New York State Nursing Home Quality Pool. New York State Department of Health May 2, 2012

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "New York State Nursing Home Quality Pool. New York State Department of Health May 2, 2012"

Transcription

1 New York State Nursing Home Quality Pool New York State Department of Health May 2,

2 Overview First meeting in January discussed performance measurement for the Quality Pool Materials were sent to DOH by interested parties DOH has reviewed the material as well as additional research At the January meeting there was consensus to define the Quality Pool as four domains 2

3 Structure of the Quality Pool Quality Utilize MDS 3.0 Quality measures Two NYS-specific measures Satisfaction CMS Quality Indicator Survey (QIS) Or another survey Compliance QIS surveillance data Timely and accurate submission of cost reports Employee Flu Immunization data Avoidable Hospitalizations Short Stay Long Stay 3

4 Quality Measures Why Certain Measures were Selected? Focused on measures that assess quality for Long Stay residents Initially, we will utilize existing quality measures from existing data MDS 3.0 Data on staffing from cost reports Data from immunization reports Strived for a balance between process and outcome measures 4

5 Quality Measures Source Risk Adjusted by NYS 1 Percent of Residents Who Have/Had a Catheter Inserted and Left in Their CMS Bladder 2 Percent of Long Stay Residents with a Urinary Tract Infection CMS a 3 Percent of Long Stay Residents Who Lose Too Much Weight CMS 4 Percent of Residents Whose Need for Help with Daily Activities Has Increased CMS 5 Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowels or CMS Bladder 6 Percent of Residents Who Self-Report Moderate to Severe Pain CMS a 7 Percent of Long Stay Residents Assessed and Given, Appropriately, the CMS Seasonal Influenza Vaccine. 8 Percent of Long Stay Residents Assessed and Given, Appropriately, the CMS Pneumococcal Vaccine. 9 Percent of Residents Experiencing One or More Falls with Major Injury CMS 10 Percent of Residents Who have Depressive Symptoms. CMS 11 Annual Percent Turnover of RN, LPN and CNAs from Annual Cost Reports NYS 5 12 Percent of Employees vaccinated for the Flu Annually reported to Bureau of Immunization NYS

6 Quality Measure Annualized Percent Turnover Utilize turnover data submitted as part of the annual cost reports Formula from Advancing Excellence Assessing non-contract staff (RN, CNA, LP, lines 1-5) % turnover= total number of terminations during 12 months / average number of staff during 12 months 6

7 Quality Measures Not Selected This is a Starting Point Process will be refined and reevaluated each year Proposed list crosses different functional and clinical needs Quality measures (N=12) More can be added in the future if appropriate Staffing Ratio measure Appropriate benchmark Attempt to align with national and state measures that have been already tested and reported 7

8 Issues for Discussion related to Quality Measurement Measurement year? MDS 3.0 data available from October 2010 forward New assessment form Nursing Home ranking by NYS Percentiles Similar to data on the DOH website on nursing home quality Risk Adjustment by NYS Not by CMS Only NYS Nursing Homes data (covariates) included in Risk Adjustment 8

9 Satisfaction Current Data Available: QIS QIS Stage I provides for initial review of resident, family and staff interviews. Small sample of respondents. QIS responses are yes/no and are not Satisfaction with Care type of questions Examples from Resident interview.. Dignity QP212 Do you feel the staff treats you with respect and dignity? For example, does staff take the time to listen to you and are staff helpful when you request assistance? (The focus of this question is how well staff interacts with the resident.) No Yes Sufficient Staff QP232 Do you feel there is enough staff available to make sure you get the care and assistance you need without having to wait a long time? No Yes 9

10 Issues for Discussion related to Satisfaction QIS is utilized in NYS by approximately 60% of Nursing homes Lag in onsite survey Survey occurs every 9-15 months Other options/suggestions? Separate survey? A Possible Satisfaction Measure is being proposed by CMS Recommendation: Since QIS is not complete for all nursing homes, we propose to not include satisfaction results in year 1 of the Quality Pool 10

11 Compliance QIS surveillance data Timely and accurate submissions of annual cost reports Employee Flu immunization reporting If deficiency data shows a level J/K/L deficiency, home is automatically excluded from the Quality Pool 11

12 Issues for Discussion related to Compliance Lag in onsite survey Survey occurs every 9-15 months QIS is utilized in NYS by approximately 60% of Nursing homes 12

13 Avoidable Hospitalizations: Background A number of studies have found that a sizeable number of hospitalizations from nursing homes might have been avoided. Hospitalizations of nursing home residents can be disruptive, disorienting, and even dangerous Risks of medication errors and hospital-acquired infections Hospital episodes may be especially difficult for residents with dementia Preventing such hospitalizations whenever possible is viewed as an important quality-improvement objective for nursing homes. Hospitalizations from nursing homes are also expensive One study here in New York found that in 2004 roughly 23% of the 972 million dollars spent on hospitalizations from nursing homes were attributable to conditions that might have been treated in the nursing home without hospitalization. 13

14 Current Initiatives to Reduce Hospitalization of Nursing Home Residents CMS is sponsoring programs to reduce hospitalizations from nursing homes The Nursing Home Value Based Purchasing (NHVBP) demonstration ties financial incentives to performance level or improvement across four sets of performance measures One of these performance measures is avoidable hospitalizations Arizona, New York, and Wisconsin are participating in this demonstration The Initiatives to Reduce Avoidable Hospitalizations Among Nursing Facility Residents will select eligible organizations to test evidence-based clinical interventions to: Reduce the frequency of avoidable hospital admissions Improve resident health outcomes Improve the process of transitioning between inpatient hospitals and nursing facilities Reduce overall health care spending without restricting access to care or providers 14

15 Proposed Nursing Home Preventable Hospitalization Quality Indicator We propose to develop a potentially preventable hospitalization quality indicator that is patterned after the methodology developed in the NHVBP demonstration Four major components of this methodology Defining episodes of care in the nursing home Defining the number of potentially preventable hospitalizations during each episode Defining the medical conditions that described the resident s condition during each episode Developing a risk-adjustment methodology that permits comparison between nursing facilities in terms of potentially preventable hospitalizations 15

