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Nursing homes: CMS needs milestones and timelines to ensure goals for the Five-Star Quality Rating System are met: report to congressional committees.

Nursing homes: CMS needs milestones and timelines to ensure goals for the Five-Star Quality Rating System are met: report to congressional committees.

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General Reference

ISBN10: 1974236714
ISBN13: 9781974236718
Publisher: Createspace Independent Publishing Platform
Published: Aug 4 2017
Pages: 42
Weight: 0.27
Height: 0.09 Width: 8.50 Depth: 11.00
Language: English
In 2008, in an effort to provide helpful information to consumers and improve provider quality, the Centers for Medicare & Medicaid Services (CMS) developed and implemented the Five-Star Quality Rating System (Five-Star System). The Five-Star System assigns each nursing home an overall rating and three component ratings-health inspections, staffing, and quality measures-based on the extent to which the nursing home meets CMS's quality standards and other measures. The rating scale ranges from one to five stars, with more stars indicating higher quality. The Patient Protection and Affordable Care Act directed GAO to review CMS's Five-Star System. This report examines (1) how CMS developed and implemented the Five-Star System and what key methodological decisions were made during development, (2) the circumstances under which CMS considers modifying the Five-Star System, and (3) the extent to which CMS has established plans to help ensure it achieves its goals for the Five-Star System. To conduct this work, GAO reviewed CMS documents, interviewed CMS officials and others, and assessed whether CMS uses certain strategic planning practices.

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