Others titles

  • Skilled Nursing Facility Value-Based Purchasing Program For Fiscal Year 2019
  • Value-Based Purchasing Program For Facility-Level Data
  • SNF Performance Scores Along With Value-Based Incentive Payments
  • CMS Quality Improvement Program

Keywords

  • Nursing Home Compare
  • Risk Standardized Readmission Rates
  • Incentive Payment Multipliers
  • Skilled Nursing Facility Performance Scores
  • Quality Improvement Evaluation System
  • Medicare Claims Data
  • Quality of Care
  • Value-Based Purchasing Program
  • Prospective Payment System

Skilled Nursing Facility VBP Facility Level Data

This dataset contains facility-specific performance information for the fiscal year (FY) 2019 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program. It includes baseline period (calendar year (CY) 2015) and performance period (CY 2017) risk-standardized readmission rates, achievement scores, improvement scores, performance scores, rankings, and incentive payment multipliers.

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Description

The Centers for Medicare & Medicaid Services (CMS) has released a technical report to provide additional details on the empirical analysis that were considered when developing and finalizing the logistic exchange function that will be used to translate Skilled Nursing Facility (SNF) performance scores into incentive payments for the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program. CMS has adopted the logistic exchange function as the method that will be used to translate SNF performance scores into value-based incentive payments beginning in October 2018 (FY 2019).

The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program awards incentive payments to SNFs based on their performance on the Program’s measure of readmissions. SNF VBP payment incentives will be included on Medicare Part A claims paid under the SNF Prospective Payment System (PPS) as a single line item on each claim paid during the Fiscal Year (FY); no separate payment will be made. SNF VBP incentive payments do not apply to any other type of claims (such as Medicare Advantage claims, Medicaid claims, or Medicaid managed care claims).

Each SNF’s incentive payment will depend on its performance score, which will be placed in the logistic exchange function to determine the corresponding incentive multiplier. The highest scoring facilities will receive the highest payment incentives, and the lowest scoring facilities will receive the lowest payment incentives, as required by statute. CMS provides confidential feedback reports to SNFs on a quarterly and annual basis. Quarterly supplemental workbooks containing patient-level data are provided for quality improvement purposes. SNFs will also receive two annual reports; one report containing a full performance period and their measure score, and the second report containing the SNF performance score, rank, and payment incentive to be applied to Medicare claims in the upcoming fiscal year. SNFs can access all reports through Quality Improvement Evaluation System (QIES) Certification and Survey Provider Enhanced Reporting (CASPER) system.

About this Dataset

Data Info

Date Created

2018-11-15

Last Modified

2020-10-28

Version

2020-10

Update Frequency

Monthly

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs; Medicare.gov - Centers for Medicare and Medicaid Services, Nursing Home Compare Data;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Nursing Home Compare, Risk Standardized Readmission Rates, Incentive Payment Multipliers, Skilled Nursing Facility Performance Scores, Quality Improvement Evaluation System, Medicare Claims Data, Quality of Care, Value-Based Purchasing Program, Prospective Payment System

Other Titles

Skilled Nursing Facility Value-Based Purchasing Program For Fiscal Year 2019, Value-Based Purchasing Program For Facility-Level Data, SNF Performance Scores Along With Value-Based Incentive Payments, CMS Quality Improvement Program

