CY2023 WQIP Final Payment Report
| 12/30/2024
| Acuity Kho Cov Neeg Ua Haujlwm Teev Metrics: Plaub Hlis 1,2023-September 30, 2023
Cov neeg ua haujlwm Turnover Metric: Plaub Hlis 1, 2022- Cuaj hlis 30, 2023 MDS Clinical Metrics: Lub Xya Hli 1, 2022- Lub Rau Hli 30, 2023 Claims-based Clinical Metrics: Lub Ib Hlis 1, 2023- Kaum Ob Hlis Ntuj 31, 2023 Medi-Cal Disproportionate Share Metric: Lub Ib Hlis 1, 2023- Kaum Ob Hlis Ntuj 31, 2023 MDS Racial thiab Ethnic Data Completeness Metric: Lub Ib Hlis 1, 2023- Kaum Ob Hlis Ntuj 31, 2023
| PIB 1 (2023)
| DHCS tau tshaj tawm CY2023 SNF WQIP Daim Ntawv Qhia Txog Nyiaj Txiag Kawg rau SNF cov neeg muaj feem rau lub Kaum Ob Hlis 30, 2024 thiab luam tawm tsab ntawv ceeb toom rau lub vev xaib. Thov nco ntsoov, DHCS tau xa CY 2023 SNF WQIP Final Per Diem Exhibits rau cov phiaj xwm saib xyuas (MCPs) rau lub Kaum Ob Hlis 20, 2024. MCPs raug qhia kom them nyiaj rau cov chaw hauv 45 hnub tom qab tau txais cov khoom pov thawj them nyiaj los ntawm DHCS (piv txwv li, Lub Ob Hlis 3, 2025) lossis hauv 30 hnub tom qab tau txais daim ntawv thov huv los ntawm tus kws kho mob, qhov twg yog tom qab. Tsis tas li ntawd, cov ntaub ntawv A thiab AA tsis muaj kev cuam tshuam hauv tsab ntawv ceeb toom no. MCPs muaj kev nkag mus rau A thiab AA cov ntaub ntawv hais txog ( CDPH State Enforcement Actions Dashboard) los hloov kev them nyiaj, yog tias tsim nyog. Thov xa cov lus nug ncaj qha txog SNF WQIP cov qhab nia lossis qhov kev pabcuam dav dav rau SNFWQIP@dhcs.ca.gov. Thov xa cov lus nug ncaj qha txog SNF WQIP cov nyiaj them rau MCP Cov Neeg.
DHCS thiab nws tus neeg cog lus suav cov nqi tsev rau peb SNF WQIP Claims-Based Long-Term Care (LTC) Metrics for Program Year (PY) 1 (2023). Cov ntaub ntawv no yuav tau muab faib rau hauv PY 1 daim ntawv tshaj tawm zaum kawg, tab sis cov ntaub ntawv tsis tau npaj txhij rau lub sijhawm yuav raug khi rau kev them nyiaj.
SNF WQIP PY1 (2023) Claims-Based LTC Metrics- Facility Rates spreadsheet muaj PY 1 cov nqi tsev kho mob rau Tus Neeg Mob Sab Nraud ED Mus ntsib ib qho 1,000 Hnub Nyob Nyob Nyob Ntev, Kev Kho Mob-Associated Infections Yuav Tsum Tau Mus Kho Mob , thiab Muaj Peev Xwm Tshaj Tawm 3. thiab tsuas yog txwv rau cov chaw muaj nyob hauv WQIP PY 1 cov npe chaw.
Thov nco ntsoov, SNF WQIP PY1 (2023) Claims-Based LTC Metrics- Facility Rates spreadsheet yog luam tawm raws li cov ntaub ntawv qhia ntxiv. Tsis tas li ntawd, DHCS tab tom ntsuas kev ua tau zoo rau PY 2 (2024) hauv SNF WQIP.
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CY2023 SNF WQIP Hnub Cov Ntsiab Lus SNF WQIP Cov Npe Tsim Nyog
| 7/31/2024
| N/A
| PIB 1 (2023)
| Thov xa mus rau CY2023 SNF WQIP Hnub Summary SNF WQIP Cov Chaw Tsim Nyog Cov Npe rau (1) NPIs uas DHCS muaj nyob rau hauv cov ntaub ntawv rau cov chaw tsim nyog raws li lub Yim Hli 1, 2024 rau SNF WQIP PY 1 (2023) (saib thawj tab). Thov nco ntsoov, daim ntawv teev npe no tau ua tiav thiab yuav raug suav nrog rau Xyoo Kev Pabcuam tom ntej (PY) 1 (2023) daim ntawv tshaj tawm them nyiaj zaum kawg rau SNF WQIP. (2) ib daim ntawv teev npe ntawm WQIP tau cog lus thiab tsis tau cog lus hnub txij li lub Tsib Hlis 9, 2024 (saib ob thiab thib peb tab).
