How to Improve Your Quality Component Scoring

9/6/2018 - By Claudia Reingruber, CPA

Did you know... 

  • The new Florida Medicaid rates for SNFs effective October 1, 2018, have been published
  • Included in the rate is data on the new Quality Component for each SNF
  • Up to 40 total Quality Points were available
  • For SNFs with 10.5 points or more, each point equates to approximately $1.23 per day!
  • Earning 40 Quality Points would have generated $49.20 per day!
  • But sadly, nearly half of Florida SNFs earned 15 points or less

Do you know...

  • How many Quality Points and dollars your SNF will get?
  • Where you rank in the number of Quality Points related to other Florida SNFs?

Make sure that you are taking steps to maximize your Quality Points and the Quality-based component of your Medicaid rate!

  • Quality Points are awarded based on scoring in twelve areas falling into four general categories:
    • Process Measures
      • Flu Vaccinations
      • Anti-psychotic Usage
      • Restraint Usage
    • Outcome Measures
      • Urinary Tract Infections
      • Pressure Ulcers
      • Falls
      • Incontinence
      • Decline in ADL's
    • Structural Measures
      • Direct Care staffing
      • Social Work and Activity staffing
    • Credentialing
      • CMS 5-star ratings
      • Florida Gold Seal, Joint Commission Accreditation, or AHCA National Quality Awards
  • Almost all providers have some opportunity to address the Process and Outcome Measurements to improve the Quality Component score

Now is the time to act to improve your Quality Points for your October 1, 2019, and beyond!

The Healthcare Division at Saltmarsh can help you:

  • Break down and understand the scoring of your Quality Component
  • Identify tangible, actionable steps that can be taken to improve your score

If you have questions about the information in this ALERT, please don't hesitate to reach out to a member of our Healthcare team.

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