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This document provides comprehensive guidelines for the National Nursing Home Quality Measures (QMs) endorsed by the National Quality Forum, detailing the definitions, methodologies, and technical
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How to fill out National Nursing Home Quality Measures USER’S MANUAL

01
Begin by obtaining the National Nursing Home Quality Measures USER’S MANUAL from the official website or designated provider.
02
Read the introduction section to understand the purpose and scope of the manual.
03
Familiarize yourself with the definitions of key terms used throughout the manual.
04
Follow the step-by-step instructions provided for each quality measure, ensuring you understand the data collection process.
05
Use the provided templates or charts to document the necessary information for each quality measure.
06
Review the examples included in the manual to guide your data entry and ensure accuracy.
07
Complete all required sections, paying attention to any specific guidelines for reporting.
08
Double-check your entries for any potential errors or omissions before submitting.

Who needs National Nursing Home Quality Measures USER’S MANUAL?

01
Nursing home administrators who oversee quality improvement processes.
02
Healthcare providers who are responsible for patient care and service quality.
03
Quality assurance teams within nursing homes focused on regulatory compliance.
04
State and federal regulators interested in assessing nursing home performance.
05
Researchers studying nursing home care quality and outcomes.
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Data for the MDS-based QMs and the claims-based hospitalization and ED visit measures are updated quarterly, and the QM rating is updated at the same time. The updates typically occur in January, April, July, and October at the time of the Nursing Home Compare website refresh.
- For Quarterly or MPAF assessments, the MDS Completion Date (R2b) may be no later than 14 days from the Assessment Reference Date (A3a). - Discharge and Reentry records must be completed within 7 days of the Event Date (R4 for Discharge records; A4a for Reentry records).
A 'stay' in the context of MDS 3.0 Quality Measures is defined as the duration from a resident's admission date to their discharge date. This definition emphasizes the entire period of care provided in the healthcare facility.
SELECTION SPECIFICATIONS Target assessment Selection period Most recent 3 months (the long stay target period).
This report should be generated at least quarterly and shared with the IDT. This report identifies each resident with assessment records and a qualifying MDS 3.0 Medicare Part A Stay (SNF Stay). It is used to calculate the facility-level quality measure values for a select 12-month period.
This quality measure not only looks at the current target assessment, but also previous assessments up to 275 days. So in effect the resident's fall may affect your quality measures up to one year.
The target date will vary depending on the type of assessment, but it is similar to a service date. It reflects the time frame in which the assessment was to be completed. Researchers often pull MDS data by target date because it is likely to be closer to when the assessment occurred.

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The National Nursing Home Quality Measures USER’S MANUAL is a comprehensive guide that provides instructions on how to use and interpret the quality measures collected from nursing homes, ensuring consistent reporting and evaluation of nursing home care.
Nursing homes that participate in Medicare and Medicaid programs are required to file the National Nursing Home Quality Measures USER’S MANUAL as part of their quality reporting obligations.
To fill out the National Nursing Home Quality Measures USER’S MANUAL, facilities must follow the guidelines provided in the manual, including accurately collecting resident data, calculating quality measure scores, and submitting the required information within the specified reporting periods.
The purpose of the National Nursing Home Quality Measures USER’S MANUAL is to enhance the quality of care in nursing homes by standardizing the reporting of quality measures, facilitating performance evaluation, and promoting transparency to consumers.
Information that must be reported includes resident demographics, health indicators, quality of care metrics such as pressure ulcers, use of restraints, and overall satisfaction rates, as required by the Centers for Medicare & Medicaid Services (CMS).
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