Ways NACs Can Advance Their Quality Measures Knowledge

NAC / Podcast / QAPI and Quality Initiatives

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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Quality Measure IQ Series: Pressure Ulcer Measures

Article / NAC / QAPI and Quality Initiatives

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 …

MDS 3.0 Quality Measure Assessment Selection Methods 

NAC / QAPI and Quality Initiatives / Tool

The MDS 3.0 Quality Measure Assessment Selection Methods tool simplifies the assessment selection logic used for MDS 3.0 Quality Measures (QMs) in nursing facilities. The assessment selection logic is used to identify which assessments are used in the measure calculation. For detailed measure specifications, refer to the corresponding tables in …

January 2025 Five-Star Unfreeze: What to Expect   

NAC / Podcast / QAPI and Quality Initiatives

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 what to expect this January when Five-Star unfreezes several quality measures.

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Q&A: A resident came to our facility for a short stay with a Stage 4 pressure ulcer. The resident has since exhausted his 100 days of Medicare, became a long-term resident, and still has the Stage 4 pressure ulcer. Will this resident trigger the long-stay pressure ulcer measure?

NAC / Q&A / QAPI and Quality Initiatives

Question: A resident came to our facility for a short stay with a Stage 4 pressure ulcer. The resident has since exhausted his 100 days of Medicare, became a long-term resident, and still has the Stage 4 pressure ulcer. Will this resident trigger the long-stay pressure ulcer measure? Answer from Jessie …

Sepsis Primer: What Is It, and How Does It Tie Into Survey and QMs?

Article / Clinical Care Solutions / DNS / QAPI and Quality Initiatives / Survey and Regulatory Compliance

Sepsis—a key driver of hospital readmissions—can have negative clinical impacts for residents and negative financial, quality, survey, and even legal impacts for nursing homes. Here is a review of important basics: What is sepsis? The current clinical definition of sepsis is “life-threatening organ dysfunction caused by a dysregulated host response …

Updated Fiscal Years 2026 and 2027 SNF VBP Performance Standards

Billing and Reimbursement / DNS / NAC / Post-Acute Care News / QAPI and Quality Initiatives

This communication pertains to the Fiscal Year (FY) 2026 and FY 2027 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program performance standards for the Total Nursing Staff Turnover (Nursing Staff Turnover) measure which the Centers for Medicare & Medicaid Services (CMS) published in the FY 2024 SNF Prospective Payment System (PPS) …

Conduct a Comprehensive Systems Review to Improve Quality Measure Outcomes

DNS / Podcast / QAPI and Quality Initiatives

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, curriculum development specialist for AAPACN, discuss how a comprehensive review of whole systems can help to improve Quality Measure outcomes in skilled nursing facilities and how …

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Quality Measure IQ Series: Discharge Function Score Measure

Article / NAC / QAPI and Quality Initiatives

The newest section GG Quality Measure (QM), the Discharge Function Score, has left many nurse assessment coordinators (NACs) with more questions than answers about how it is calculated. This measure estimates the percentage of Medicare Part A skilled nursing facility (SNF) stays that meet or exceed an expected Discharge Function …

From Data Elements to Quality Measures: CMS Training

DNS / MDS 3.0 and the RAI Process / NAC / Post-Acute Care News / QAPI and Quality Initiatives

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course that provides a high-level overview of how data elements within CMS patient/resident assessment instruments are used to construct quality measures (QMs) across post-acute care (PAC) settings. The course also discusses the relationship between these data elements …