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On March 5, 2019, the Centers for Medicare & Medicaid Services (CMS) announced changes to its Five-Star Quality Rating System that will be published on Nursing Home Compare in late April. These changes reflect the agency’s ongoing effort to improve the information consumers receive about skilled nursing centers and builds on the modifications implemented over the last few years. The star ratings of nursing centers will now reflect many new changes, which include:

  • New thresholds for assigning stars for both the staffing and quality measures components (e.g. moving the goal posts back) that will cause many providers to suddenly lose stars.
  • Lifting the survey freeze on the health inspection domain and suppressing Special Focus Facilities star ratings.
  • For the quality measure component:
    • Adding two new measures - long-stay hospitalization and long-stay Emergency Department (ED) visits
    • Dropping one measure - long-stay physical restraints
    • Replacing two measures with newer versions - short-stay pressure ulcer and short-stay discharge community will be replaced with Quality Reporting Program (QRP) measures. 
  • For the staffing component:
    • Adjusting ratings to provide a greater emphasis on registered nurse (RN) staffing.
    • Additionally, CMS will give a one-star staffing rating to facilities that report four or more days without an RN onsite in a quarter.

 

On this page you will find the following resources:

  • AHCA webinar recording summarizing the changes
  • A member toolkit with the following items:
    • Talking Points
    • Template Media Statement
    • Template Letter to Families
    • Template Letter to Payors/ Referral Sources 
  • Links to Five-Star Technical Users’ Guide and CMS QSO Memo
  • How Do I Access Five Star Preview Reports?
  • The Stars are Changing: What Will Happen to Your Five Star Rating?

    Contains 1 Component(s)

    CMS is making several changes to the Five Star Rating System a well as Nursing Home Compare in April 2019. All three components (survey, staffing and quality measure) of the Five Star Rating System will be affected and as a result many centers stars ratings will change. Join this webinar to learn what changes will occur and how the changes will impact your Five Star Rating.

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    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    CMS is making several changes to the Five Star Rating System a well as Nursing Home Compare in April 2019.  All three components (survey, staffing and quality measure) of the Five Star Rating System will be affected and as a result many centers stars ratings will change.  Join this webinar to learn what changes will occur and how the changes will impact your Five Star Rating.


    Speakers: David Gifford & Kiran Sreenivas



  • Member Five-Star Toolkit

    Contains 4 Component(s)

    A member toolkit with the following items: Talking Points Template Media Statement Template Letter to Families Template Letter to Payors/ Referral Sources

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    • A member toolkit with the following items:
      • Talking Points
      • Template Media Statement
      • Template Letter to Families Template Letter to Payors/ Referral Sources
  • 2019-Q1 Your Top-Line: Five-Star Predictions Frequently Asked Questions

    Contains 1 Component(s)

    In March, CMS announced changes to the Five-Star Rating system that will be published on Nursing Home Compare in late April. These changes include updated thresholds for achieving the various star ratings, which will result in several potential changes to a facility's Overall ratings. LTC Trend Tracker has put together the 2019-Q1 Your Top-Line to show an individual facility a projection of these changes. All data included in the Top-Line come from the March 2019 Nursing Home Compare data release. The new ratings will be published in late April and may be different from what is projected. .

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    In March, CMS announced changes to the Five-Star Rating system that will be published on Nursing Home Compare in late April. These changes include updated thresholds for achieving the various star ratings, which will result in several potential changes to a facility's Overall ratings.  

    LTC Trend Tracker has put together the 2019-Q1 Your Top-Line to show an individual facility a projection of these changes.  

    All data included in the Top-Line come from the March 2019 Nursing Home Compare data release. The new ratings will be published in late April and may be different from what is projected. 

    For more on Five-Star changes, attend AHCA/NCAL’s webinar here. 

  • QIES How Do I Access Five Star Preview Reports April 2019

    Contains 1 Component(s)

    Nursing centers can access their preview reports on their new Five Star Ratings through the QIES or Quality Improvement Evaluation System. CMS uses the QIES for many purposes including MDS submission and access to CASPER reporting. CMS provides notice of a center’s Five Star ratings prior to the information being posted live on Nursing Home Compare.

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

    click the image button found in the upper right corner of your screen or follow these three easy steps below! 

     

    Step 1

    image

    Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner.

    Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.  


    Don’t have one or can’t remember?

    Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”.

    *Please note* you must add your member facility name to your login


    Once you are in and can see your name in the upper left hand corner, you are ready to go.

    Step 2

    image

    From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays. 

    Under “upcoming webinars” go to a product in which you are interested. Click on the title.

    You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.

    Step 3

    image

    Almost there!

    Click the green register button.

    Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard.

    FYI: after registering, you will be automatically notified when the recording of the webinar is ready.


    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    Nursing centers can access their preview reports on their new Five Star Ratings through the QIES or Quality Improvement Evaluation System. CMS uses the QIES for many purposes including MDS submission and access to CASPER reporting. CMS provides notice of a center’s Five Star ratings prior to the information being posted live on Nursing Home Compare.


Links to Five-Star Technical Users’ Guide and CMS QSO Memo

NCAL AHCA