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This document outlines the request for approval of Amendment 24-0013 related to the Nursing Facility Value-Based Purchasing Program under the Virginia State Plan for Medical Assistance. It details changes impacting reimbursement rates and comments from tribal leaders and health program representatives.
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How to fill out nursing facility value-based purchasing

01
Gather all necessary documentation and data regarding facility operations and patient care.
02
Review the current quality metrics and performance measures relevant to your facility.
03
Identify areas for improvement based on previous performance data.
04
Establish specific goals and objectives to enhance service quality and patient outcomes.
05
Implement evidence-based practices and intervention strategies to meet these goals.
06
Train staff on the importance of value-based purchasing and how to achieve the targeted metrics.
07
Continuously monitor performance against established benchmarks.
08
Submit required data and reports to the governing body by the deadline.
09
Evaluate feedback and implement adjustments as needed to improve future performance.

Who needs nursing facility value-based purchasing?

01
Nursing facilities participating in Medicare programs.
02
Facility administrators seeking to improve care quality and operational performance.
03
Patients and residents who benefit from higher quality care.
04
Policymakers and regulatory bodies aiming to enhance healthcare outcomes.
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Nursing facility value-based purchasing is a program that links reimbursement rates to the quality of care provided by nursing facilities, incentivizing improvements in performance and rewarding high-quality care.
Nursing facilities that participate in Medicaid and Medicare programs are required to file nursing facility value-based purchasing.
To fill out nursing facility value-based purchasing, facilities must collect and report data on specified quality measures and complete the required forms by following the guidelines set by the Centers for Medicare & Medicaid Services (CMS).
The purpose of nursing facility value-based purchasing is to enhance the quality of care in nursing facilities by incentivizing providers to improve their performance based on quality metrics.
Facilities must report data regarding quality measures such as patient health outcomes, patient satisfaction, staff turnover, and other performance indicators as specified by CMS.
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