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Where Did the Stars Go? An Overview of the Five-Star Quality Rating System
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10/12/2016
When: Wednesday, October 12, 2016
10:00 AM
Where: Webinar
United States
Contact: Nancie McAnaugh
573-635-6244


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Overview

The Five-Star Rating system was designed to enhance Nursing Home Compare which allows the public to see how a nursing home compares to others in the surrounding area. As the future of health care moves toward value-based purchasing and bundled payments, quality reporting and the Five-Star Rating system becomes important not only from a marketing prospective but financially. Providers continue to have questions on the Five-Star Ratings System and how to improve their rating. This session will review the three components of the Five-Star rating system, how they are calculated and proactive ways to improve your facility’s Five-Star Rating.

Learning Objectives

By the completion of the presentation, attendees will:

  • Define the three components that make up the overall Five-Star Rating.

  • Recall how the rating is calculated.

  • Describe the importance of health inspections and substantiated complaint surveys have on the overall Five-Star Rating.

  • Identify how the two measures in staffing impact the overall staffing rating.

  • List the quality measures that impact the Five-Star Rating.

 Who Should Attend

Administrators, Directors of Nursing, Assistant Directors of Nursing, Unit Managers, MDS Coordinators, Social Workers, Quality Improvement Staff, and Staff Educators.

 

 

Faculty

L. Suzy Harvey, RN-BC, RAC-CT, Managing Consultant, BKD National Health Care

A member of the BKD National Health Care team for eight years, Suzy has more than 30 years’ experience in long term care. She provides clinical consulting and education on Medicare compliance and reimbursement strategies. Suzy has trained numerous skilled nursing facilities, swing bed and skilled nursing units on Medicare extended care services and the minimum data set (MDS) process. She does comprehensive follow-up reviews to the trainings, to assist providers in maximizing their Medicare reimbursement with a focus on proper patient care and regulation compliance. She has assisted in training staff on utilization of the Critical Access Hospital Swing Bed programs and provided audits of medical records to monitor for Medicare regulatory, compliance and utilization issues.  Suzy has experience as a director of nursing, MDS/Medicare coordinator, and has been involved in the MDS process since mandated by OBRA in 1987. Suzy is board certified as a gerontological nurse and Resident Assessment Coordinator-Certified (RAC-CT) and is licensed in the state of Missouri as a registered nurse (RN).

 

 

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