16 Episodes of Care A nursing home episode will begin with a nursing home admission and will end when the resident resides in the community for at least 30 days is discharged to another nursing home is deceased We will define two types of episodes: short stay and long stay episodes A short stay resident typically enters a nursing home following a hospital stay and needs skilled nursing care or rehabilitation for a short period before returning to the community Short stay episodes are those where the resident resides in the nursing home for less than 90 days A long stay resident typically requires chronic care for extended periods Long stay episodes are these where the resident resides in the nursing home for at least 90 days 16

17 Episodes of Care (continued) We will use MDS data to define episodes of care We will use all assessments that took place between October 1, 2009 and September 30, 2010 to define these episodes Some episodes will begin prior to October 1, 2009 and will continue past September 30, 2010 To define short stay and long stay episodes, we will only consider nursing home days within our study period. 17

18 Potentially Avoidable Hospitalizations (PAHs) For all episodes, the number of hospital admissions for the resident during the episode will be identified. If the episode ended in a discharge, any hospital admissions that took place within 3 days of the discharge will be included Medicaid claims, Medicare claims, and SPARCS data will be used to identify hospital inpatient events and associated conditions A hospitalization will be considered potentially avoidable if any one of the following conditions was present during the hospitalization For short and long term episodes: heart failure, respiratory infection, electrolyte imbalance, sepsis, or urinary tract infection For long term episodes also include anemia 18

19 Two PAH Measures For short term episodes, the measure will be the number of potentially avoidable hospitalizations per short term episode during the 12 month period. For long term episodes, the measure will be the number of potentially avoidable hospitalizations per 100 long term episode days 19

20 Medical Conditions We will develop measures that describe the resident and any medical conditions present immediately before or during the episode. We will use these measures in our risk adjustment models These measures will include: Demographic items. For all episodes, we will calculate the resident s age at the beginning of the episode and include and indicator for gender. MDS data will be used for these Comorbidities. For each episode, we will include indicators for the following conditions: Myocardial Infarction Congestive Heart Failure Peripheral Vascular Disease Cerebrovascular Disease Dementia Chronic Pulmonary Disease Rheumatolic Disease Peptic Ulcer Disease Mild Liver Disease Diabetes with and without Complications Paraplegia and Hemiplegia Renal Disease Cancer/Leukemia Moderate or Severe Liver Disease Metastatic Carcinoma AIDs/HIV We will use inpatient and outpatient claims beginning 12 months prior to the start of the episode (and within 3 days of the end of the episode) and MDS data during the episode to determine the presence or absence of each of these conditions. These items will be weighted and a comorbidity index will be calculated 20

21 Medical Conditions (continued) Additional items based on MDS data during the episode include the presence or absence of Pneumonia Urinary Tract Infection Pressure ulcers Oral feeding tubes Septicemia (long stay episodes only) Parenteral/IV nutrition (long stay episodes only) Indwelling Catheter (long stay episodes only) Antibiotic resistant infection (long stay episodes only) Advanced Directive, DNR (long stay episodes only) Whether or not an inpatient hospitalization took place in the 90 days prior to the start of the episode (long stay episodes only) 21

22 Resident s Condition: Functional Status We will also use a measure of the resident s functional status based on MDS data during the episode. The functional status measure will assess the resident s independence or need for assistance in the following areas Feeding Transfer Grooming Toileting Bathing Walking Dressing Bowel incontinence Bladder incontinence These items will be weighted and summed to form and index that describes the resident s functional level during the episode. 22

23 Risk-Adjustment Methodology The medical condition and functional status indicators will be used to calculate the probability of avoidable hospitalizations during the episode. Separate regression models will be fit for short term episodes and long term episodes. The result of these analyses will be that each episode has a predicted probability of a potentially avoidable hospitalization based on the demographic, medical condition, and functional status of the resident before and during the episode. For all episodes within each nursing facility, these predicted probabilities can be summed to estimate the predicted number of potentially avoidable hospitalizations in the facility, given the characteristics of the facility s patients At this point a number of strategies exist to compare each facility s actual performance to their predicted performance No final decisions have been made regarding which of these strategies will be pursued 23

24 Preventable Hospitalization: Conclusion This approach mirrors the methodology used by CMS to define and assess potentially avoidable hospitalizations in their NHVBP demonstration We selected this methodology because: It focuses on an outcome of care that is widely recognized as important The outcome can be measured using existing data sources The methodology is rigorous and permits extensive risk-adjustment so that nursing home outcomes can be compared We plan to base our standard of performance on New York State data only, not on national data This is a work in progress, and much work remains to be done before outcomes can be described. Any comments and suggestions will be considered as the project progresses 24

25 Quality Pool Scoring Quality Measures - 60 points Satisfaction - 0 points in year 1 Compliance - 20 points Avoidable Hospitalizations - 20 points 100 points total 25

26 Scoring Details For each of the 12 quality measures: 5 points for measure in the top quintile 3 points for measure in the 2 nd quintile 1 point for measure in the 3 rd quintile 0 points for measure in the 4 th or bottom quintile Compliance Using information from Scope and Severity grid as well as data submission completeness and accuracy, 20 Compliance points will be awarded Avoidable Hospitalizations 10 points for each of the two measures that are statistically below the statewide average (lower is better) 5 points for each measure at the statewide average 0 points for each measure that are statistically higher that the statewide average 26

27 Exclusions Facilities that will be excluded from the Quality Pool Non-Medicaid Facilities Special Focus Facilities Continuing Care Retirement Unit (CCRC) Facilities Transitional Care Units If deficiency data shows a level J/K/L deficiency, home is automatically excluded from the Quality Pool Determination of Fraud or abuse 27

28 Next Steps Comments on Proposal Year 1 Pay for Reporting. Per Diem Rate Reduction for facilities that have not sent in reliable data for: Timely and Accurate Cost report (including staffing information) Employee Flu Immunization data If deficiency data showed a level J/K/L deficiency, home will be automatically excluded from quality pool Year 2 Quality Pool based on Quality Pool Investigate satisfaction options Refine risk adjustment for two quality measures using New York State data only 28

Trends in Publicly Reported Nursing Facility Quality Measures

Trends in Publicly Reported Nursing Facility Quality Measures Trends in Publicly Reported Nursing Facility Quality Measures American Health Care Association Reimbursement and Research Department January 2011 Trends in Publicly Reported Nursing Facility Quality Measures

More information

Objectives. Objectives. The Facility Compliance Program Handbook 3/11/2016. Training 1

