by Proactive Medical Review | Sep 8, 2021 | 5 Star, blog, Nursing, Quality Measure, Regulatory
The prevalence of pain in long-term care residents is estimated to range from 49% to 83%” (Fox, Raina, & Jadad, 1999). Chronic pain is the top cause of long-term disability in the US, and advanced age a key indicator of chronic pain risk (Ljubica Cvetkovska)....
by Proactive Medical Review | Aug 11, 2021 | blog, Medicare, PDPM, Quality Measure, Regulatory, Reimbursement
July 29th, 2021, the Skilled Nursing Facility (SNF) prospective payment system (PPS) final rule was released. The rule, which goes into effect October 1, 2021, contained several updates, including factors affecting the usual payment rates, changes to diagnosis code...
by Proactive Medical Review | Jul 21, 2021 | blog, COVID-19, Quality Measure
Nationally, telehealth appears to have had a positive impact on the CMS Quality Measures regarding Emergency Department (ED) Visits—has your facility shown improvement in this area? In March 2020, following the declaration of the COVID-19 public health emergency, CMS...
by Proactive Medical Review | Jun 17, 2021 | 5 Star, blog, Falls, Nursing, Quality Measure
While often preventable, falls continue to be the leading cause of both fatal and nonfatal injuries in older adults. Per the Centers for Disease Control and Prevention, each year, a typical nursing home with 100 beds reports 100 to 200 falls, with even more falls...
by Proactive Medical Review | Jun 1, 2021 | blog, COVID-19, MDS, Quality Measure
To manage COVID-19 transmission among residents, nursing facilities had to enforce social distancing between residents, their family and friends, and in certain circumstances, even residents and caregivers. The extended quarantine caused social isolation with adverse...
by Proactive Medical Review | May 24, 2021 | 5 Star, blog, QAPI, Quality Measure, Regulatory
QAPI programs help to solidify strong processes for identifying and prioritizing problems and opportunities, and sustaining progress on quality objectives long term. QAPI work plans target organizational process, functions, and services provided to residents based...
