Archive for: August, 2009
Ask Diane: Using remaining days of an existing benefit period
Q: A resident was admitted on May 17 under Part A and discharged home June 19, using 33 days of her 100-day benefit period. She remained at home for 58 days before being readmitted to the hospital. Can she be admitted to a SNF under a Part A stay and utilize the remaining days from her prior stay?
Diane: In this situation, as long as the hospital stay met the criteria of a 3-day qualifying hospital stay, the individual can be readmitted to the SNF under Part A and use the remaining 67 days of her existing benefit period.
State attorneys general question Five-Star Quality Rating System for nursing homes
Thirty-one state attorneys general sent a letter to Health and Human Services Secretary Kathleen Sebelius Thursday August 27, highlighting the weaknesses of the Five-Star Quality Rating System for nursing homes and requesting the system be suspended and revised.
The Five-Star Quality Rating System, which uses data from surveys, staffing rates, and quality measures to rate nursing homes on a scale of one to five stars, has faced opposition since its introduction in December 2008. Many industry leaders, associations, and long-term care providers have voiced concerns that the rating system is based on a flawed survey system and provides inaccurate information to consumers.
According to the letter from the state attorneys general, the Five-Star Quality Rating System “can be misleading and create significant confusion for seniors.”
“I am very excited that the state attorneys general are calling attention to the flaws of the system because I fear that inaccurate ratings have been steering people in the wrong direction,” says Deborah Franklin, director of operations at Florida Living Options in Dover, FL and president of the Florida Health Care Association (FHCA). “Minor errors or mistakes can greatly affect a facility’s rating and these errors cannot be corrected right away. The system should be revised to provide consumers with more updated and useful information.”
Consumers still have access to CMS’ Nursing Home Compare System, which was developed before the Five-Star Quality Rating System. Therefore, if CMS decides to temporarily suspend the Five-Star Quality Rating System in order to make revisions, consumers will still have a tool to aid them in nursing home selection.
“The letter from state attorneys general is a clear indication that the rating system is flawed and should be revised, for the sake of both providers and consumers,” Franklin says. “I truly hope Secretary Sebelius will see the seriousness of the issue and work towards a solution.”
-
Categories
-
Archives
-
Clinical Documentation: An Essential Guide for Long-Term Care Nurses
Struggling to create clinical documentation to describe residents’ conditions every day? Poor clinical documentation can significantly affect survey results, reimbursement received, and most importantly, resident care.
Learn more... -
The Long-Term Care Nursing Desk Reference, Second Edition
Turn to the second edition of this HCPro bestseller! It’s still the only reference manual available that offers virtually every tool long-term care nurses need to provide high-quality, regulation-compliant, long-term resident care.
Learn more... -
Feeds
Loading ...