Objectives. Objectives. The Facility Compliance Program Handbook 3/11/2016. Training 1 Understanding the Five Star Quality Rating System Design For Nursing Home Compare Nathan Shaw RN, BSN, MBA, LHRM, RAC CT 3.0 Director of Clinical Reimbursement March 23rd, 2015 Objectives Objectives Provide

More information

Five Star Rating System Tip Sheet

Five Star Rating System Tip Sheet Five Star Rating System Tip Sheet In December 2008, The Centers for Medicare & Medicaid Services (CMS) enhanced its Nursing Home Compare public reporting site to include a set of quality ratings for each

More information

Learning Objectives 4/19/2016. The Five-Star Ratings Have Changed IMPROVING YOUR CMS FIVE-STAR QUALITY RATING KAY HASHAGEN, PT, MBA, RAC-CT

Learning Objectives 4/19/2016. The Five-Star Ratings Have Changed IMPROVING YOUR CMS FIVE-STAR QUALITY RATING KAY HASHAGEN, PT, MBA, RAC-CT IMPROVING YOUR CMS FIVE-STAR QUALITY RATING KAY HASHAGEN, PT, MBA, RAC-CT Learning Objectives How to analyze the current Star Rating in each area Evaluate current operations to determine the most critical

More information

Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis

Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis Methodology: 8 respondents The measures are incorporated into one of four sections: Highly

More information

HCANJ. 44 th Annual 20-Hour Symposium March 16, 2016 FIVE-STAR RATING SYSTEM & QUALITY MEASURES

HCANJ. 44 th Annual 20-Hour Symposium March 16, 2016 FIVE-STAR RATING SYSTEM & QUALITY MEASURES HCANJ 44 th Annual 20-Hour Symposium March 16, 2016 FIVE-STAR RATING SYSTEM & QUALITY MEASURES NELIA ADACI RNC, BSN, CDONA, C-NE, RAC-CT VICE PRESIDENT, The CHARTS Group LEARNING OBJECTIVES: CURRENT 5-STAR

More information

Quarterly Resident Meeting May 2009 Insurance Letter----read your contract; direct questions to the Manager of Resident Services (social worker) Swine Flu informational letter from Dr. Ken Brubaker, our

More information

Peer Coaching: Leaders of Change

Peer Coaching: Leaders of Change Peer Coaching: Leaders of Change Part 3 Understanding CASPER Reports Disclaimer Nursing homes should always use: Resident Assessment Instrument User s Manual (RAI) MDS30Q 3.0 Quality Measures User s Manual

More information

SUMMARY OF THE CHANGES TO FIVE STAR ANNOUNCED BY CMS. Mark Parkinson AHCA/NCAL President & CEO All member call February 13 th, 2015

SUMMARY OF THE CHANGES TO FIVE STAR ANNOUNCED BY CMS. Mark Parkinson AHCA/NCAL President & CEO All member call February 13 th, 2015 SUMMARY OF THE CHANGES TO FIVE STAR ANNOUNCED BY CMS Mark Parkinson AHCA/NCAL President & CEO All member call February 13 th, 2015 AHCA Requests to CMS Do not go back to a curve Phase in any changes Rebasing

More information

Background. Quality Measures. Onsite Inspections. Staffing Levels. July 19, 2012 4/16/2015. 5 STAR How Does the MDS Impact It?

Background. Quality Measures. Onsite Inspections. Staffing Levels. July 19, 2012 4/16/2015. 5 STAR How Does the MDS Impact It? Background 5 STAR How Does the MDS Impact It? Carol Siem Clinical Educator QIPMO December 18, 2008 Five Star Quality Rating System was added to the Nursing Home Compare website Onsite inspections Quality

More information

Understanding CMS 5-Star Rating System

Understanding CMS 5-Star Rating System Understanding CMS 5-Star Rating System Michelle M. Pandolfi, LMSW, MBA, LNHA, PMP Director, Consulting Services Qualidigm This material was prepared by the New England Quality Innovation Network-Quality

More information

Bradley N. Shiverick. Senior Vice President Healthcare Analytics. bshiverick@teamtsi.com Office 256.279.6802 cell 256.677.8546

Bradley N. Shiverick. Senior Vice President Healthcare Analytics. bshiverick@teamtsi.com Office 256.279.6802 cell 256.677.8546 Bradley N. Shiverick Senior Vice President Healthcare Analytics bshiverick@teamtsi.com Office 256.279.6802 cell 256.677.8546 Need Help? [Toll Free] 800.765.8998 support@teamtsi.com Agenda Five Star Rating

More information

Chapter Seven Value-based Purchasing

Chapter Seven Value-based Purchasing Chapter Seven Value-based Purchasing Value-based purchasing (VBP) is a pay-for-performance program that affects a significant and growing percentage of Medicare reimbursement for medical providers. It

More information

UNDERSTANDING THE REPORTS

UNDERSTANDING THE REPORTS 3 UNDERSTANDING THE REPORTS KEY CONCEPTS AND TERMS...2 A QUICK GUIDE TO THE QIS/QMS...3 CHRONIC CARE MEASURES...4 POST-ACUTE CARE (PAC) MEASURES...9 COMPARISON OF OLD AND NEW RECORD SELECTION METHODS FOR

More information

Five-Star Nursing Home Quality Rating System

Five-Star Nursing Home Quality Rating System Five-Star Nursing Home Quality Rating System This is a summary of the information contained in the CMS Technical User s Guide July 2012. The guide in its entirety can be found at CMS.gov. Since the launch

More information

Nursing Home Compare Five-Star Quality Rating System: Year Five Report [Public Version]

Nursing Home Compare Five-Star Quality Rating System: Year Five Report [Public Version] Nursing Home Compare Five-Star Quality Rating System: Year Five Report [Public Version] Final Report June 16, 2014 Prepared for Centers for Medicare & Medicaid Services (CMS) AGG/Research Contracts & Grants

More information

Consumer Satisfaction and Quality of Life Survey What s Next?

