More Improvements At Medicare's 'Nursing Home Compare' Website
We spend a lot of time talking about the problems with modern-day nursing homes, but I find the most important improvement in U.S. nursing homes is the development of Medicare's nursing home compare website. The site provides a one-stop-shop for families seeking information on a particular facility or when researching facilities within a particular area.
Last week the site underwent some subtle-- yet important changes that I optimistically believe will help make families gather important care information and ultimately improve the care that's ultimately provided to patients.
On April 23rd, CMS implemented the following Nursing Home Compare Changes:
- Easier Access to state agencies to file complaints
Consumers will be able to link directly to the state agency that investigates and responds to complaints. Further consumers can access a standardized complaint form that can be faxed to the state agency.
- More Prominent Consumer Rights
Nursing home patients have considerable rights granted them under federal and state laws. A new portion of the Medicare Nursing Home Compare will enumerate what exactly the rights are and provides access to nursing home ombudsman who can help assist in many situations where there may be a disagreement between the indivudual and the nursing home.
- Specific Violation Information For Each Facility (Well, Coming in July)
Beginning July, 2011 specific information regarding the number of substantiated complaints were made against individual facilities and the instances involving fines and restrictions on new admissions will be available for every facility.
Lastly, while not a specific change to the website, CMS will impose a nursing home rating freeze in October. Essentially, the five-star rating system will be deactivated to account for the new data reported by nursing homes using in accordance with a new system (MDS 3.0 QM v. MDS 2.0). Star-rating data with the new data will likely be available in 2012.
As a nursing home lawyer, I strongly support these changes and look forward to the continual evolution of the government's web resources. In addition, I suggest taking a look at Nursing Home Injury Laws, which contains both similar resource links, but also state-by-state laws and information on common nursing home injuries.
Related:
Nursing Homes Notified Of Their 'Five Star' Ratings Today
One year after the implementation of the Medicare nursing home rating system, where do we stand?
Learning More About Your Nursing Home: Medicare Website, Part 1
Two nurses who worked at facilities operated by Cathedral Rock were courageous enough to report the fraudulent billing committed by the nursing home operator and will also recover money for their efforts under provisions of the False Claims Act (
McKnight's
The case pending before the 11th Circuit involves Anna Moore, a 14-year-old Georgia girl, who suffers from a seizure disorder since birth. Because of her ongoing risk of stroke and breathing problems, Anna's physician prescribed round-the-clock nursing care. Despite the medical order from Anna's physician (and years of approving the nursing services), officials at Georgia Medicaid decided to arbitrarily reduce the number of weekly hours provided by a home nurse. The reduction occurred despite the fact there was no change in Anna's medical condition.
Nursing homes will now have one more reason to improve patient care--they will be paid for doing so. The Centers for Medicare & Medicaid Services (CMS) will initiate a new pay-for-performance program to inspire nursing to provide improved care to residents.
Effective 10/1/2008, hospitals and nursing homes will no longer be able to seek reimbursement from Medicare for medical conditions deemed preventable. The Centers for Medicare & Medicaid Services is asking states to coordinate Medicare and Medicaid policies to prevent facilities from billing Medicaid for preventable medical errors for individuals who may be eligible for both Medicare and Medicaid. Most nursing home residents are eligible for both Medicare and Medicaid.
Medicare. Most elderly do not have the assets to live in swank nursing homes that have maid service and four star chefs. Part of the nursing homes responsibility in accepting Medicare and Medicaid funding is that it must meet certain criteria and standards.