Nursing Home Acuity Workgroup
- Meeting 2 is also available in Portable Document Foramt (PDF)
Nursing Home Acuity Workgroup
Meeting #2
June 13, 2019
Agenda
- Welcome
- Schedule of Nursing Home Acuity Workgroup Meetings
- Background Data
- Today´s Workgroup Discussion
- Next Meeting
- Reference: Statutory Nursing Home Acuity Workgroup Requirements
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. |
Background Data
Statewide Average Acuity Scores
(January, April, July, and August–March)
Residents by Category
January, April, July, and August 2018 – March 2019 (all facilities)
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?
|top of section| |top of page|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
|top of section| |top of page|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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