Consumer Satisfaction and Quality of Life Survey What s Next? 4/18/2016 Consumer Satisfaction and Quality of Life Survey What s Next? VALERIE COOKE MN DEPARTMENT OF HUMAN SERVICES NURSING FACILITY RATES AND POLICY DIVISION MANAGER, QUALITY AND RESEARCH VALERIE.COOKE@STATE.MN.US

More information

Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment

Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Donna Zazworsky, RN, MS, CCM, FAAN Vice President: Community Health and Continuum Care Carondelet Health

More information

Medicare Value-Based Purchasing Programs

Medicare Value-Based Purchasing Programs By Jane Hyatt Thorpe and Chris Weiser Background Medicare Value-Based Purchasing Programs To improve the quality of health care delivered to Medicare beneficiaries, the Centers for Medicare and Medicaid

More information

9/28/2015. Nursing Home Quality Measures - Achieving 5 Stars. Nursing Home Quality Measures Achieving 5 Stars

9/28/2015. Nursing Home Quality Measures - Achieving 5 Stars. Nursing Home Quality Measures Achieving 5 Stars Welcome the webinar will begin shortly! Nursing Home Quality Measures - Achieving 5 Stars Audio for this presentation is being broadcast, so if you have not already done so, please enable the sound on

More information

Using Objective Measures to Facilitate Rehabilitation Referral

Using Objective Measures to Facilitate Rehabilitation Referral Using Objective Measures to Facilitate Rehabilitation Referral Mark Bayley MD, FRCPC Medical Director, Neuro Rehabilitation Program, Toronto Rehabilitation Institute Associate Professor, Division of Physiatry,

More information

THE AFFORDABLE CARE ACT ITS EFFECTS ON RESPIRATORY CARE & SLEEP DEPARTMENTS

THE AFFORDABLE CARE ACT ITS EFFECTS ON RESPIRATORY CARE & SLEEP DEPARTMENTS THE AFFORDABLE CARE ACT ITS EFFECTS ON RESPIRATORY CARE & SLEEP DEPARTMENTS SHANE KEENE, DHSC, RRT- NPS, CPFT, RPSGT, RST DEPARTMENT HEAD, ANALYTICAL AND DIAGNOSTIC SCIENCES UNIVERSITY OF CINCINNATI Mr.

More information

Medicare Advantage Risk Adjustment Data Validation CMS-HCC Pilot Study. Report to Medicare Advantage Organizations

Medicare Advantage Risk Adjustment Data Validation CMS-HCC Pilot Study. Report to Medicare Advantage Organizations Medicare Advantage Risk Adjustment Data Validation CMS-HCC Pilot Study Report to Medicare Advantage Organizations JULY 27, 2004 JULY 27, 2004 PAGE 1 Medicare Advantage Risk Adjustment Data Validation CMS-HCC

More information

Nursing Quality: Measurement and Improvement

Nursing Quality: Measurement and Improvement Nursing Quality: Measurement and Improvement This self-directed learning module contains information you are expected to know to protect yourself, our patients, and our guests. Target Audience: CMC and

More information

CENTER OF EXCELLENCE IN REHABILITATION SERVICES. Policies Standards Survey Process

CENTER OF EXCELLENCE IN REHABILITATION SERVICES. Policies Standards Survey Process CENTER OF EXCELLENCE IN REHABILITATION SERVICES Policies Standards Survey Process INTRODUCTION The CIHQ Center of Excellence in Rehabilitation Services program recognizes specialized inpatient rehabilitation

More information

Achieving Quality and Value in Chronic Care Management

Achieving Quality and Value in Chronic Care Management The Burden of Chronic Disease One of the greatest burdens on the US healthcare system is the rapidly growing rate of chronic disease. These statistics illustrate the scope of the problem: Nearly half of

More information

Characterisation of a Palliative Care Population in a Comprehensive Cancer Centre

Characterisation of a Palliative Care Population in a Comprehensive Cancer Centre Characterisation of a Palliative Care Population in a Comprehensive Cancer Centre Kirstine Skov Benthien, Mie Nordly, Katja Videbæk, Lisbeth Grave Bendixen, Louise Christoffersen, Hans von der Maase, Geana

More information

Consumer Fact Sheet. A Consumer Guide to Choosing A Nursing Home. First, Explore Alternatives

Consumer Fact Sheet. A Consumer Guide to Choosing A Nursing Home. First, Explore Alternatives A Consumer Guide to Choosing A Nursing Home August 2009 Consumer Fact Sheet NCCNHR: The National Consumer Voice for Quality Long-Term Care knows that placing a loved one in a nursing home is one of the

More information

Overview of the Hospital Value-Based Purchasing (VBP) Fiscal Year (FY) 2017

Overview of the Hospital Value-Based Purchasing (VBP) Fiscal Year (FY) 2017 Overview of the Hospital Value-Based Purchasing (VBP) Fiscal Year (FY) 2017 Bethany Wheeler Hospital VBP Program Support Contract Lead HSAG February 17, 2015 2 p.m. ET Purpose This event will provide an

More information

Texas Medicaid Managed Care and Children s Health Insurance Program

Texas Medicaid Managed Care and Children s Health Insurance Program Texas Medicaid Managed Care and Children s Health Insurance Program External Quality Review Organization Summary of Activities and Trends in Healthcare Quality Contract Year 2013 Measurement Period: September

More information

CMS Office of Public Affairs 202-690-6145 MEDICARE PROPOSES NEW HOSPITAL VALUE-BASED PURCHASING PROGRAM

CMS Office of Public Affairs 202-690-6145 MEDICARE PROPOSES NEW HOSPITAL VALUE-BASED PURCHASING PROGRAM For Immediate Release: Friday, January 07, 2011 Contact: CMS Office of Public Affairs 202-690-6145 MEDICARE PROPOSES NEW HOSPITAL VALUE-BASED PURCHASING PROGRAM OVERVIEW: Today the Centers for Medicare

More information

Narrow network health plans: New approaches to regulating adequacy and transparency. Michael S. Adelberg

Narrow network health plans: New approaches to regulating adequacy and transparency. Michael S. Adelberg Compliance TODAY October 2015 a publication of the health care compliance association www.hcca-info.org Combating healthcare fraud in New Jersey an interview with Paul J. Fishman United States Attorney

More information

Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased.

Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased. Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased. This graph shows the percent of residents whose need for help doing basic daily tasks

More information

Under Medicare s value-based purchasing (VBP) program,

Under Medicare s value-based purchasing (VBP) program, RESEARCH HCAHPS survey results: Impact of severity of illness on hospitals performance on HCAHPS survey results James I. Merlino, MD, FACS, FASCRS a, Carmen Kestranek b, Daniel Bokar b, Zhiyuan Sun, MS,

More information

Technical Guide to the CalQualityCare.org Ratings: Nursing Facilities. May 2015

Technical Guide to the CalQualityCare.org Ratings: Nursing Facilities. May 2015 Technical Guide to the CalQualityCare.org Ratings: Nursing Facilities May 2015 Charlene Harrington, PhD, RN Janis O Meara, MPA Leslie Ross, PhD University of California San Francisco Department of Social

More information

See page 331 of HEDIS 2013 Tech Specs Vol 2. HEDIS specs apply to plans. RARE applies to hospitals. Plan All-Cause Readmissions (PCR) *++

See page 331 of HEDIS 2013 Tech Specs Vol 2. HEDIS specs apply to plans. RARE applies to hospitals. Plan All-Cause Readmissions (PCR) *++ Hospitalizations Inpatient Utilization General Hospital/Acute Care (IPU) * This measure summarizes utilization of acute inpatient care and services in the following categories: Total inpatient. Medicine.

More information

Nursing Home Pay-for- Performance

Nursing Home Pay-for- Performance Nursing Home Pay-for- Performance David C. Grabowski, PhD Harvard Medical School The opinions presented here are those of the author and do not necessarily represent the views or policies of the Centers

More information

MDS 3.0 QUALITY MEASURE (QM) REPORTS

MDS 3.0 QUALITY MEASURE (QM) REPORTS 11 MDS 3.0 QUALITY MEASURE (QM) REPORTS GENERAL INFORMATION...2 INTRODUCTION...2 SUPPORTING QM CONCEPTS...2 ACCESSING THE MDS 3.0 QM REPORTS...4 MDS 3.0 FACILITY CHARACTERISTICS REPORT...5 MDS 3.0 FACILITY

More information

Annual Quality Report. and Rehabilitation Facilities

Annual Quality Report. and Rehabilitation Facilities 2011 Annual Quality Report A Comprehensive Report on the Quality of Care in America s Nursing and Rehabilitation Facilities Table of Contents Executive Summary... 2 Next Steps in Nursing Home Quality

More information

11/2/2015 Domain: Care Coordination / Patient Safety

11/2/2015 Domain: Care Coordination / Patient Safety 11/2/2015 Domain: Care Coordination / Patient Safety 2014 CT Commercial Medicaid Compared to 2012 all LOB Medicaid Quality Compass Benchmarks 2 3 4 5 6 7 8 9 10 Documentation of Current Medications in

More information

A New Quality Adjustment Methodology for Nursing Home Price Indexes i

A New Quality Adjustment Methodology for Nursing Home Price Indexes i A New Quality Adjustment Methodology for Nursing Home Price Indexes i Michael A. Agliata* John L. Lucier* U.S. Bureau of Labor Statistics 2 Massachusetts Avenue NE Washington, DC 20212 August 8, 2003 *

More information

Thank You for Joining!

Thank You for Joining! Thank You for Joining! New England Nursing Home Quality Care Collaborative Massachusetts Learning & Sharing Webinar: QAPI Data Techniques August 25, 2015 Call-In Number: 855-309-6568 Access Code: 7523186

More information

National Provider Call: Hospital Value-Based Purchasing (VBP) Program

National Provider Call: Hospital Value-Based Purchasing (VBP) Program National Provider Call: Hospital Value-Based Purchasing (VBP) Program Fiscal Year 2016 Overview for Beneficiaries, Providers and Stakeholders Cindy Tourison, MSHI Lead, Hospital Inpatient Quality Reporting

More information

Hospital Value-based Purchasing Specifications 2016 Updated August 2015

Hospital Value-based Purchasing Specifications 2016 Updated August 2015 Description Methodology Measurement Period Allowable Exclusions Total Performance Score Individual measures CMS incentive program for PPS hospitals. The purpose is to achieve value by tying payment to

More information

MEDICARE NURSING HOME RESIDENT HOSPITALIZATION RATES MERIT ADDITIONAL MONITORING

MEDICARE NURSING HOME RESIDENT HOSPITALIZATION RATES MERIT ADDITIONAL MONITORING Department of Health and Human Services OFFICE OF INSPECTOR GENERAL MEDICARE NURSING HOME RESIDENT HOSPITALIZATION RATES MERIT ADDITIONAL MONITORING Daniel R. Levinson Inspector General November 2013 OEI-06-11-00040

More information

Wyoming Nursing Facility Extraordinary Care Criteria

Wyoming Nursing Facility Extraordinary Care Criteria Wyoming Nursing Facility Extraordinary Care Criteria Recipients who have an MDS Activities of Daily Living Sum score of ten (10) or more and require special care or clinically complex care as recognized

More information

STATISTICAL BRIEF #151

STATISTICAL BRIEF #151 HEALTHCARE COST AND UTILIZATION PROJECT STATISTICAL BRIEF #151 Agency for Healthcare Research and Quality March 2013 Trends in Potentially Preventable Hospital Admissions among Adults and Children, 2005

More information

The Role of The Physician In Improving Nursing Home Quality. Jonathan M. Evans MD MPH CMD President, AMDA

The Role of The Physician In Improving Nursing Home Quality. Jonathan M. Evans MD MPH CMD President, AMDA The Role of The Physician In Improving Nursing Home Quality Jonathan M. Evans MD MPH CMD President, AMDA Questions For Discussion: What should residents and families expect from their physician in the

More information

Design for Nursing Home Compare Five-Star Quality Rating System: Technical Users Guide. March 2009

Design for Nursing Home Compare Five-Star Quality Rating System: Technical Users Guide. March 2009 Design for Nursing Home Compare Five-Star Quality Rating System: Technical Users Guide March 2009 (Revised April 1) Introduction The Centers for Medicare & Medicaid Services (CMS) has enhanced its Nursing

More information

Department of Geriatrics

Department of Geriatrics OUTCOMES Division of Medicine Department of Geriatrics About Cleveland Clinic Florida Cleveland Clinic Florida s medical staff are dedicated physicians who have joined the clinic as salaried doctors to

