- Getting the Dollars You Deserve for the High-Quality Care You Deliver
In the face of increasing costs, declining revenues, and new changes to the Medicare and Medicaid reimbursement
system on the horizon, more and more acute care and skilled or long-term nursing facilities throughout the U.S. are
focusing on improving the quality of care to increase financial performance.
Nursing home and long-term care (LTC) facilities, while they have the capacity to provide higher quality care at a lower
cost, continue to struggle to implement effective strategies that enable them to directly increase revenues through
higher reimbursements from the federally mandated payment system. In fact, the quality of the institutional
documentation process to gather data that is congenial and supportive of the Minimum Data Set (MDS) can be directly
related to the quality of payments received through the Centers of Medicare and Medicaid Services (CMS).
- Are you Ready for the QIS Survey Process?
There is a transformation underway of the long-term care survey process, and it has significant implications for every long-term care (LTC) facility in the nation. The Quality Indicator Survey, or QIS, is being developed under the auspices of the Centers for Medicare & Medicaid Services (CMS) and is in the final stages of a demonstration project.
Based on a two-stage quality assessment approach first developed at the University of Colorado in 1993, the QIS has experienced 15 years of pilot testing and evaluation in three phases in seven states. According to CMS, testing and evaluation will continue through September 2008 along with the development of training materials and a national training approach, and will be ready for national rollout beginning late in 2008.