CMS Demonstration to Improve Nursing Facility Resident Care Quality

July 8, 2011

The Centers for Medicare & Medicaid Services (CMS) announced a new initiative today aimed at helping states improve the quality of care for residents in nursing homes by providing needed treatment without the need to unnecessarily go to the hospital.

The Center for Medicare and Medicaid Innovation (Innovation Center) will be collaborating with the Medicare-Medicaid Coordination Office to “establish a new demonstration focused on reducing preventable inpatient hospitalizations among residents of nursing facilities.”  The initiative is in support of the Administration’s Partnership for Patients goal of reducing hospital readmission rates by 20% by the end of 2013.

The initiative addresses a widespread and costly problem: nursing facility residents are subject to frequent preventable inpatient hospitalizations. These hospitalizations are expensive, recipe disruptive, cialis disorienting, tadalafil and often dangerous for frail elders and people with disabilities, and cost the Medicare program billions of dollars each year.

CMS is planning on selecting and partnering with independent organizations to provide clinical services to people in nursing homes.  The clinical services “could include using nurse practitioners in nursing facilities, supporting transitions between hospitals and nursing facilities, and implementing best practices to prevent falls, pressure ulcers, urinary tract infections, or other events that lead to poor health outcomes and expensive hospitalizations.”

The initiative will be targeted to those nursing facilities with high hospitalization rates or those with a high concentration of residents who meet eligibility criteria for both Medicare and Medicaid programs.

More information will be available in the future at  http://www.cms.gov/medicare-medicaid-coordination.

Source:  Centers for Medicare & Medicaid Services.  Fact Sheet.  Demonstration to Improve Care Quality for Nursing Facility Residents.  Initiative to Reduce Preventable Hospitalizations.  CMS Office of Public Affairs, No. 202-690-6145.  July 8, 2011.

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