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The Skilled Nursing Facility Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published onCare CompareandProvider Data Catalog during theOctober 2022release. These reports contain provider performance scores for quality measures, which will be published onCare CompareandProvider Data Catalog during theJuly 2022release.
This tool helps families compare some key quality metrics, such as pressure ulcers and readmissions, for over 15,000 SNFs across the nation. CASPER is a type of Rapid Needs Assessment that provides household-level information to public health leaders and emergency managers. The information generated can be used to initiate public health action, identify information gaps; facilitate disaster planning, response, and recovery activities; allocate resources, and assess new or changing needs in the community. The 5 claims-based measures are updated every 6 months , which sums the previous 12 months’ worth of data.
How can CASPER be used?
Although I anticipated the meeting to feel more like a typical “inspection,” I quickly realized that it was more of a collaboration designed to help us improve our infection control practices. It was wonderful to have outside validation on the things we were doing right as well as some insight on recommendations for improvements. I found the infection control audit performed by the QIPMO ICAR team identified a lot of deficiencies that were above and beyond conventional infection control protocols. Nursing Home Care Compare will update with the July Five Star data on December 7, 2022.
Facility reports for Quality Measures are updated weekly, however, the comparison percentages with other facilities nationally and in your state are deferred by two months. Starting in April 2020, every six months the QM thresholds will increase by half of the average rate of improvement in QM scores. The intent of this is to incentivize continuous quality improvement and reduce the need to have larger adjustments to the thresholds in the future. Certification and Survey Provider Enhanced Reports, better known as CASPER, offer an assortment of real-time data that allows skilled nursing facilities the opportunity to pinpoint areas where changes in care and operations are necessary to improve performance. CMS developed these publicly reported Quality Measures with the intention to publicize the differences in quality among nursing facilities, thus giving the consumer helpful information for determining which facility to select. Based on data submitted by the provider, these reports can be essential in identifying outliers, which can assist your facility in having better patient outcomes as evidenced by optimal QM scores.
What is in the CASPER toolkit?
In the early 2000s, the two-stage cluster method became an increasingly widespread method for disaster response. Because of this, the Centers for Disease Control and Prevention developed the CASPER Toolkit pdf icon [PDF – 17 MB]to outline and standardize the assessment methodology. As part of this process, CDC coined the term CASPER to distinguish it from, and avoid confusion with, other rapid needs assessments. If you are a WordPress user with administrative privileges on this site, please enter your email address in the box below and click "Send".
The data for the COVID-19 Vaccination Coverage among HCP measure will display data submitted for Quarter 4, 2021 for this release. One method for determining the quality of care in a Nursing Home is using Quality Measures. However, the CMS Nursing Home Compare website is used to predict a facility's ability to deliver high quality care. These results are essential for care oversight, census management and revenue insulation. The submission deadline for the Skilled Nursing Facility Quality Reporting Program is approaching.
Casper, WY
This document has been updated to reflect the finalized policies for the SNF QRP in Fiscal Year and includes other useful resources available to providers. Data that CMS decides/agrees to correct will be displayed during the subsequent quarterly release of SNF quality data on Care Compare. Information sent to the right people, at the right place, at the right time, is optimal for any successful response.
These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog during theOctober 2022release. SNFs will have 30 days to preview their quality measure results beginning on the date the reports are available. SNFs reviewing their preview reports will not be able to correct any of the underlying data, as all data submission/correction deadlines for the targeted period will have passed. Following the QRP data submission deadline, a quarterly Provider Preview Report issued by CMS displays the data that will be publicly reported. The purpose of these reports is to give SNFs the opportunity to review their quality measure results on each quality measure prior to public display on Care Compare. Reports can be accessed via the CMS designated data submission system, Certification and Survey Provider Enhanced Reports application, which is accessible from a SNF’s “Welcome to the CMS QIES Systems for Providers” page.
However, providers can request Centers for Medicare & Medicaid Services review of their data during the preview period if they believe the quality measure scores that are displayed within their Preview Reports are inaccurate. The Improving Medicare Post-Acute Care Transformation Act of 2014 modified the Social Security Act requiring that SNFs be required to submit data for public reporting. In response, the Centers for Medicare & Medicaid Services established the SNF QRP and authorized the Secretary to report quality measures that relate to care provided by SNFs on a CMS website. An update to the Skilled Nursing Facility Quality Reporting Program Data Collection and Final Submission Deadlines is now available. This document has been updated to reflect the data collection and final submission deadlines required to meet the Annual Payment Update minimum data completion threshold for Fiscal Year 2024. Lastly, a Centers for Disease Control and Prevention measure (COVID-19 Vaccination Coverage among Healthcare Personnel ) will be publicly reported on Care Compare and PDC beginning with the October 2022 release and is reflected within the Preview Reports.
For example, April 2019 claims-based measure information has a look-back of July 1, 2017, through June 30, 2018. To access these reports, select the CASPER Reporting link located on the CMS QIES Systems for Providers page. Once in the CASPER Reporting system, select the 'Folders' button, then select 'My Inbox' or the Inbox beginning with 'LTC' and the state abbreviation followed by a facility ID.
Also, CMS will not consider correcting quality measure calculations that providers find to be inaccurate due to missing data that was submitted beyond the applicable quarterly data submission deadline. While all the reports within CASPER contain information that can be extremely helpful to your facility, the two reports you may want to focus on are the Quality Measures Report and the Five Star rating report. To receive the most out of every CASPER report, your facility should be running these reports as often as they are updated. Effective April 2019, 32 QMs were posted on the Nursing Home Compare website. Quality Measures and Five Star ratings have new data calculated at different times throughout the year. Nursing Home Compare is updated each quarter in January, April, July, and October.
Swingtech sends informational messages to SNFs that are not meeting Annual Payment Update thresholds on a quarterly basis ahead of each submission deadline. If you need to add or change the email addresses to which these messages are sent, please be sure to include your facility name and CCN along with any requested email updates. Care Compareformats the reported data to be readily used by the public, which provides a snapshot of the quality of care for each SNF.
The reports only remain in the QIES system for a short amount of time, so please save and/or print these reports for your records. CMS sends informational messages to SNFs that areNOTmeeting Annual Payment Update thresholds on a quarterly basis ahead of each submission deadlines. An update to the Skilled Nursing Facility Quality Reporting Program Frequently Asked Questions document is now available.
Obtain and review the MDS 3.0 Facility Level Quality Measure Report, aka the CASPER report, with data compiled from the six months leading into the most recent Nursing Home Compare Five-Star Rating calculation. An updated Quick Reference Guide is now available in theDownloadssection of theSNF Quality Reporting Data Submission Deadlines webpage. The Quick Reference Guide provides high-level information on the SNF Quality Reporting Program, including frequently asked questions and helpful links.
Phase 1: Prepare for CASPER
CASPER addresses this by providing valid information rapidly about the general and health needs of a community to decision-makers. CASPER is generalizable , timely, relatively low cost, reported in a simple format, and flexible. Please note that the Centers for Medicare & Medicaid QRP Help Desk email systems are not secured to receive protected health information or patient-level data with direct identifiers. Submitting patient-level data or protected health information may be a violation of your facilities’ policies and procedures as well as a violation of federal regulations (Health Insurance Portability and Accountability Act ). Do NOT submit patient-identifiable information (e.g., date of birth, social security number, and health insurance claim number) to these addresses.
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