL

Every year we get a flood of inquiries from users of the Campaign Hospitalizations Tracking Tool as we turn the corner into the new year. Here’s what people are asking:
Q. Where can I find the 2018 Version of the Hospitalizations Tracking Tool?
A. From the website homepage www.nhQualityCampaign.org, click on the gear icon ( Get Tracking Tools), and then Hospitalizations.
1. Download the zipped file
2. Open the tracking tool
3. Save it to your computer once you are looking at the "Welcome" page of the actual tracking tool. Change the name to include "2018" at the beginning of the filename.
Q. Why can’t I just keep using the same Tracking Tool?
A. The Hospitalizations Tracking Tool lasts for one calendar year, and outcomes are calculated monthly. The formula are referencing date ranges within the month.

Please download a copy of the 2018 workbook and begin recording your Admission and Transfer events in that workbook beginning January 1, 2018.
Q. How can readmission rates be calculated if my information is in two workbooks?
A. Great question! December 30-day readmissions need to reference unplanned transfers occurring through January 31, 2018. So on or after February 1, 2018, you’ll need to copy data from your 2018 TransferLog to your 2017 TransferLog.

ANNOUNCEMENTS

 Payroll-Based Journal Data Released to Public
On November 1, 2017, CMS released Payroll-Based Journal (PBJ) data to the public. These files contain preliminary data submitted by nursing home providers for the first and second quarters of calendar year 2017. It is not expected that data from the PUF will match data reported on Nursing Home Compare, as the data sources are unique.

SNF Quality Reporting Program Submission Deadline
Extended to May 15, 2018 for FY 2019 payment determination. SNFs are encouraged to review their data submission on at least a quarterly basis. Visit the  SNF Quality Reporting Program Data Submission Deadlines  webpage for a list of required measures.
Handwashing is the single most important thing you can do to help prevent the spread of germs that can make you and others sick. Keep everyone healthy through the holidays, and cold and flu season.
1. Watch and share: Handwashing video - 3 min
2. Spread the word : "Handwashing is one of the
most important things you can do to avoid getting
sick! #HandwashingAwarenessWeek"
NEW RESOURCES FOR TeamSTEPPS ®

AHRQ Releases TeamSTEPPS ® 2.0 to Improve Patient Safety in Long-Term Care
TeamSTEPPS® 2.0 for Long-Term Care has improved usability and flow of materials, added training scenarios to reflect healthcare issues in long-term care settings, and includes a new measurement module to help teams track progress. Users may download and/or print all the free TeamSTEPPS® 2.0 for Long-Term Care materials for training in any post-acute or long-term care facility.
 
See also , TeamSTEPPS® in LTC: Communication Strategies to Promote Quality and Safety from the National Nursing Home Quality Care Collaborative: This session features communication strategies to promote quality and safety. It is designed to help train nursing home staff in teamwork and communication using specific evidence-based tools and strategies which are a part of TeamSTEPPS® This session incorporates specific strategies and principles tailored to the long-term care environment.
Join us now ! Register as Provider, Consumer or LTC Staff
This material was prepared by Telligen, National Nursing Home Quality Improvement Campaign contractor, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11SOW-CO-NNHQIC-03/17-003