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Care coordination, info exchanges among gaps between PAC and LTC

April 10, 2018
by I Advance Senior Care
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Gaps remain in performance measures for post-acute care (PAC) and long-term care (LTC), particularly with regard to care coordination and information exchanges, according to a report from the non-partisan National Quality Forum’s (NQF) Measure Applications Partnership (MAP).

According to Skilled Nursing News, though performance measures are key for payment reform and sparking quality improvements, PAC and LTC settings have differing standards, leading to fragmentation, the NQF said.

Care coordination is particularly important in those settings, and some providers have already begun to take steps to track patients after they’re discharged from a skilled nursing facility.

But in terms of the Centers for Medicare & Medicaid Services’ (CMS) Meaningful Measures framework, “critical” gaps in the performance measures remain.

“In particular, MAP emphasized the importance of care coordination in post-acute and long-term care as patients may frequently transition between sites of care,” the report said. “MAP recommended that measure developers focus on care coordination measures.”

The specific care coordination measures included the timeliness of information transfer, the electronic exchange of clinical information, advanced care planning, and bidirectional information exchange measures, which would note if information was sent and received — and if the receiving provider had followup questions.

The MAP also examined the CoreQ: Short Stay Discharge Measure, which is under consideration for the SNF Quality Reporting Program (QRP) established under the 2014 Improving Medicare Post-Acute Care Transformation Act (IMPACT). SNFs that do not submit the required data will face a 2% reduction in yearly payment rates, the report noted.  

Read the full story at Skilled Nursing News.

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