On October 2, 2023, The Centers for Medicare & Medicaid Services (CMS) alerted Skilled Nursing Facility (SNF) providers of upcoming measure removals from the SNF Quality Reporting Program (QRP). The following quality measures are planned for removal from the iQIES Review and Correct Reports, Facility-Level Quality Measure (QM) Reports, and Resident-Level QM Reports in January 2024:
Application of Percent of Long-Term Care Hospital (LTCH) Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function
Application of IRF Functional Outcome Measure: Change in Self-Care Score for Medical Rehabilitation Patients
Application of IRF Functional Outcome Measure: Change in Mobility Score for Medical Rehabilitation Patients
Once removed from reports, users will no longer have access to any data or measure results for these measures.
These measures will last appear in the April 2024 Provider Preview Reports for the July 2024 Refresh of SNF QRP data. Starting with the October 2024 Release, these measures will be removed from Care Compare and Provider Data Catalog. Once removed, the historic publicly reported measure data will continue to be available in the Nursing Homes Including Rehab Services Data Archive files on the Provider Data Catalog.
Please direct any questions on these measure removals or questions related to quality measures on the SNF QRP Reports to the SNF QRP help desk at SNFQualityQuestions@cms.hhs.gov.
* Section S will be for tracking purposes of residents who have expressed an interest in returning to the community;
* Section S will NOT impact reimbursement, as the data collected will be for tracking purposes only; and
* Guidance for how Section S is to be completed will be made available in the near future and will be communicated to all of the stakeholders.
In the interim, the items in Section Q should be answered (and followed through with the LCA if the resident replies yes to Q0500) just as they have always been. If Q0610 is answered 'no', then code S0200A as 5 - Other and elaborate with the reason in S0200B; make certain to document the medical record.
UPDATED: Final MDS 3.0 Item Sets version 1.18.11 v6
The final Minimum Data Set (MDS) 3.0 Item Sets version (v)1.18.11 has been updated and is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. Changes in this version (listed below) align the item sets with the Errata V3.01.3 for MDS Data Specifications V3.01.1 (FINAL) posted September 21, 2023, on the Minimum Data Set (MDS) 3.0 Technical Information page. For a full list of changes to the final posted item sets since v1, see the Item Set Change Table Supplement that accompanies the posting. The MDS Item Sets v1.18.11 were effective beginning October 01, 2023.
M0300G1 on NPE: Replaced erroneous skip pattern <Skip to N2005, Medication Intervention> with the correct one: <Skip to N0415, High-Risk Drug Classes: Use and Indication>.
O0300A on NP and NQ: Corrected transposition of verbs in skip patterns (changed <Skip> to <Continue> in choice 0 and <Continue> to <Skip> in choice 1).
O0400 on NC and NQ: Removed completion language <Complete only when A0310B = 1 (complete O0400D2 when required by state)>.
O0400 on NP and SP: Removed completion language <Complete only when A0310B = 1>.
O0420 on NC, NP, and NQ: Removed completion language <Complete only when A0310B = 1>.