More information

2013 MEDICARE FEE-FOR-SERVICE QUALITY AND RESOURCE USE REPORT

2013 MEDICARE FEE-FOR-SERVICE QUALITY AND RESOURCE USE REPORT 2013 MEDICARE FEE-FOR-SERVICE QUALITY AND RESOURCE USE REPORT Sample Medical Practice Last Four Digits of Your Taxpayer Identification Number (TIN): 1530 ABOUT THIS REPORT FROM MEDICARE WHAT This Quality

More information

2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY

2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY Measure #218 (NQF 0423): Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Hip Impairments National Quality Strategy Domain: Communication and Care Coordination 2016 PQRS

More information

Clinical Coverage Criteria Extended Care Facility

Clinical Coverage Criteria Extended Care Facility Clinical Coverage Criteria Extended Care Facility Document Number: 018 Commercial MassHealth* Commonwealth Care Authorization required X X X Notification within 24 hours of service or next business day

More information

The Strategic Way to Manage Healthcare Performance Data analytics and benchmarking

The Strategic Way to Manage Healthcare Performance Data analytics and benchmarking The Strategic Way to Manage Healthcare Performance Data analytics and benchmarking Value Based Purchasing Begins in 2016 Will You Be Ready? Chris Attaya VP of Business Intelligence, Strategic Healthcare

More information

Understanding the 5-Star Ratings and Quality Measures

Understanding the 5-Star Ratings and Quality Measures Understanding the 5-Star Ratings and Quality Measures Erica Holman, LMSW, LNHA, CDP Evolucent Risk Management Consultant Learner Objectives Describe the CMS 5-Star Rating system Define the relationship

More information

Section H Bladder and Bowel

Section H Bladder and Bowel Section Bladder and Bowel Intent To gather information on the use of bowel and bladder appliances, the use of and response to urinary toileting programs, urinary and bowel continence, bowel training programs,

More information

Medicare Long-Term Care Hospital Prospective Payment System

Medicare Long-Term Care Hospital Prospective Payment System Medicare Long-Term Care Hospital Prospective Payment System May 5, 2015 Payment Rule Brief PROPOSED RULE Program Year: FFY 2016 Overview, Resources, and Comment Submission On May 17, the Centers for Medicare

More information

Referral Form. Mailing Address City State Zip Code. Email Phone Pager PART A. Requested Placement Acute Rehabilitation Palliative Care

Referral Form. Mailing Address City State Zip Code. Email Phone Pager PART A. Requested Placement Acute Rehabilitation Palliative Care Referral Form Admissions Office 415.682-5683 Fax 415.682-5689 lhh.referral@sfdph.org 375 Laguna Honda Blvd. San Francisco, CA 94116 www.lagunahonda.org Please fill out this form completely. Parts A, B,

More information

Value-Based Purchasing Program Overview. Maida Soghikian, MD Grand Rounds Scripps Green Hospital November 28, 2012

Value-Based Purchasing Program Overview. Maida Soghikian, MD Grand Rounds Scripps Green Hospital November 28, 2012 Value-Based Purchasing Program Overview Maida Soghikian, MD Grand Rounds Scripps Green Hospital November 28, 2012 Presentation Overview Background and Introduction Inpatient Quality Reporting Program Value-Based

More information

Virginia s Healthy Returns Alternative Benefit Design

Virginia s Healthy Returns Alternative Benefit Design Virginia s Healthy Returns Alternative Benefit Design Presentation to the: National Governors Association s Center for Best Practices: State Defined Benefit Package Workshop Patrick W. Finnerty, Director

More information

Performance Evaluation Report CalViva Health July 1, 2011 June 30, 2012. Medi-Cal Managed Care Division California Department of Health Care Services

Performance Evaluation Report CalViva Health July 1, 2011 June 30, 2012. Medi-Cal Managed Care Division California Department of Health Care Services Performance Evaluation Report CalViva Health July 1, 2011 June 30, 2012 Medi-Cal Managed Care Division California Department of Health Care Services June 2013 Performance Evaluation Report CalViva Health

More information

2016 Quality Assurance & Performance Improvement Plan

2016 Quality Assurance & Performance Improvement Plan HEALTH CARE COMMUNITIES POLICY STATEMENT 2016 Quality Assurance & Performance Improvement Plan DEPARTMENT(S): Quality Management/Compliance Org.: 01/01/16 Rev: 05/18/16 Vision: Where the Spirit creates

More information

b. Distinguish between different venues of senior residence c. Advocate the necessity of geriatrics as a true specialty

b. Distinguish between different venues of senior residence c. Advocate the necessity of geriatrics as a true specialty 1. Introduction/ Getting to know our Seniors a. Identify common concepts and key terms used when discussing geriatrics b. Distinguish between different venues of senior residence c. Advocate the necessity

More information

Oils. Heart-Healthy CONFERENCE ISSUE. American Heart Month. The Newest Trends in the Dairy-Free Aisle. Plan Healthful Vegan Diets

Oils. Heart-Healthy CONFERENCE ISSUE. American Heart Month. The Newest Trends in the Dairy-Free Aisle. Plan Healthful Vegan Diets CONFERENCE ISSUE Vol. 17 No. 2 February 2015 The Magazine for Nutrition Professionals Heart-Healthy Oils Learn about the latest varieties and science on the healthful fats they contain. American Heart

More information

There may be up to 5 to 6 million cases of. Treatment Costs of Community- Acquired Pneumonia in an Employed Population*

There may be up to 5 to 6 million cases of. Treatment Costs of Community- Acquired Pneumonia in an Employed Population* Treatment Costs of Community- Acquired Pneumonia in an Employed Population* Gene L. Colice, MD, FCCP; Melissa A. Morley, MA; Carl Asche, PhD; and Howard G. Birnbaum, PhD Background: Community-acquired

More information

Quality Measure Focus: Incontinence

Quality Measure Focus: Incontinence Quality Measure Focus: Incontinence Keith Chartier, MPH Clinical Project Manager Elaine Nelson, RN, RAC-CT Clinical Project Manager (HSAG) August 25, 2015 Objectives 2 1 How Would It Make You Feel? Embarrassed

More information

Integrating Data to Support Care Management Transformation

Integrating Data to Support Care Management Transformation Integrating Data to Support Care Management Transformation The Washington State Experience David Mancuso, PhD Director, Research and Data Analysis Division Washington State Department of Social and Health

