Quality

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Nursing Facility Staffing Shortages During the COVID-19 Pandemic

The impact of COVID-19 on nursing facility residents and staff has brought increased attention to existing workforce issues that affect care quality and safety, including staffing shortages and high turnover rates. This analysis presents the most recent national and state-level data on nursing facility-reported staff shortages and describes the Biden Administration’s new policy initiatives to address issues in nursing facilities. National staff shortage trend data spans from May 2020, the first month when nursing facilities were required to report COVID-19 facility data to the CDC, through March 20, 2022, the most recent week of data available.

Short URL: http://www.advancingstates.org/node/73789

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The Biden Administration Announces Reforms to Improve the Safety and Quality of Care in the Nation’s Nursing Homes

President Biden has announced a set of reforms, developed and implemented through the Department of Health and Human Services (HHS), to improve the safety and quality of nursing home care. The reforms are intended to ensure the following: Every nursing home provides a sufficient number of staff who are adequately trained to provide high-quality care; Poorly performing nursing homes are held accountable for improper and unsafe care and immediately improve their services or are cut off from taxpayer dollars; and The public has better information about nursing home conditions so that they can find the best available options.

Short URL: http://www.advancingstates.org/node/73683

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Trends in Racial, Ethnic, Sex, and Rural-Urban Inequities in Health Care in Medicare Advantage: 2009-2018

The CMS Office of Minority Health (OMH) has published a new report, Trends in Racial, Ethnic, Sex, and Rural-Urban Inequities in Health Care in Medicare Advantage: 2009-2018. Since 2015, CMS OMH has published annual reports highlighting inequities in the quality of care delivered to Medicare beneficiaries nationwide. Until now, these reports have focused on comparisons within a single year. This new report analyzes historical trends in inequities by race, ethnicity, sex, and geography among Medicare beneficiaries enrolled in Medicare Advantage (MA) plans nationwide.

Short URL: http://www.advancingstates.org/node/73326

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Long-Term Services and Supports State Scorecard 2020 Edition

AARP has released its fourth iteration of the Long-term Services and Supports Scorecard. This scorecard ranks states and DC in order from 1 to 51 on a wide range of issues pertaining to older adults and people with disabilities. The LTSS scorecard has five domains that states are ranked within, and each of those domains has multiple indicators that are used to derive the overall score.

Short URL: http://www.advancingstates.org/node/72158

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Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020

This week, the Senate Finance Committee released the language and summaries of legislation to help nursing home efforts to stop the spread of COVID-19. The Act would call on nursing homes to ensure that a portion Federal relief funds, made available on or after July 1, for responding to COVID-19 would be used for personal protective equipment (PPE) and COVID-19 testing in long-term care facilities. The Act also has language for expanding resources for elder justice activities.

Short URL: http://www.advancingstates.org/node/72073

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Advancing Value & Quality in Medicaid Service Delivery for Individuals with Intellectual & Developmental Disabilities

While healthcare payment systems are moving toward paying for value, the unique needs of individuals with I/DD and their families means that the transition toward alternative payment models (APMs) for Medicaid-funded services must be undertaken carefully. This white paper includes 14 payment reform principles to guide the development and assessment of new and emerging APMs for Medicaid I/DD services. The paper also includes 13 recommendations for current and future APMs for I/DD services.

Short URL: http://www.advancingstates.org/node/71064

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