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.
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.
PP1 - PP4 Totals as of 07/31/15 for website
CDPH SNF QAP Quarterly Benchmarks - Q1, Q2, Q3, and Q4 of 2014-15 Performance Period
QASP Proposed Methodology
QASP Proposed Methodology
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 Health
HSAG White Paper on Measuring Staffing Retention/Turnover in Skilled Nursing Facilities for the California Department of Public Health
HSAG Recommendation Paper on Olmstead Compliance Quality Measure for the California Department of Public Health
CDPH Measure Selection Criteria - Final
CDPH New Measure Recommendations - Final
CDPH New Measure Recommendations - Appendix E
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)
California CAHPS Nursing Home Survey: Discharged Resident (Español)
California CAHPS Nursing Home Survey: Family Member/ Caretaker (English)
California CAHPS Nursing Home Survey: Family Member/ Caretaker (Español)
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, 2012
Skilled Nursing Facility Quality and Accountability Program: Use of MDS Data - Feb. 21, 2012
SNF Quality and Accountability Program Presentation June 27, 2012
SNF Quality and Accountability Follow-Up Stakeholders Meeting presentation Nov. 10, 2010
SNF Quality and Accountability Program presentation Oct. 28, 2010
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)