Cov NPIs rau 2023 SNF WQIP Kev Them Nqi Ib ntus tau txais los ntawm cov ntaub ntawv tso cai CDPH uas muaj rau pej xeem. Txhua qhov chaw yuav tsum txheeb xyuas qhov tseeb ntawm NPIs thiab Health Care Access and Information (HCAI) IDs tau teev tseg rau lawv qhov chaw rau ib qho 2023 hnub ua haujlwm. Yog tias koj qhov NPI tam sim no lossis yav dhau los tsis tau teev nyob rau hauv CY2023 SNF WQIP Hnub Summary SNF WQIP Cov Chaw Tsim Nyog Tsim Nyog, thov xa email rau DHCS SNFWQIP Inbox ntawm SNFWQIP@dhcs.ca.gov thiab ua tiav daim foos uas tau muab rau hauv cov lus teb tsis siv neeg. Nco ntsoov tias yog tias qhov NPI tsis raug tau teev tseg nrog rau tag nrho cov NPIs raug, tsis muaj laj thawj hu rau DHCS ntawm email. Thov nco ntsoov, tsuas yog xa ib daim ntawv rau ib qhov chaw. |
CY 2023 SNF WQIP Thib Ob Kev Them Nyiaj Ib ntus
| 6/27/2024
| Acuity Adjusted Staffing Metrics:
Lub Plaub Hlis 2023-September 2023
Cov neeg ua haujlwm Turnover: Lub Plaub Hlis 2022-September 2023 (nrog rau kev saib rov qab thiab saib tom ntej)
MDS Clinical Metrics:
Lub Xya Hli 2022-Lub Rau Hli 2023
| PIB 1 (2023)
| Cov nyiaj them ib ntus raug kho raws li AA/A cov ntaub ntawv hais los ntawm California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (CDPH) rau CY 2023 (rau txhua hnub ua txhaum cai uas tshwm sim ib feem lossis tag nrho hauv CY 2023). Kev hloov pauv rau cov nyiaj them ib ntus tau ua raws li ob qho tib si qhib thiab kaw AA / A cov ntawv pov thawj. Yog tias lub chaw muaj qhov qhib lossis kaw AA, qhov nyiaj them poob haujlwm yuav yog xoom. Yog tias lub chaw muaj qhov qhib lossis kaw A daim ntawv pov thawj, cov nyiaj them poob qis los ntawm 40% tom qab tag nrho lwm cov kev suav tau ua tiav. Qhov kev them nyiaj ib ntus thib ob muaj nyob ntawm CY 2023 SNF WQIP Thib Ob Kev Them Ib ntus. DHCS yuav tshaj tawm cov lus taw qhia rau MCPs tom qab xyoo 2024 kom tshaj tawm cov nyiaj them kawg rau SNFs raws li CY 2023 SNF WQIP- Hnub Tsim Nyog tau tshaj tawm rau DHCS cov ntaub ntawv warehouse los ntawm Lub Rau Hli 30, 2024, thiab cov qhab nia zaum kawg rau tag nrho SNF WQIP metrics suav nrog cov neeg ua haujlwm acuity turnover-adjust Kev ntsuas, kev ntsuas raws li kev thov raws li kev soj ntsuam, Medi-Cal qhov sib faib tsis sib npaug, thiab MDS cov ntaub ntawv qhia txog haiv neeg thiab haiv neeg.
DHCS paub tias qee qhov chaw ua haujlwm nrog MCPs los daws qhov tsis sib xws hauv cov hnub tau tshaj tawm rau lub tsev khaws ntaub ntawv.
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CY 2023 SNF WQIP Cov Nyiaj Them Nruab Nrab
| 3/29/2024
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Acuity Adjusted Staffing Metrics:
Lub Plaub Hlis 2023-September 2023
Cov neeg ua haujlwm Turnover: Lub Plaub Hlis 2022-September 2023 (nrog rau kev saib rov qab thiab saib tom ntej)
MDS Clinical Metrics: Lub Xya Hli 2022-Lub Rau Hli 2023
| PIB 1 (2023)
| DHCS tau tshaj tawm Medi-Cal cov kev pab them nqi kho mob (MCP) cov lus qhia rau Kev Pabcuam Saib Xyuas Neeg Mob (SNF) Kev Pabcuam Kev Ua Haujlwm thiab Kev Pabcuam Zoo (WQIP) Xyoo (CY) 2023 cov nyiaj them ib ntus. Muaj ob qhov kev them nyiaj ib ntus raug ua raws li SNF WQIP- Hnub Tsim Nyog tau tshaj tawm los ntawm MCPs rau DHCS cov ntaub ntawv warehouse rau CY 2023. Thawj qhov kev them nyiaj yog raws li cov ntaub ntawv tshaj tawm los ntawm Lub Kaum Ob Hlis 31, 2023, thiab kev them nyiaj thib ob yog raws li cov ntaub ntawv tshaj tawm los ntawm Lub Peb Hlis 31, 2024. Cov kev them nyiaj no yog txiav txim siab los ntawm cov qhab nia rau cov kev ntsuas kev hloov kho cov neeg ua haujlwm teev sijhawm, cov neeg ua haujlwm hloov pauv kev ntsuas, thiab Kev ntsuas qhov ntsuas qhov tsawg kawg nkaus (MDS). Cov nyiaj them thiab cov ntaub ntawv ntxiv rau txhua qhov chaw muaj nyob ntawm CY 2023 SNF WQIP Cov Nyiaj Them Ib ntus. MCPs yuav tsum tau faib tag nrho cov nyiaj them rau cov chaw tsis pub dhau 45 hnub tom qab tau txais cov khoom pov thawj los ntawm DHCS; cov khoom pov thawj kev them nyiaj rau thawj zaug tau xa tuaj rau lub Peb Hlis 29, 2024 thiab rau qhov nyiaj thib ob rau lub Rau Hli 21, 2024.
Qhov kev them nyiaj thib ob yog tshwm sim rau tus account rau qhov hloov tshiab rau SNF WQIP-Cov ntaub ntawv tsim nyog lub txaj hnub thiab/lossis NPI kho. Rau qhov kev them nyiaj thib ob nkaus xwb, MCPs raug qhia kom them nyiaj rau SNFs, yog tias txheeb ze rau thawj qhov kev them nyiaj (yog tias muaj), tsawg kawg yog $ 10,000 ntxiv duas yog vim muaj ib qho tshwj xeeb SNF.
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