More information

Wisconsin Money Follows the Person Sustainability Plan April 2015

Wisconsin Money Follows the Person Sustainability Plan April 2015 1. Executive Summary Wisconsin Money Follows the Person Sustainability Plan April 2015 For more than 30 years, Wisconsin has supported and promoted home and community-based services through a variety of

More information

Overview of Urinary Incontinence in the Long Term Care Setting

Overview of Urinary Incontinence in the Long Term Care Setting Overview of Urinary Incontinence in the Long Term Care Setting Management Strategies for the Nursing Assistant Ann M. Spenard RN, C, MSN Courtney Lyder ND, GNP Learning Objectives Describe common types

More information

Combining Traditional Statistical Methods with Data Mining Techniques for Predictive Modeling of Homecare Outcomes

Combining Traditional Statistical Methods with Data Mining Techniques for Predictive Modeling of Homecare Outcomes Combining Traditional Statistical Methods with Data Mining Techniques for Predictive Modeling of Homecare Outcomes Bonnie L. Westra, PhD, RN, Assistant Professor University of Minnesota, School of Nursing

More information

3/11/15. Can search by: Location City Zip code or Nursing home name

3/11/15. Can search by: Location City Zip code or Nursing home name Jeanne Manzi PharmD, CGP, FASCP Clinical Advisor, CVS/Caremark Dr. Manzi is a CVS/Caremark employee Any views or opinions mentioned in this presentation are solely those of the author and do not necessarily

More information

Quality Care in a Compassionate Environment

Quality Care in a Compassionate Environment Quality Care in a Compassionate Environment Dedicated to Your Care... Spring Gate Rehabilitation and Healthcare Center is dedicated to providing comprehensive skilled nursing care and rehabilitation, Alzheimer

More information

June 10, 2015. Dear Mr. Slavitt:

June 10, 2015. Dear Mr. Slavitt: 1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org June 10, 2015 Andrew M. Slavitt Acting Administrator Centers for Medicare &

More information

Corporate Medical Policy

Corporate Medical Policy Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: skilled_nursing_facility_care 02/2008 2/2015 2/2016 2/2015 Description of Procedure or Service A skilled

More information

NQS Priority #1: Making Care Safer by Reducing the Harm Caused in the Delivery of Care

NQS Priority #1: Making Care Safer by Reducing the Harm Caused in the Delivery of Care NQS Priority #: Making Care Safer by Reducing the Harm Caused in the Delivery of Care Measure: Hospital-acquired Conditions (HAC) Incidence of measurable hospital-acquired conditions 45 HACs per,000 admissions

More information

2.b.vii Implementing the INTERACT Project (Inpatient Transfer Avoidance Program for SNF)

2.b.vii Implementing the INTERACT Project (Inpatient Transfer Avoidance Program for SNF) 2.b.vii Implementing the INTERACT Project (Inpatient Transfer Avoidance Program for SNF) Project Objective: Skilled nursing facilities (SNFs) will implement the evidence based INTERACT program developed

More information

Human Capital Development & Education Program Proposal

Human Capital Development & Education Program Proposal Human Capital Development & Education Program Proposal Cardiology & Cardiovascular Surgery Emergency Medicine Respiratory Medicine Infection Control HMIS 1 (15 Courses) Module 1/2 1/15 Course Title : Management

More information

FY 16 MHAC Methodology Redesign HSCRC Performance Measurement Work Group February 20, 2014

FY 16 MHAC Methodology Redesign HSCRC Performance Measurement Work Group February 20, 2014 FY 16 MHAC Methodology Redesign HSCRC Performance Measurement Work Group February 20, 2014 1 Presentation Contents Background: Reason to change, guiding principles, timing Measurement Methodology Payment

More information

Medicare Supplement Application Aetna Life Insurance Company Aetna Administrator, P.O. Box 10374, Des Moines, IA 50306

Medicare Supplement Application Aetna Life Insurance Company Aetna Administrator, P.O. Box 10374, Des Moines, IA 50306 Medicare Supplement Application Aetna Administrator, P.O. Box 10374, Des Moines, IA 50306 INSTRUCTIONS: To be considered complete, all sections on this form must be filled out, unless marked optional.

More information

CONSUMER INFORMATION GUIDE: ASSISTED LIVING RESIDENCE

CONSUMER INFORMATION GUIDE: ASSISTED LIVING RESIDENCE CONSUMER INFORMATION GUIDE: ASSISTED LIVING RESIDENCE 1 TABLE OF CONTENTS Introduction 3 What is an Assisted Living Residence? 3 Who Operates ALRs? 4 Paying for an ALR 4 Types of ALRs and Resident Qualifications

More information

Medicare Drug Coverage Under Part A, Part B, and Part D

Medicare Drug Coverage Under Part A, Part B, and Part D Medicare Drug Coverage Under Part A, Part B, and Part D Medicare Part A and Part B generally do not cover outpatient prescription drugs, most of which are now covered under Part D. This document and the

More information

Senior Housing: Extension Opportunities Across the Continuum of Care

Senior Housing: Extension Opportunities Across the Continuum of Care Senior Housing: Extension Opportunities Across the Continuum of Care Senior housing includes a broad range of independent living, assisted living and nursing care properties operated as stand-alone, multi-property

More information

Substandard Underwriting Structured Settlements

Substandard Underwriting Structured Settlements Substandard Underwriting Structured Settlements Structures 101-Back to Basics February 20-22, 2013 Las Vegas, Nevada Rosemary Brindamour BSN CSSC Chief Medical Underwriter Structured Settlement Underwriting

More information

Goal 1; Objective B: Improve health care quality and patient safety: Performance measure

Goal 1; Objective B: Improve health care quality and patient safety: Performance measure TRUST FOR AMERICA S HEALTH COMMENTS ON THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) DRAFT STRATEGIC PLAN 2010 2015 Goal 1; Objective B: Improve health care quality and patient safety: Performance

More information

Medicare Agency profile

Medicare Agency profile Page 1 of 6 Print All Information Agency profile KEY: Services offered Services not offered Quality of patient care 4700 NW 2ND AVE, STE 402 RATON, FL 33431 (561) 989-0441 Add to my favorites Quality of

More information

Mar. 31, 2011 (202) 690-6145. Improving Quality of Care for Medicare Patients: Accountable Care Organizations

