SNF QRP, QMs & Five-Star

SNF QRP Quality Measure Calculations and Reporting User's Manual V6.0, Change Table, Risk Adjustment Appendix File, Imputation Appendix File, and HCC ICD-10 Crosswalks

Now available: The Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Quality Measure (QM) Calculations and Reporting User's Manual Version 6.0 and accompanying documents

Files are effective October 1, 2024:

The SNF QRP Measure Calculations and Reporting User's Manual Version 6.0 serves as an update to the specifications used to calculate quality measures that are included in the SNF QRP. The accompanying SNF QRP Measure Calculations and Reporting User's Manual Change Table Version 6.0 provides a summary of changes between Version 6.0 and Version 5.0 of the SNF QRP Quality Measure Calculations and Reporting User's Manual. The Crosswalks of Hierarchical Condition Categories (HCC) to International Classification of Diseases (ICD)-10 codes are used in the risk-adjustment models for the Discharge Self-Care, Discharge Mobility, and Discharge Function Score measures. Lastly, the Imputation Appendix File for the SNF QRP Quality Measure Calculations and Reporting User's Manual Version 6.0 contains imputed coefficients used to calculate the risk-adjusted Discharge Function Score measure.

Five-Star Quality Rating System

CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily and to help identify areas about which you may want to ask questions. Select the link for more information and resources.

Five Star State-level Cut Point Tables August 2024 (PDF)

UPDATED RESOURCE AVAILABLE

From Data Elements to Quality Measures

Web-Based Training

The Centers for Medicare & Medicaid Services is offering a web-based training course that provides a high-level overview of how data elements within CMS patient/resident assessment instruments are used to construct quality measures (QMs) across post-acute care (PAC) settings. The course discusses the relationship between these data elements and Quality Reporting Program (QRP) QMs, QM calculation, and how to access reports and use QM data for quality improvement.

If you have questions about accessing the resources or feedback regarding the training, please email the PAC Training Mailbox. Content-related questions should be submitted to the SNF QRP Help Desk.