Expect the Unexpected: This week’s Top Newsmakers in Quality and Regulatory Affairs

US Census Request On its Way
The US Census tasks the Maine CDC with providing the group quarter counts for those individuals residing in various group settings including nursing facilities, assisted living and residential care. If you have not been asked to provide this information already, a request will be coming soon. The Maine CDC department of Data, Research, and Vital Statistics has been providing group quarter census data to the US Census since 2010.  The following link, will provide additional information on the group quarters project. Melissa Damren of the Maine CDC is heading up these requests and questions can be directed to her at
Analysis: Providers Performing Well Under RUG Will Fare Worse Under PDPM
According to a report by Skilled Nursing News (2/26, Flynn) an analysis by Plante Moran suggests skilled nursing providers which "have mastered the current Resource Utilization Group (RUG) system tend to be those projected to see reimbursement declines under the new Patient-Driven Payment Model...while the so-called PDPM ‘winners' generally have lower RUG hauls." The analysis indicates the "average RUG per diem rate for PDPM ‘losers' nationally is $558.38" but "under PDPM, their rate will drop to $529.59." Meanwhile, winners "have an average RUG rate of $489.50 at present; under PDPM, their average rate will jump to $524.46." Plante Moran also highlighted rate drivers for reimbursement, which include "how well ICD-10 diagnosis codes will be captured after PDPM, and the tapering of the PT and OT rates." MHCA is here to help! In partnership with AHCA, we will be providing PDPM education and on-going support as we transition to this new payment model.
Survey Examines Perspectives On Use Of "Granny Cams" In Nursing Homes
McKnight's Long Term Care News (2/26, Stempniak) reports that in a new "survey of 273 long-term care professionals across 39 states and the District of Columbia," researchers found 75 percent of respondents believe there is "at least one potential disadvantage" to surveillance cameras – or "granny cams" – being installed in nursing home rooms. More than 50 percent of respondents "noted at least one advantage," but many complained of a lack of privacy, "undermining the home-like experience of a nursing home, and potential negative effects on staffers." The findings were published in AJOB Empirical Bioethics.
New Proposed Rule Advances Interoperability & Patient Access to Health Data
A Special Open Door Forum has been scheduled to discuss the recent press release. CMS Senior Staff will present the topic and answer your questions. More information can be found here.
· Date: Tuesday, February 26, 2019
· Time: 2:00pm- 3:00pm, Eastern
· Participant Call in: 1-(800) 837-1935
· Conference ID: 8968707
· Please call in 15 minutes prior to the call
· Encore: 1-855-859-2056; Conference ID: 8968707
Staff Contact:
Danielle Watford
Director of Quality Improvement & Regulatory Affairs