173-45-07 Quality measures for nursing facilities.

 

 

 

173-45-07                    Quality measures for nursing facilities.

 

 

 

For each nursing facility for which data is available, ODA shall include in the guide the nursing facility's scores on each quality measure, as calculated by CMS, and the statewide average score on each quality measure, as calculated by CMS; or, ODA shall present an electronic link where the guide's users may access the quality measures.

 

(A)Definitions: ODA shall define each quality measure in the guide and indicate which quality measures are risk adjusted and which quality measures constitute sentinel health events.

 

(B)Quality measures: For each nursing facility for which data is available, ODA shall include in the guide the nursing facility's scores on each quality measure, as calculated by CMS, and the statewide average score on each quality measure, as calculated by CMS. ODA shall present the scores as percentages. This allows the public to compare scores between facilities and to statewide averages.

 

(C)Disclaimers: ODA shall include in the guide a disclaimer indicating that lower scores may not indicate that a nursing facility provides inadequate care. A nursing facility's scores on the quality measures serve as a flag to prompt further inquiry about the care and services the nursing facility provides. Therefore ODA shall also include in the guide an automatic link to the nursing facility's related survey findings and to a list of issues to consider when choosing a nursing facility.

 

(D)Updates: ODA shall update quarterly the quality measure data displayed in the guide by using the most recent CMS data.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

173-45-07                                                                                                                              2

Effective:                                                             12/01/2015

Five Year Review (FYR) Dates:                         09/03/2015 and 12/01/2020

CERTIFIED ELECTRONICALLY

Certification

11/20/2015

Date

Promulgated Under:                           119.03

Statutory Authority:                           173.01, 173.02, 173.49; 42 USC 1396a(a)(9)(D)

Rule Amplifies:                                  173.46; 42 USC 1396a(a)(9)(D)

Prior Effective Dates:                         173-45-10: 01/12/2001, 12/15/2005. 173-45-08:

09/07/2006, 08/30/2010