Nursing Home Acuity Workgroup

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Nursing Home Acuity Workgroup

Meeting #2

June 13, 2019


Schedule of Nursing Home Acuity Workgroup Meetings

Schedule of Nursing Home Acuity Workgroup Meetings

Meeting Purpose Date
Meeting #2 (today) Workgroup members offer recommendations on how to revise the MDS collection process including recommendations related to the proposed Federal Patient Driven Payment Model (PDPM).

Discussion of Workgroup Recommendations.
June 13, 2019
11:00 a.m. – 12:30 p.m.
Meeting #3 Final review of Workgroup Recommendations for report due June 30, 2019. June 27, 2019
11:00 a.m. – 1:00 p.m.
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Background Data

Statewide Average Acuity Scores

(January, April, July, and August–March)

Statewide Average Acuity Scores

Residents by Category

January, April, July, and August 2018 – March 2019 (all facilities)

Statewide Average Acuity Scores
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Today´s Workgroup Discussion

Today´s Nursing Home Acuity Workgroup Discussion

Workgroup Discussion: Comparisons Against Other States and Federal Changes

How do other States use acuity in rate setting?

What will changes at the Federal Level mean to current practice?

Workgroup Discussion: Improve Future Practice Regarding Accuracy in MDS Collection Process.

What steps need to be taken to ensure data is accurate (Facilities, DOH, CMS)?

What changes, if any, would make collection of data more efficient?

Are there options to ensure quality of data prior to submission to CMS?

Workgroup Discussion: Reduce or Eliminate Abusive Practices to Ensure Appropriate Acuity for Residential Health Care Residents.

To what extent do such practices exit today?

What, if any, quality assurance/monitoring processes should be established?

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Next Meeting

Next Meeting

Final Meeting

Topic: Final Discussion of Workgroup Recommendations

Date: Thursday, June 27, 2019 11 a.m. – 1:00 p.m.

Location: One Commerce Plaza, Conference Room 1613

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Reference: Statutory Nursing Home Acuity Workgroup Requirements

Nursing Home Acuity Workgroup

(Chapter 57, Laws of 2019)

The Workgroup shall review:

  • Recent case mix data and related analyses conducted by the Department with respect to the Department´s implementation of the July 1, 2019 change in methodology;
  • The Department´s minimum data set collection process; and
  • Case mix adjustments authorized under subparagraph (ii) of paragraph (b) of subdivision 2–b of section 2808 of the Public Health Law.

Such review shall seek to promote a higher degree of accuracy in the minimum data set data, and target abuses.

The Workgroup may offer recommendations on how to:

  • Improve future practice regarding accuracy in the minimum data set collection process; and
  • Reduce or eliminate abusive practices.

In developing such recommendations, the Workgroup shall ensure that the collection process and case mix adjustment recognizes the appropriate acuity for residential health care residents.

The Workgroup may provide recommendations regarding the:

  • Proposed Federal Patient Driven Payment Model; and
  • Administrative complexity in revising the minimum data set collection and rate promulgation processes.

Notwithstanding any changes in Federal law or regulation relating to nursing home acuity reimbursement, the Workgroup shall report its recommendations no later than June 30, 2019.

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