Data Fields

Name Description Type Constraints
Skilled_Nursing_Facility_VBP_RankingA skilled nursing facility's (SNF's) national rank in the SNF Value-Based Purchasing (VBP) Program. The only footnote available is for value (3,984) = This facility did not have sufficient data to calculate a performance score. This facility received a neutral payment incentive multiplier and was assigned a performance score and rank.string-
Provider_Number_CCNCenters for Medicare & Medicaid Services (CMS) Certification Number (CCN) .integerlevel : Nominal
Provider_NameIdentifies the name of the provider.string-
AddressThe address of the Nursing Home center or provider.string-
CityThe city name in the location address of the facility being identified.string-
State_AbbreviationThe two-letter abbreviations of the state in the mailing address of the facility. This includes information on hospitals in the U.S states.string-
Zip_CodeThe postal code in the mailing address of the hospital.integerlevel : Nominal
Baseline_Period_CY2016_Risk_Standardized_Read_RateA SNF's risk-standardized readmission rate during the baseline period (Calendar Year (CY) 2015).numberlevel : Ratio
Footnote_Baseline_Period_CY2016_Risk_Standardized_Read_RateIndicates the footnote for baseline period CY 2015 risk-standardized readmission rate.string-
Performance_Period_CY_2018_Risk_Standardized_Read_RateAn SNF's risk-standardized readmission rate during the performance period (CY 2017).numberlevel : Ratio
Footnote_Performance_Period_CY2018_Risk_Standardized_Read_RateIndicates the footnote for performance period CY 2017 risk-standardized readmission rate.string-
Achievement_ScoreA measure of each SNF's achievement in the performance period for the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program; scores range from 0 to 100.numberlevel : Ratio
Improvement_ScoreA measure of each SNF's improvement in the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program from the baseline period to the performance period; scores range from 0 to 90. The only footnote available is for few of the blank values = This facility did not have data available for the baseline period, and thus did not receive a baseline period Risk-Standardized Readmission Rate (RSRR), baseline period inverted RSRR, or improvement score.numberlevel : Ratio
Performance_ScoreThe higher of an SNF's achievement score and improvement score; scores range from 0 to 100. This score is used to calculate incentive payments for the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program. The only footnote available is for value 51.79519numberlevel : Ratio
Incentive_Payment_MultiplierThis multiplier represents the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) payment incentive after taking into account the 2 percent withhold that funds the Program. When making payments to SNF claims, the adjusted federal per diem rate will be multiplied by this factor. For example, an incentive payment multiplier of 0.99 would reflect a net payment reduction of 1 percent.numberlevel : Ratio

Data Preview

Skilled Nursing Facility VBP RankingProvider Number CCNProvider NameAddressCityState AbbreviationZip CodeBaseline Period CY2016 Risk Standardized Read RateFootnote Baseline Period CY2016 Risk Standardized Read RatePerformance Period CY 2018 Risk Standardized Read RateFootnote Performance Period CY2018 Risk Standardized Read RateAchievement ScoreImprovement ScorePerformance ScoreIncentive Payment Multiplier
115126TRAYLOR RETIREMENT COMMUNITY1235 YANCEY STREET P O BOX 467ROANOKEAL362740.167540000000000020.16533100.090.0100.01.021304566
115148DIVERSICARE OF ARAB235 THIRD STREET SEARABAL350160.195580.16599100.090.0100.01.021304566
115208OZARK HEALTH AND REHABILITATION, LLC312 BRYAN DRIVEOZARKAL363600.204660.16122999999999998100.090.0100.01.021304566
115410EAST ALABAMA MEDICAL CENTER SKILLED NURSING FACILI2000 PEPPERELL PARKWAYOPELIKAAL368020.161130.16237100.00.0100.01.021304566
125018PROVIDENCE TRANSITIONAL CARE CENTER910 COMPASSION CIRCLEANCHORAGEAK995040.138450.13922100.00.0100.01.021304566
135071MISSION PALMS POST ACUTE6461 EAST BAYWOOD AVENUEMESAAZ852060.183490.16239100.090.0100.01.021304566
135093HAVEN OF COTTONWOOD197 SOUTH WILLARD STREETCOTTONWOODAZ863260.174980.16076100.090.0100.01.021304566
135107HAVEN OF PHOENIX4202 NORTH 20TH AVENUEPHOENIXAZ850150.18970.16515100.090.0100.01.021304566
135164DESERT BLOSSOM HEALTH & REHAB CENTER60 SOUTH 58TH STREETMESAAZ852060.21130.16774100.090.0100.01.021304566
135165HAVEN OF TUCSON3705 NORTH SWAN ROADTUCSONAZ857180.187940.16058100.090.0100.01.021304566