The Centers for Medicare & Medicaid Services (CMS) does not propose any new quality measures (QMs) for the pay-for-performance Skilled Nursing Value-Based Purchasing program (SNF VBP) in the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing Proposed Rule for Fiscal Year (FY) 2026. However, three QMs …
Urinary tract infections (UTIs) and catheter-associated urinary tract infections (CAUTIs) remain significant concerns in long-term care settings. They contribute to increased morbidity, extended hospital stays, higher healthcare costs, and reduced quality of life for residents. The Centers for Disease Control and Prevention estimates that 75% of UTIs in hospitalized patients …
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 …
A well-run care conference or care plan meeting can help the interdisciplinary team (IDT) improve the resident’s quality of care and quality of life by establishing a more resident-centered, individualized, culturally competent, and trauma-informed care plan, says Scott Heichel, RN, RAC-MT, RAC-CTA, DNS-CT, IPCO, QCP, ICC, director of reimbursement and …
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 revised surveyor guidance in Appendix PP of the State Operations Manual that goes into effect on April 28, 2025, does not include any updates to F-tag 838 (Facility Assessment), says Robin Hillier, CPA, STNA, LNHA, RAC-MT, president of RLH Consulting in Westerville, OH. “Revised F838 guidance already went into …
Pain management is an essential piece of the care provided in long-term and post-acute care (LTPAC) settings. Many residents experience acute or chronic pain due to a variety of conditions, such as postsurgical recovery, arthritis, and neuropathy. Pain traditionally was managed with pharmacological interventions, including narcotics and nonsteroidal anti-inflammatory drugs. …
In long-term care (LTC) facilities, many residents need care for chronic and acute respiratory problems, such as chronic obstructive pulmonary disease (COPD), pneumonia, tracheostomy, and post-COVID complications. LTC nurses need to know how to manage these complex conditions. In many situations, the care meets the criteria of respiratory therapy per …
In long-term care, the Minimum Data Set (MDS) ensures appropriate care planning, accurate reimbursement, and quality measurement while maintaining compliance with federal and state regulations. However, MDS coding may pose some ethical challenges. Completing the MDS accurately and according to the Long-term Care Facility Resident Assessment Instrument 3.0 User’s Manual …
An effective Infection Prevention and Control Program (IPCP) goes beyond compliance with policies and ideally reflects a cultural shift toward personal responsibility. The nurse leader has a key role in helping healthcare professionals recognize their part in preventing infections and understanding how their actions directly impact resident safety. The goal …
