CMS Revises PBJ Staff Turnover Definition
Other Updates Coming on July 31 to Nursing Home Data and Care Compare
Today, the Centers for Medicare and Medicaid Services (CMS) released QSO-24-14-NH regarding updates coming to Nursing Home Care Compare and Data.CMS.gov on July 31, 2024. The updates reflect previously announced changes that CMS made public in September 2023.
The changes include:
- Revising How the Staff Turnover Measure is Calculated: CMS will exclude employees who are on leave for 90 days or less from being counted as staff turnover. This will help accommodate for staff who are out on maternity or parental leave. Currently, any staff absence of 60 days or more counts as turnover, so this change should lower turnover rates.
- Implementing New Staffing Level Case-Mix Adjustment Methodology: Beginning on July 31, CMS will post the new staffing level case-mix adjustment methodology for staffing measures reported on Care Compare. CMS will revise the staffing rating thresholds to maintain the same overall distribution of points for affected staffing measures.
- Updating Quality Measure Risk-Adjustment with Most Recent Data: CMS will revise the risk adjustment methodology for the claims-based quality measures to incorporate the most recent data available.
- Posting Facility-Level Data on Resident and Facility Characteristics: Beginning on July 31, CMS will start posting aggregate MDS data at the facility-level on Data.CMS.gov. The data will likely be facility-level version of the MDS frequency data currently available at the state- and national-level.
- Updating Nursing Home Guides Posted on Care Compare: CMS will post new guides for consumers on the Nursing Home Care Compare website as part of the agency’s efforts to promote “minimum health and safety expectations.”
More details on all of these updates can be found here. Please contact regulatory@ahca.org with questions.
NYSHFA | NYSCAL CONTACTS:
Tarrah Quinlan, RN, BSN
Director of Education Program Development and Member Operations
518-462-4800 x20
Lisa Volk, RN, B.P.S., LNHA
Executive Director, Foundation for Quality Care
518-462-4800 x15
Posted in Clinical & Quality



