QMs update: Preparing for the unfreeze in SimpleAnalyzer™

Melina HalikiasIndustry, Secure NewsLeave a Comment

On Dec. 4, CMS issued a memo outlining changes to unfreeze the Five-Star ratings effective on Jan. 27, 2021. CMS plans to update the quality measures using data based on the following data collection periods:

  • Assessment-based QMs through Jun. 30, 2020
  • Claims-based QMs through Jun. 30, 2020
  • QRP QMs through Dec. 31, 2019 (Skin Integrity and Rate of Successful Return)

Be sure to review your 2020-Q2 predicted Five-Star Score in SimpleAnalyzer as soon as possible. Modifications made after Jan. 1 may not impact your published score due to CMS data collection schedules.

Here are two ways SimpleLTC can help you make sure your facility is in the best position for the upcoming data refresh...

2020-Q2 Predicted Five-Star score

This is a prediction of your Five-Star score based on the data that CMS will be using for the upcoming Nursing Home Compare refresh in January.

Pay close attention to messages indicating you are close to a cut point. Red arrows indicate you are close to decreasing a star rating. Green arrows indicate you're close to increasing a star rating.

2020-Q2 Predicted rates on QM cards

Filter your QM cards using the 5-Star filter and look for QMs with red or green highlights in 2020-Q2. Red indicates you are one resident away from losing points for this QM. Green indicates you are one resident away from gaining points.

For these high-impact QMs, a single resident can make a big difference in your overall Five-Star score. Review these measures in-depth to make sure there are no mistakes in coding that should be addressed.

We're here to help

If you have questions about the data refresh, please contact our Support Team. We appreciate your feedback, which helps us continue to provide the best and simplest analytics tools in the industry.


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