Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Training

Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Training

The Centers for Medicare & Medicaid Services (CMS) has many sources of information about the SNF QRP for SNFs and other stakeholders including:

  • Training Materials and In-person Training
  • Training Question and Answers (Q&As)
  • SNF Open Door Forum (ODF) Presentations
  • Special Open Door Forum (SODF) Presentations
  • CMS Quality Partner/Vendor Workgroup Presentations

This page is organized to be a library of training materials available to SNFs. Trainings added to this page in the most recent six months will display as *NEW*.

If you have technical questions or feedback regarding the trainings, please email the PAC Training mailbox. Content-related questions should be submitted to the SNF Quality Reporting Program Help Desk.

Introduction to the SNF QRP Web-Based Training

This web-based training course was developed for those who are new to the SNF QRP. The Introduction to the SNF QRP course is designed to provide a general overview of the program as well as a variety of links and resources for additional information. Specific topics include:

  • Lesson 1: What is the SNF QRP?
  • Lesson 2: The Minimum Data Set (MDS).
  • Lesson 3: MDS Data Submission.
  • Lesson 4: SNF QRP Resources.

Section C and D Training Materials

Cognitive & Mood Assessment

This four-course series provides an overview of the general and key clinical considerations important for conducting standardized cognitive and mood assessments and include interactive exercises to test your knowledge. While it is intended that the courses be completed in sequential order, you may jump directly to any topic of interest. The courses contained within this training are:

BIMS Video Tutorial

This updated video tutorial is intended to assist providers with guidance application and interview strategies for the cognitive assessment known as the Brief Interview for Mental Status (BIMS) found in the Minimum Data Set (MDS) 3.0 v1.18.11, effective October 1, 2023. This video tutorial is approximately 20 minutes in length and is designed to provide targeted guidance for accurate coding using live-action resident scenarios. To access the video, click on the following link: 

BIMS and BIMS Summary Score Explainer Video

This 3-minute, animated explainer video was developed to assist SNFs in accurately determining when the Brief Interview for Mental Status (BIMS) should be stopped, and how to code the remaining items in this situation. The video is now available through the following link: 

Confusion Assessment Method (CAM©) Video Tutorial

This 14-minute video tutorial was developed to assist providers with guidance application and assessment strategies for C1310. Signs and Symptoms of Delirium taken from the Confusion Assessment Method (CAM©) found in the MDS 3.0 v1.18.11. The video tutorial is designed to provide targeted guidance for accurate coding using a live-action resident scenario. To access the video, click on the following link: 

Section D Training Materials

Resident Mood Interview (PHQ-9©) Video Tutorial

This video provides a depiction of a scenario that demonstrates the coding of D0200. Resident Mood Interview (Patient Health Questionnaire [PHQ]-9©) and D0300. Total Severity Score.

Section GG Training Materials

Section GG -Web-Based Training Series

This web-based training series is designed to be used on demand anywhere you can access a browser and includes interactive exercises to test your knowledge related to the assessment and coding of Section GG items. This training series consists of three courses:

Video Tutorials Available to Assist with Coding Specific Section GG Items

These videos, ranging from 4 to 12 minutes, are designed to provide targeted guidance using simulated patient scenarios. To access the videos, click on the links below.

GG0170C. Lying to Sitting on Side of Bed

This 5-minute video  tutorial is intended to assist providers with coding GG0170C. Lying to Sitting on Side of Bed, and provides targeted guidance using simulated patient scenarios.  

Section J Training Materials

Health Conditions: Coding the Standardized Patient Assessment Data Elements Related to Falls

This 45-minute web-based training provides an overview of the assessment and coding of the standardized patient assessment data elements in Section J: Health Conditions and is designed to include interactive exercises to test your knowledge. To access the videos, click the links below.

Section K Training Materials

Swallowing/Nutritional Status:  Height, Weight, and Nutritional Approaches

This 30-minute course provides an overview of the assessment and coding of K0200: Height and Weight and K0500: Nutritional Approaches and includes interactive exercises to test your knowledge. To access the video, click the links below

Section M Training Materials

Assessment and Coding of Pressure Ulcers/Injuries

This 90-minute web-based training provides an overview of the assessment and coding of the standardized patient assessment data elements in Section M: Skin Conditions and is designed to include interactive exercises to test your knowledge. To access the videos, click the links below.

Section N Training Materials

Medications – Drug Regimen Review

This 45-minute web-based training provides an overview of the assessment and coding of the Drug Regimen Review standardized patient assessment data elements to Section N and is designed to be used on demand anywhere you can access a browser. To access the videos, click the links below.

Section O Training Materials

Section O: O0100. Special Procedures, Treatments, and Programs

This 30-minute web-based training provides an overview of the assessment and coding of Section O: O0100. Special Procedures, Treatments, and Programs and is designed to include interactive exercises to test your knowledge related to the assessment and coding of O0100.

