Indiana Medicaid Value Based Purchase Support

What is the Skilled Nursing Facility Value-Based Purchasing Program (SNF VBP)?

The SNF VBP Program focuses on better outcomes and rewards skilled nursing facilities with incentive payments for the quality of care they give to people with Medicare, in particular reducing hospital readmissions. The SNF VBP Program moves CMS toward paying providers based on the quality, rather than the quantity, of care they give patients.

How will the program work?

• SNFs will be evaluated on a hospital readmissions measure after a patient is discharged and has a hospital admission within 30 days.
• SNFs will receive a performance score based on their individual performance and a performance score based on their comparison to other SNFs in the country.
• SNFs will receive confidential quarterly and annual reports about their performance on the program’s measure.
• SNFs will receive payment incentives based on their performance.

How is the Samaritan Alliance prepared to help you?

The Samaritan Alliance, along with it’s partners, has prepared a Value-Based Purchasing Toolkit concerning the 9 Quality Measures each facility will be critiqued on. This Toolkit features programs, protocols and best practices suggested by our vendors in the following areas:

• Percentage of residents whose need for help with activities of daily living has increased
• Percentage of residents whose ability to move independently worsened
• Percentage of high risk residents with pressure ulcers (sores)
• Percentage of residents who have/had a catheter inserted and left in their bladder
• Percentage of residents who were physically restrained
• Percentage of residents with a urinary tract infection
• Percentage of residents who self-report moderate to severe pain
• Percentage of residents experiencing one or more falls with major injury
• Percentage of residents who received an antipsychotic medication

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