Measuring the quality of long-term care organizations is a difficult process because they provide multidimensional care. Long-term care organizations address the physical aspects of care, but they also assess and treat other areas, such as social engagement, spirituality, mental health, and family education. This makes it difficult for consumers, their families, and caregivers to compare one long-term care organization to another.
Because of this, the Centers for Medicare and Medicaid Services (CMS) created a system, called the Five-Star Quality Rating System, to help the public compare long-term care organizations.
In this course, you will learn the basics of the Five-Star Quality Rating System. You will also learn how CMS uses your organization’s quality measure, staffing, and health inspection data to calculate your overall star rating. Finally, you will learn measures that you can take to help increase your rating.
Measuring the quality of long-term care organizations is a difficult process because they provide multidimensional care. Long-term care organizations address the physical aspects of care, but they also assess and treat other areas, such as social engagement, spirituality, mental health, and family education. This makes it difficult for consumers, their families, and caregivers to compare one long-term care organization to another. Because of this, the Centers for Medicare and Medicaid Services (CMS) created a system, called the Five-Star Quality Rating System, to help the public compare long-term care organizations. In this course, you will learn the basics of the Five-Star Quality Rating System. You will also learn how CMS uses your organization’s quality measure, staffing, and health inspection data to calculate your overall star rating. Finally, you will learn measures that you can take to help increase your rating.
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.50 contact hours for participating in this course.
This educational offering is approved by the California Nursing Home Administrator Program (NHAP) for full credit as a course relating directly to duties, functions, or responsibilities of the nursing home administrator. Provider # CEP 1701; Course Approval # 1701002-9037. This activity is approved for 2.0000 contact hours.
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Florida Board of Nursing (CEBroker Provider #50-290)
Florida Board of Nursing Home Administrators (CEBroker Provider # 50-290)
Georgia Board of Nursing (CEBroker Provider #50-290)
Georgia Nursing Home Administrators Board (CEBroker Provider # 50-290)
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Mississippi Board of Nursing (CEBroker Provider #50-290)
This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 1.0000 clock hours. If you have any feedback regarding the NAB approved continuing education programs, send your email to the following address: [email protected]
New Mexico Board of Nursing (CEBroker Provider #50-290)
This course is approved by the North Carolina Department of Health and Human Services Division of Facility Services - Group Care Licensure Section (NC-DHHS)
Program Sponsor ID #032316
This activity is approved for 1.5000 contact hours.
North Dakota Board of Nursing (CEBroker Provider #50-290)
This course is approved as continuing education by the Oregon Department of Human Services in accordance with state regulation 411-057-0140 for Assisted Living Administrators, Residential Care facility Administrators and Memory Care Communities within the State of Oregon. This activity is approved by Oregon Department of Human Services for 1.50 contact hours.
This activity is approved for 1.0000 contact hours.
South Carolina Board of Nursing (CEBroker Provider #50-290)
Learning activity approved by the Tennessee Department of Health, Bureau of Health Licensure and Regulation as continuing education for Residential Homes for the Aged and Assisted Care Living Facility administrators. This activity is approved for 1.5000 contact hours.
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: What Is the Five-Star Quality Rating System?
Care Compare
The Basics
Five-Star Impact
Five-Star Provider Reports
Review
Summary
Section 3: Quality Measures Domain
Quality Measures
Short-Stay QMs
Long-Stay QMs
Point Score
Missing Data
QM Domain Scoring
Assigning a Star Rating
Review
Summary
Section 4: Staffing Domain
The Relationship
Staffing Measures
Adjusted Hours
Scoring
Scoring Exceptions
Staffing Turnover
Turnover Calculations
Weekend Staffing Measures
Weekend Staffing Exclusions
Review
Summary
Section 5: Health Inspection Domain
Health Inspections
Scope and Severity
Scoring Rules
Weighting Surveys
State-Specific Ratings
Review
Summary
Section 6: Overall Rating
Obtaining the Overall Rating
Case Example
Talking Points
Review
Summary
Section 7: Managing Your Five-Star Rating
Focus on Quality
QAPI Activities
Be Survey Ready
Survey Book
Walking Rounds
Reviewing QMs
Getting It Right
Improving Staffing Rating
Review
Summary
Section 8: Conclusion
Course Summary
Course Contributor
Resources
References
Congratulations!
Ron Orth obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Director of Curriculum Design for Post-acute Care at Relias. Ron is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Ron has also successfully completed the Infection Control Officer training through the AHCA.
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