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What Do the Stars Mean?

What Do the Stars Mean?. Much Above Average Above Average Average Below Average Much Below Average. What Data Sources Are Included?. Overall Rating. Health Inspections. 3 most recent recertification surveys – recent surveys get higher weight

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What Do the Stars Mean?

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  1. What Do the Stars Mean? Much Above Average Above Average Average Below Average Much Below Average

  2. What Data Sources Are Included? Overall Rating

  3. Health Inspections • 3 most recent recertification surveys – recent surveys get higher weight • All complaint health deficiencies– last 3 years • Weighted score from number + Scope & Severity of deficiencies

  4. MDS 3.0 Quality Measures (available Summer 2012) • Long-stay Prevalence measures: • ADL change • Pressure ulcer prevalence • High and low risk • Long-term catheters • Physical restraints • Urinary Tract Infection ( UTIs) • Pain • Antipsychotic use (proposed) • Short-stay Prevalence Measures: • Pain • Pressure Ulcers • Short Stay Incidence • New antipsychotic use (proposed)

  5. Staffing Data • Number of hours of care on average provided to each resident each day (HPRD) • Nursing Staff: RN, LPN/LVN & CNA • Case-Mix Adjusted – accounting for differences in the level of need for care of residents in different nursing homes (Case-Mix based on Resource Utilization Groupings (RUGS)

  6. Overall Rating • Rating System • Starts with health inspection results based on independent onsite visits; • Factors in Quality Measures and Staffing (both of which are self-reported)

  7. Calculating the Overall Rating Step 1 Step 2 Step 3 OverallRating Health Inspection Rating Staffing Rating Quality = Measures Rating (QMs) Start with Health Inspection Rating Add 1 star for 4 or 5-Star Staffing Subtract 1 star for 1-Star Staffing Add 1 star for 5-Star QMs Subtract 1 star for 1-Star QMs

  8. Example #1 Health Inspection Staffing Rating Quality Measures Overall Rating Calculation: + + 0 =

  9. Example #2 Health Inspection Staffing Rating Quality Measures Overall Rating Calculation: 0 + + 0 =

  10. Example #3 Health Inspection Staffing Rating Quality Measures Overall Rating Calculation: - + 0 =

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