Welcome to the State of California 

Skilled Nursing Facility (SNF) Quality and Accountability Program

The State has developed a new Quality and Accountability Program for Skilled Nursing Facilities.  The California Department of Public Health (CDPH) is partnering with California Department of Health Care Services (DHCS) to implement this new program.  CDPH’s Center for Health Care Quality is assessing and scoring facility quality of care so that DHCS can use these scores to issue incentive payments. 

UPDATE:

Please note that facility scores and payment calculations, links provided below, are based on proposed methodologies that are pending DHCS State Plan Amendment approval. Bed day payment amounts reflected below are for illustrative purposes only and are tentative, pending final staffing audit determinations and A/AA citation determinations. Final amounts for State Fiscal Year (SFY) 2013 will be developed in early 2014. 

QASP Proposed Methodology

http://www.dhcs.ca.gov/services/medi-cal/Documents/DraftQASPPayments.xlsLeaving site

QASP Proposed Methodology

http://www.dhcs.ca.gov/services/medi-cal/Documents/QASPScoringMethodology.pdfPDFOpens in new window

New Measure Development

The Quality and Accountability Program is moving forward in establishing new measure selection criteria and evaluating potential new quality measures.  The below documents are part of that effort.

Health Services Advisory Group (HSAG) White Paper on Chemical Restraint Use for the California Department of Public HealthPDFOpens in new window

HSAG White Paper on Measuring Staffing Retention/Turnover in Skilled Nursing Facilities for the California Department of Public HealthPDFOpens in new window

HSAG Recommendation Paper on Olmstead Compliance Quality Measure for the California Department of Public HealthPDFOpens in new window

CDPH Measure Selection Criteria - FinalPDFOpens in new window

CDPH New Measure Recommendations - FinalPDFOpens in new window

CDPH New Measure Recommendations - Appendix EPDFOpens in new window

 

Resident Satisfaction Survey Implementation

The Quality and Accountability Program is implementing a Satisfaction Survey using nationally endorsed questionnaires to discharged residents and family members of current residents.  The below documents are provided here as templates for information purposes and not for use as part of the survey implementation.

California CAHPS Nursing Home Survey: Discharged Resident (English)PDFOpens in new window

California CAHPS Nursing Home Survey: Discharged Resident (Español)PDFOpens in new window

California CAHPS Nursing Home Survey: Family Member/ Caretaker (English)PDFOpens in new window

California CAHPS Nursing Home Survey: Family Member/ Caretaker (Español) PDFOpens in new window

 

Existing Quality Measures

The Quality and Accountability Program has examined and analyzed the use of MDS data and existing quality measures.  Ongoing analysis of quality measures is an integral part of the program and the below documents are part of that effort.

Skilled Nursing Facility Quality and Accountability Program: Preliminary Statewide Rates by Quarter - May 7, 2012PDFOpens in new window

Skilled Nursing Facility Quality and Accountability Program: Use of MDS Data - Feb. 21, 2012PDFOpens in new window

 

Presentations

Links

Skilled Nursing Facility Quality and Accountability Program page at CA Department of Health Care Services

Quality Assurance and Supplemental Payment (QASP) Program - Frequently Asked Questions (FAQs)PDFOpens in new window

 

 
 
Last modified on: 1/24/2014 3:39 PM