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Skilled Nursing Facility (SNF) Quality Reporting Program Measures and Technical Information

The IMPACT Act of 2014 requires the Secretary to implement specified clinical assessment domains using standardized (uniform) data elements to be nested within the assessment instruments currently required for submission by LTCH, IRF, SNF, and HHA providers. The Act further requires that CMS develop and implement quality measures from five quality measure domains using standardized assessment data.  In addition, the Act requires the development and reporting of measures pertaining to resource use, hospitalization, and discharge to the community. Through the use of standardized quality measures and standardized data, the intent of the Act, among other obligations, is to enable interoperability and access to longitudinal information for such providers to facilitate coordinated care, improved outcomes, and overall quality comparisons.

What are the SNF quality reporting measures?

In the following table you’ll find:

  • National Quality Forum (NQF) measure identification numbers and titles
  • Measures use in the SNF Quality Reporting Program
  • The Data Collection Timeframe for fiscal year 2018 Annual Percentage Update
  • Data Submission Deadlines

SNF QRP Assessment-Based Quality Measures

NQF Measure ID Measure Title Data Collection Timeframe Data Submission Deadline
NQF #0674 Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) 10/01/16-12/31/16 May 15, 2017
NQF #0678 Percent of Patients or Residents with Pressure Ulcers that are New or Worsened 10/01/16-12/31/16 May 15, 2017
NQF #2631 Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function 10/01/16-12/31/16 May 15, 2017


SNF QRP claims-based measures

Measure Data Source
Discharge to Community- Post Acute Care (PAC) Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)
Potentially Preventable 30-Days Post-Discharge Readmission Measure for Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Medicare FFS claims
Medicare Spending Per Beneficiary – Post-Acute Care (PAC) Skilled Nursing Facility Measure

All information retrieved from CMS at:

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