Others titles
- Skilled Nursing Facility Value-Based Purchasing Program For Fiscal Year 2022
- 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) 2023 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program. It includes baseline period (calendar year (CY) 2019) and performance period (CY 2021) 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 2019 (FY 2020).
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 | 2024-05-29 |
Version | 2024-05 |
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 2022, 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_Ranking | A skilled nursing facility's (SNF's) national rank in the SNF Value-Based Purchasing (VBP) Program. | string | - |
Provider_Number_CCN | Centers for Medicare & Medicaid Services (CMS) Certification Number (CCN) . | integer | level : Nominal |
Provider_Name | Identifies the name of the provider. | string | - |
Address | The address of the Nursing Home center or provider. | string | - |
City | The city name in the location address of the facility being identified. | string | - |
State_Abbreviation | The 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_Code | The postal code in the mailing address of the hospital. | string | - |
Baseline_Period_CY2019_Risk_Standardized_Read_Rate | A SNF's risk-standardized readmission rate during the baseline period (Calendar Year (CY) 2019). | number | level : Ratio |
Footnote_Baseline_Period_CY2019_Risk_Standardized_Read_Rate | Indicates the footnote for baseline period CY 2019 risk-standardized readmission rate. | string | - |
Performance_Period_CY_2021_Risk_Standardized_Read_Rate | An SNF's risk-standardized readmission rate during the performance period (CY 2021). | number | level : Ratio |
Footnote_Performance_Period_CY2021_Risk_Standardized_Read_Rate | Indicates the footnote for performance period CY 2021 risk-standardized readmission rate. | string | - |
Achievement_Score | A 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. | string | - |
Improvement_Score | A 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. | string | - |
Performance_Score | The 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. | number | level : Ratio |
Incentive_Payment_Multiplier | This 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. | number | level : Ratio |
Data Preview
Skilled Nursing Facility VBP Ranking | Provider Number CCN | Provider Name | Address | City | State Abbreviation | Zip Code | Baseline Period CY2019 Risk Standardized Read Rate | Footnote Baseline Period CY2019 Risk Standardized Read Rate | Performance Period CY 2021 Risk Standardized Read Rate | Footnote Performance Period CY2021 Risk Standardized Read Rate | Achievement Score | Improvement Score | Performance Score | Incentive Payment Multiplier |
10007 | MIZELL MEMORIAL HOSPITAL | 702 N MAIN ST | OPP | AL | 36467 | 0.20018 | 0.23768000000000006 | 0.0 | 0.0 | 0.0 | 0.9802538758 | |||
10044 | MARION REGIONAL MEDICAL CENTER | 1256 MILITARY STREET SOUTH | HAMILTON | AL | 35570 | 0.17051 | 0.1707 | 92.53589 | 0.0 | 92.53589 | 1.0174008085 | |||
10045 | FAYETTE MEDICAL CENTER | 1653 TEMPLE AVENUE NORTH | FAYETTE | AL | 35555 | 0.18900999999999998 | 0.1724 | 88.4689 | 80.88418 | 88.4689 | 1.0171396083 | |||
10058 | BIBB MEDICAL CENTER | 208 PIERSON AVE | CENTREVILLE | AL | 35042 | 0.18295 | 0.18755 | 52.22488 | 0.0 | 52.22488 | 1.0010674105 | |||
10065 | RUSSELL MEDICAL CENTER | 3316 HIGHWAY 280 | ALEXANDER CITY | AL | 35010 | 0.19672 | 0.1732 | 86.55502 | 81.95009 | 86.55502 | 1.0169766008 | |||
10125 | LAKELAND COMMUNITY HOSPITAL | 42024 HIGHWAY 195 E | HALEYVILLE | AL | 35565 | 0.187 | 0.17149 | 90.64593 | 84.49798 | 90.64593 | 1.0172920869 | |||
10158 | RUSSELLVILLE HOSPITAL | 15155 HIGHWAY 43 | RUSSELLVILLE | AL | 35653 | 0.22835 | 0.223 | 0.0 | 4.11725 | 4.11725 | 0.980381903 | |||
15009 | BURNS NURSING HOME, INC. | 701 MONROE STREET NW | RUSSELLVILLE | AL | 35653 | 0.17920999999999998 | 0.18308 | 62.91866 | 0.0 | 62.91866 | 1.0097565521 | |||
15010 | COOSA VALLEY HEALTHCARE CENTER | 260 WEST WALNUT STREET | SYLACAUGA | AL | 35150 | 0.20903000000000002 | 0.23358 | 0.0 | 0.0 | 0.0 | 0.9802538758 | |||
15012 | HIGHLANDS HEALTH AND REHAB | 380 WOODS COVE ROAD | SCOTTSBORO | AL | 35768 | 0.22385 | 0.20281 | 15.7177 | 33.83352 | 33.83352 | 0.9862841709 |