CMS announces program to improve nursing care facility quality
Posted on September 27, 2012 | No Comments
The Centers for Medicare & Medicaid Services (CMS) announced seven awards partnering with 145 nursing facilities to implement the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents. The CMS initiative will test models to improve health care delivery quality and reduce the number of preventable rehospitalizations among nursing facility residents. The initiative will fund organizations to provide additional support to members of nursing facility communities.
Many nursing facility residents are enrolled in both Medicaid and Medicare, and are thus known as dual eligibles. Dual eligibles are the most chronically ill patients served by the two programs. Research found that approximately 45 percent of hospitalizations among duals receiving either Medicare skilled nursing facility services or Medicaid nursing facility services could have been avoided. Total costs for these potentially avoidable hospitalizations for Medicare-Medicaid enrollees for 2011 were estimated to be between $7 and 8 billion.
CMS will partner with seven organizations to improve care for long-stay nursing facility residents. These organizations will collaborate with nursing facilities and State Medicaid programs to provide better quality of care in nursing facilities.
For more information on the initiative, click here.