Mar. 31, 2011 (202) 690-6145. Improving Quality of Care for Medicare Patients: Accountable Care Organizations DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Media Affairs MEDICARE FACT SHEET FOR IMMEDIATE RELEASE

More information

Design for Nursing Home Compare Five-Star Quality Rating System: Technical Users Guide. February 2015

Design for Nursing Home Compare Five-Star Quality Rating System: Technical Users Guide. February 2015 Design for Nursing Home Compare Five-Star Quality Rating System: Technical Users Guide February 2015 Introduction In December 2008, The Centers for Medicare & Medicaid Services (CMS) enhanced its Nursing

More information

Results from the Commonwealth Fund s State Scorecard on Health System Performance Kansas in comparison to Iowa

Results from the Commonwealth Fund s State Scorecard on Health System Performance Kansas in comparison to Iowa Results from the Commonwealth Fund s State Scorecard on Health System Performance Kansas in comparison to Iowa Aiming Higher: Results from a State Scorecard on Health System Performance, published by the

More information

The Geriatric Nursing Leadership Academy: Outcomes Across the Care Continuum

The Geriatric Nursing Leadership Academy: Outcomes Across the Care Continuum The Geriatric Nursing Leadership Academy: Outcomes Across the Care Continuum Presenters: Deborah Cleeter, MSN, EdD, RN Claudia Beverly, PhD, RN, FAAN Irene Fleshner, MHSA, RN, FACHE Need for Geriatric

More information

Urinary Diversion: Ileovesicostomy/Ileal Loop/Colon Loop

Urinary Diversion: Ileovesicostomy/Ileal Loop/Colon Loop Urinary Diversion: Ileovesicostomy/Ileal Loop/Colon Loop Why do I need this surgery? A urinary diversion is a surgical procedure that is performed to allow urine to safely pass from the kidneys into a

More information

Improving Transitions Between Emergency Departments and Long Term Care

Improving Transitions Between Emergency Departments and Long Term Care Improving Transitions Between Emergency Departments and Long Term Care Mary T. Knapp RN, MSN/GNP, NHA, FAAN The Health Care Improvement Foundation January 21, 2014 Purpose of Presentation Provide and overview

More information

POAC CLINICAL GUIDELINE

POAC CLINICAL GUIDELINE POAC CLINICAL GUIDELINE Acute Pylonephritis DIAGNOSIS COMPLICATED PYELONEPHRITIS EXCLUSION CRITERIA: Male Known or suspected renal impairment (egfr < 60) Abnormality of renal tract Known or suspected renal

More information

STATISTICAL BRIEF #8. Conditions Related to Uninsured Hospitalizations, 2003. Highlights. Introduction. Findings. May 2006

STATISTICAL BRIEF #8. Conditions Related to Uninsured Hospitalizations, 2003. Highlights. Introduction. Findings. May 2006 HEALTHCARE COST AND UTILIZATION PROJECT STATISTICAL BRIEF #8 Agency for Healthcare Research and Quality May 2006 Conditions Related to Uninsured Hospitalizations, 2003 Anne Elixhauser, Ph.D. and C. Allison

More information

THE BENEFITS OF LIVING DONOR KIDNEY TRANSPLANTATION. feel better knowing

THE BENEFITS OF LIVING DONOR KIDNEY TRANSPLANTATION. feel better knowing THE BENEFITS OF LIVING DONOR KIDNEY TRANSPLANTATION feel better knowing your choice will help create more memories. Methods of Kidney Donation Kidneys for transplantation are made available through deceased

More information

SECTION 4 COSTS FOR INPATIENT HOSPITAL STAYS HIGHLIGHTS

SECTION 4 COSTS FOR INPATIENT HOSPITAL STAYS HIGHLIGHTS SECTION 4 COSTS FOR INPATIENT HOSPITAL STAYS EXHIBIT 4.1 Cost by Principal Diagnosis... 44 EXHIBIT 4.2 Cost Factors Accounting for Growth by Principal Diagnosis... 47 EXHIBIT 4.3 Cost by Age... 49 EXHIBIT

More information

REV UP Your Restorative Program for Quality! Susan LaGrange, RN, BSN, NHA Director of Education Pathway Health Services, Inc.

REV UP Your Restorative Program for Quality! Susan LaGrange, RN, BSN, NHA Director of Education Pathway Health Services, Inc. REV UP Your Restorative Program for Quality! Susan LaGrange, RN, BSN, NHA Director of Education Pathway Health Services, Inc. 1 Objectives After attending this presentation, the attendees will be able

More information

Presented by Kathleen S. Wyka, AAS, CRT, THE AFFORDABLE CA ACT AND ITS IMPACT ON THE RESPIRATORY C PROFESSION

Presented by Kathleen S. Wyka, AAS, CRT, THE AFFORDABLE CA ACT AND ITS IMPACT ON THE RESPIRATORY C PROFESSION Presented by Kathleen S. Wyka, AAS, CRT, THE AFFORDABLE CA ACT AND ITS IMPACT ON THE RESPIRATORY C PROFESSION At the end of this session, you will be able to: Identify ways RT skills can be utilized for

More information

Project Database quality of nursing (Quali-NURS)

Project Database quality of nursing (Quali-NURS) Project Database quality of nursing (Quali-NURS) Summary Introduction. The literature provides considerable evidence of a correlation between nurse staffing and patient outcomes across hospitals and countries

More information

FOR IMMEDIATE RELEASE. REPORT OF FINDINGS LEXINGTON OF ORLAND PARK- 14-040-9001 HUMAN RIGHTS AUTHORITY- South Suburban Region

FOR IMMEDIATE RELEASE. REPORT OF FINDINGS LEXINGTON OF ORLAND PARK- 14-040-9001 HUMAN RIGHTS AUTHORITY- South Suburban Region FOR IMMEDIATE RELEASE REPORT OF FINDINGS LEXINGTON OF ORLAND PARK- 14-040-9001 HUMAN RIGHTS AUTHORITY- South Suburban Region [Case Summary The Authority did not substantiate the complaint below. The public

More information

OKLAHOMA. Downloaded January 2011

OKLAHOMA. Downloaded January 2011 OKLAHOMA Downloaded January 2011 310:675 7 9.1. Written administrative policies and procedures (f) Emergency care shall be provided to residents in case of sudden illness or accident, including persons

More information