QUIZ Course: CMS Quality Measure Programs

The 3 Federal Quality Initiative programs in the SNF setting are called:

The Measure Program that involves all residents, regardless of insurance, is:

The Value Based Purchasing Program (SNF VBP) measures traditional Medicare Part A residents only.

The SNF Quality Reporting Program (SNF QRP) collects data for residents with which payer type?

The Medicare Part A quality measure program that currently only has 1 measure, the 30-day-all-cause-readmission measure, is the SNF Value Based Purchasing Program (SNF VBP).

Your Medicare Part A short term rehab resident is successfully discharged home on day 21. He has a fall at home 5 days later, calls 911, and is admitted to the hospital. Will this resident’s hospital admission count against your SNF for purposes of calculating the Value Based Purchasing Measure (SNF VBP) ?

The SNF Quality Reporting Program (SNF QRP) and the SNF MDS 3.0 Quality Measure (QM) /5 Star Program both use information from multiple sections of the MDS to measure quality. Which statement is true?

The MDS 3.0 QM program divides the Measures into 2 categories. These 2 categories are called:

The SNF QRP program collects information from Section GG and multiple other sections of the MDS. SNFs can incur a payment penalty if the information is incomplete or missing on the MDS. The penalty is a 2% reduction in Medicare Part A reimbursement for the facility for a full year.

Your facility 5 Star Rating is public information and can be found on the Nursing Home Compare Website. The 5 Star Rating is derived from what 3 items?

USE YOUR INFO GUIDE / CHEAT SHEET TO ANSWER THIS QUESTION:

Quality Measure Programs currently use data from multiple sources to determine if a Measure is triggered. As of 2025, what sources will be in use?

USE YOUR INFO GUIDE / CHEAT SHEET TO ANSWER THIS QUESTION:

The new “Discharge Function Score” Measure is part of the ________ Measure Program and uses MDS information from MDS Section ____________.

USE YOUR INFO GUIDE / CHEAT SHEET TO ANSWER THIS QUESTION:

The Measure “Percent of Residents Whose Need for Help with ADLs Has Increased is a long stay Measure in the MDS 3.0 QM Program. What MDS Questions does this Measure use as a trigger?

USE YOUR INFO GUIDE / CHEAT SHEET TO ANSWER THIS QUESTION:

The MDS 3.0 QM Program Measure “Percent of Residents Whose Ability to Move Independently Worsened” was retired on 10/1/23. It measured “Locomotion on the unit” via walking or wheelchair propulsion. This Measure was replaced with a new Measure 10/1/23 called “Percent of Residents Whose Ability to Walk Independently worsened.”

What is the MDS questions(s) used for this new Measure?

USE YOUR INFO GUIDE / CHEAT SHEET TO ANSWER THIS QUESTION:

The MDS 3.0 QM Program has a Long Stay Measure called “Percent of Residents Who Were Physical Restrained.”

This Measure is publicly reported on Nursing Home Compare.

Does this Measure Impact the facility 5-STAR Rating?