Like every proposed rule before it, the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing Proposed Rule for Fiscal Year (FY) 2026 offers the director of nursing services (DNS) a preview of likely upcoming changes that the Centers for Medicare & Medicaid Services (CMS) may make …
The long-stay Quality Measures (QMs), Percent of Residents with a Urinary Tract Infection and Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder, have straightforward methodology but complex underlying implications. Managing these QMs and achieving desired outcomes requires the nurse assessment coordinator (NAC) and the interdisciplinary …
“1. Don’t insert percutaneous feeding tubes in individuals with advanced dementia. Instead, offer oral assisted feedings: Strong evidence exists that artificial nutrition does not prolong life or improve quality of life in patients with advanced dementia. Substantial functional decline and recurrent or progressive medical illnesses may indicate that a patient who …
The nurse assessment coordinator (NAC) brings a unique understanding of facility operations and resident needs that can reap critical benefits for the Quality Assurance and Performance Improvement (QAPI) program, says Lauren Stenson, MSN, RN, CNDLTC, QCP, DNS-CT, an AAPACN curriculum development specialist. “You keep track of the documentation that is …
The deadline is quickly approaching for the Centers for Medicare & Medicaid Services (CMS) Skilled Nursing Facility Quality Reporting Program (SNF QRP). Deadlines are detailed on the fiscal year (FY) 2026 SNF QRP deadlines file. As a reminder, all data for MDS-based SNF QRP measures for Quarter 4 2024 (Oct. …
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist with AAPACN, discuss ways nurse assessment coordinators can advance their Quality Measures knowledge. Additional Resources:Quality Measure IQ Series: Pressure Ulcer Measures – ArticleQuality …
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Question: For the Quality Measure (QM) for Long-stay Antipsychotic medication, if a resident expires in the facility and the appropriate Death in Facility record is completed and submitted, when will the resident stop triggering? Answer from Jessie McGill RN, BSN, RAC-MTA, RAC-CTA The long-stay Antipsychotic measure includes all long-stay residents …
Telligen QI Connect™ has an attend-as-you-can series focusing on infection control topics relevant to SNFs and aimed at enhancing infection control efforts. Each session provides guidance, relevant tools, and helpful interventions to support quality improvement efforts. This AAPACN resource is copyright protected. AAPACN individual members may download or print one …
Quality Measure (QM) reporting on pressure ulcers is a significant metric used by the Centers for Medicare & Medicaid Services (CMS) to help ensure that nursing homes provide high-quality care to vulnerable residents. Those residents with impaired mobility, chronic health issues, and complex comorbidities have a higher risk of developing …
A common question regarding MDS 3.0 Quality Measures (QMs) is why a discharged resident continues to trigger after leaving the facility. This is explained in section two of the MDS 3.0 Quality Measures User’s Manual, available in the Downloads section of the Centers for Medicare and Medicaid Services’ QM webpage. …
