Skilled Nursing Facility Value-Based Purchasing Program (SNFVBP) - Beginning 2019
By Chris Woolstenhulme, CMRS
April 25, 2016
Medicare plans to start a Skilled Nursing Facility Value-Based Purchasing Program (SNFVBP), beginning fiscal year 2019. This program will be used to promote better clinical outcomes for skilled nursing facility patients and improve care during their stay at a skilled nursing facility. Skilled nursing facilities will be paid for participating. Starting the summer of 2016 then quarterly Medicare will send confidential quality feedback reports on measurement performance; the results will be posted on Nursing Home Compare.
This measure is designed to capture the outcome of unplanned all-cause hospital readmissions (IPPS or CAH) of SNF patients occurring within 30 days of discharge from the patient’s prior proximal acute hospitalization.
The all-cause SNFRM will be evaluated on a 1- year cycle, with the SNFRM numerator time window being 30 days after discharge from the prior proximal hospitalization.
Planned readmissions will not be counted against facilities because, as stated in the documentation for the HWR measure, “...planned readmissions are not a signal of quality of care.”
The planned readmission algorithm is based on two main principles:
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