3 Important LTC Postings.


Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare®

LTC Postings: PBJ Going Public, LTC Survey Process Procedure Guide
and RAI Manual Updates

Late last week, CMS posted three (3) important documents for LTC providers.

“To ensure transparency of the data submitted, CMS will begin posting data for viewing by LTC facilities, stakeholders, or the general public. The PBJ public use file will be available at https://data.cms.gov/  beginning November 1, 2017. The first public use file posted will include data submitted by facilities for the reporting period of calendar quarters 1 and 2, 2017, and submitted by the May 15th and August 14th deadline, respectively (data submitted after the deadline will not be posted). CMS will continue to post subsequent quarters of data as they become available. The data will include the total number of hours submitted for nursing services job categories (e.g., registered nurse, licensed practical nurse, and nurse aides) for each day in the quarter, in addition to each facility’s census for each day in the quarter as calculated using minimum data set (MDS) submissions. These files do not include any calculations of measures. Rather, they include the raw number of hours that providers have submitted and have real-time access to view on their own. CMS intends to expand the type of data reported in the public use file in the future (e.g., other job categories).”

S&C: 17-45-NH_Electronic Staffing Submission - Payroll-Based Journal (PBJ) Public Use File contains additional information regarding PBJ and how that data will be used for public reporting.  Additionally, there is information on how CMS will calculate rates of tenure and turnover using each employee’s unique identifier, specifically changing employer identifiers as well as how CMS will calculate daily resident census and “ultimately staffing levels” (hint: MDS data).

 CMS also posted the Long Term Care Survey Process Procedure Guide. The guide is 42 pages in length and is effective November 28, 2017.  “The LTCSP Procedure Guide provides instruction on the procedural and software steps necessary for completing the LTCSP. Use the Procedure Guide for all standard surveys of SNFs and NFs, whether freestanding, distinct parts, or dually participating. The LTCSP steps are organized into seven parts: 1) offsite preparation; 2) facility entrance; 3) initial pool process; 4) sample selection; 5) investigation; 6) ongoing and other survey activities; and 7) potential citations.”

For the first time in my memory, CMS has provided a PowerPoint presentation on the 2017 RAI User’s Manual Updates.  There are 93 slides available highlighting the major changes that began October 1, 2017 with the MDS 3.0 Item Set, v1.15.1.

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