Country Life achieves remarkable re-hospitalization rates and maintains Five Star Rating
There have been some recent changes to the way the Five Star Quality Measures are calculated. There are three new claim based quality measures that rate re-hospitalization, emergency room use, and community discharge among nursing home residents. Country Life is pleased to announce above average performance in these new quality measures. This fact is especially impressive because Country Life has the highest acuity index in the state of Utah.
Five Star Rating System Summary
The Center for Medicare and Medicaid services (CMS) created the Nursing Home Compare Five-Star Quality Rating System for patients, families, and other interested parties to easily compare characteristics of skilled nursing and rehabilitation providers. The Nursing Home Compare rating system assigns an overall rating of between one and five stars. Nursing homes with a five star are considered to have quality outcomes that are much above average. Nursing homes with one star rating are considered to have quality much worse than average. These ratings change with the addition of new information but also have a lookback period of three years to incorporate some historical context and consistency. While no rating system is perfect the CMS Five Star Rating system has become the gold standard for nursing home comparisons.
New Claim Based Quality Measures
If a nursing home or rehabilitation facility sends many residents back to the hospital, it may indicate that the nursing home is failing to adequately assess, diagnose, plan, implement and evaluate the residents they care for. The claims based quality measures were integrated into the Five Star Quality Rating System in July 2016. Claim based quality measures report the percentage of short-stay residents who returned to the hospital, went to the emergency room, and those who were able to successfully discharge to the community. There are state and national averages also shown as benchmarks.
One of the highlights of the new claim based quality measures is the fact that Country Life Care Center’s outpatient ER visit rate is 1.7% compared to a state average of 11.3% and a national average of 11.5%
Country Life Acuity Index
Country Life has a Case Mix Index acuity average that is 159% of the Utah average for skilled nursing providers. This high acuity rating is due to the fact that Country Life Care Center cares for patients with very complex medical and respiratory needs. These standard ratings take into consideration residents’ level of function, diagnoses, and treatments.
What does high a high acuity index and low hospitalization rate mean?
Country Life Care Center has been able to achieve below average hospital readmission rates with the most intensive case mix index in the state of Utah (159% of Average). You can expect Country Life Care Center to provide expert level assessment, communication, and treatment of medical problems that have resulted in reduced hospital re-admissions. County Life is able to facilitate remarkable recoveries without frivolous trips back and forth to the hospital that frustrates everyone involved and sets back progress.
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