Medicare, Medicaid Incorporate New Nursing Home Quality Measures

The Centers for Medicare & Medicaid (CMS) has added six new quality measures to its Nursing Home Compare website, which allows consumers to get information on 24 different quality measures for over 15,000 Medicaid and Medicare-certified nursing care providers from across the United States. Three of these new measures are based on data regarding Medicare claims from hospitals, rather than simply data that nursing homes report to CMS.

The three new quality measures based on Medicare claims data consider a facility’s rate of re-hospitalization, emergency room usage, and community discharge. More specifically, the six new measures include:

  • The percentage of short-stay residents who were successfully discharged to the community
  • The percentage of short-stay residents who have had an outpatient emergency department visit
  • The percentage of short-stay residents who were re-hospitalized following nursing home admission
  • The percentage of short-stay residents who made improvements in function
  • The percentage of long-stay residents whose ability to move independently worsened
  • The percentage of long-stay residents who received an anti-anxiety or hypnotic medication

These new quality measures focus more closely on short stays in nursing facilities, or those that last 100 days or less. They also measure the key outcomes that are important to those looking for short-stay nursing home. The existing quality measures already address outcomes related to longer stays, such as those last 100 days or more.

The new nursing home quality measures are designed to help ensure the safe and appropriate care of all residents of nursing homes and other types of care facilities. By hopefully eliminating some of the factors that directly contribute to the neglect and injuries to nursing home patients, it is our sincere hope that such incidents can be avoided altogether. At Boller & Vaughan, we are here to stand up for the rights of all those residents and their families who have suffered substantial injuries while under the care of those are supposed to prevent such injuries from occurring. Contact us today at (608) 268-0268, set up an appointment with one of our Wisconsin nursing home abuse attorneys, and discover how we can help.