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Survey Outcome and Activity Reports (SOAR)

Stay updated on the performance of LTCSP with the Survey Outcome and Activity Reports (SOAR) sent monthly. The March 2019 update includes new tabs, such as Select Performance Measures - state, region, national, Survey Level, Potential Citation and Scope and Severity Level - Surveyor Level, and more. The new filter/sort feature helps in reviewing information. The updated SOAR provides a wider breadth of information and includes the updated SOAR Guide for reference.

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Survey Outcome and Activity Reports (SOAR)

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  1. Survey Outcome and Activity Reports (SOAR) Updates to the LTCSP SOAR March 2019

  2. SOAR Overview and Updates • Survey Outcome and Activity Reports (SOAR) • Help SAs, ROs, and CMS understand LTCSP performance • Excel spreadsheet • Sent monthly • Update on SOAR Changes as of March 2019

  3. New SOAR Tabs • Select Performance Measures – state, region, national • Replaces Overview tab • New measures on SA effectiveness, efficiency, and workforce • Select Performance Measures – Survey Level • Provides state survey level information on each of the Select Performance Measures • Replaces Overview – Survey Level tab

  4. New SOAR Tabs (Continued) • Potential Citation and Scope and Severity Level – Surveyor Level • 2567 Citations Downgraded or Removed via IDR/IIDR

  5. New Filter/Sort Feature • New filter/sortfeature on survey level tabs to facilitate information review • Use to group and re-order surveys by a particular area • Helps highlight patterns or trends

  6. Measure 14: High FI, Low Potential Cite Rate • Measure 14: Number of Care Areas with a High FI and Low Potential Cite Rate (41 Total) • Care Areas Investigated Frequently but Cited Relatively Rarely • High FI Rate = Top 25th Percentile of All States’ FI Rates for the Area • Low Potential Cite Rate = Bottom 25th Percentile of All States’ Potential Cite Rate for the Area • Excludes States with Fewer than 15 Surveys • Only Number of Care Areas on First Tab • Specific Care Areas Highlighted on Investigations – Surveys Tab

  7. Onsite Time: Measures 20a – 20d • Average onsite hours now shown for four facility size grouping • Groups based on Attachment A to LTCSP Procedure Guide, divided at point when another surveyor is added to team • 1 to 48 residents • 49 to 95 residents • 96 to 174 residents • 175 or more residents • Advantages of showing time by subgroups • Avoids masking high onsite time concentrated in particular facility size groups • Helps SAs identify whether high onsite time is associated with particular facility sizes and focus efforts to identify root causes and change practices

  8. Conclusion • Updated SOAR provides a wider breadth of information • Select Performance Measures tab and links to Additional Details • Surveyor Level Tab, IDR/IIDR Tab • Refer to updated SOAR Guide sent with the March 2019 SOAR • Questions? Please contact CMS NH Survey Development (NHSurveyDevelopment@cms.hhs.gov)

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