Cue Cards

Cue Cards for Administering the BIMS in Writing, PHQ-2 to 9, Pain Assessment Interview, and Interview for Daily and Activity Preferences

This set of cue cards was developed to assist SNFs in conducting the Brief Interview for Mental Status (BIMS) in Writing, the Resident Mood Interview (PHQ-2 to 9), the Pain Assessment Interview, and the Interview for Daily and Activity Preferences, as referenced in the MDS 3.0 RAI v1.18.11 coding guidance. This resource is intended to be utilized as a supplemental resident communication tool that provides a visual reference of response options. More detailed instructions regarding the use of cue cards and the administration of the BIMS in writing can be found in the MDS 3.0 RAI v1.18.11 Manual.  The cue cards are available here:

Job Aids

Companion job aids assist providers in the assessment and coding of assessment items, and provide clinically relevant information to assist providers in understanding specific guidelines and clinical considerations that should be applied to coding these items. The job aids are provided in multiple file types designed for printing, viewing, or sharing electronically. An explanation of the file types is provided in the ZIP file.

Job Aids – GG0130A. Eating, GG0130B. Oral Hygiene, GG0130C. Toileting Hygiene, GG0130E. Shower/Bathe Self, GG0130F. Upper Body Dressing, GG0130G. Lower Body Dressing, and GG0130H. Putting On/Taking Off Footwear

Pocket Guides / Badge Buddies

Pocket Guides are intended to assist providers in the assessment and coding of assessment items, and provide a quick reference for important terms and definitions that promote coding accuracy. These pocket guides are approximately 2 x 3.5 inches in size and are designed to be worn behind a provider identification badge.

*NEW* Health Equity Confidential Feedback Reports Educational Materials

CMS released an educational webinar recording and fact sheet providing an overview of the Health Equity Confidential Feedback Reports that were released in October 2023.  They also hosted a live Q&A session to answer questions about the report. To access the materials, click the links below.

Updates

October 17, 2024

NOW AVAILABLE: Updated Annual DTC and MSPB Health Equity Confidential Feedback Reports for Post-Acute Care Providers with Educational and Outreach Materials 

On October 15, 2024, the Centers for Medicare & Medicaid Services (CMS) updated the two annual post-acute care (PAC) Health Equity Confidential Feedback Reports: the Discharge to Community (DTC) Health Equity Confidential Feedback Report and the Medicare Spending Per Beneficiary (MSPB) Health Equity Confidential Feedback Report. 

These reports are available through the Internet Quality Improvement & Evaluation System (iQIES) reports folders to providers in the Home Health (HH), Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) settings. The updated Fall 2024 Health Equity Confidential Reports are based on data from Calendar Year 2022-2023 for HH and from Fiscal Year 2022-2023 for IRF, LTCH, and SNF settings. 

To locate your updated Fall 2024 Health Equity Confidential Feedback Reports in iQIES, please follow the instructions listed below:

  1. Log into iQIES using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) user ID and password. If you do not have a HARP account, you may register for a HARP ID.
  2. From the Reports menu, select My Reports.
  3. From the My Reports page, locate and select the Health Equity Confidential Feedback Reports folder link.
  4. Displayed for you is a list of reports available for download.
  5. Select the report name link to view the Health Equity Confidential Feedback Report data

CMS has developed the following educational and outreach materials to support providers in accessing and understanding their updated annual DTC and MSPB Health Equity Confidential Feedback Reports that are available in the Downloads section below: 

September 4, 2024

UPDATED RESOURCE AVAILABLE: From Data Elements to Quality Measures Cross-Setting Web-Based Training

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course that provides a high-level overview of how data elements within CMS patient/resident assessment instruments are used to construct quality measures (QMs) across post-acute care (PAC) settings. The course also discusses the relationship between these data elements and Quality Reporting Program (QRP) QMs, QM calculation, and how to access reports and use QM data for quality improvement. To access the training, click on the following link: From Data Elements to Quality Measures: Cross-Setting Web-Based Training

If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the SNF QRP Help Desk.

August 26, 2024

UPDATED RESOURCE AVAILABLE: Section GG Web-Based Training Series

The Centers for Medicare & Medicaid Services (CMS) is offering an updated series of web-based training courses that provide an overview of the assessment and guidance to promote accurate coding of the post-acute care (PAC) cross-setting Section GG data elements. Each course contains interactive exercises to test your understanding. To access the courses, click on the links below:

If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the SNF QRP Help Desk.

August 14, 2024

NOW AVAILABLE: CMS National Summary Report, Executive Summary, and National Summary Results workbook for the 2023 Post-Acute Care Health Equity Confidential Feedback Reports 

In October 2023, the Centers for Medicare & Medicaid Services (CMS) released two Health Equity Confidential Feedback Reports to post-acute care (PAC) providers: the Discharge to Community (DTC) Health Equity Confidential Feedback Report and the Medicare Spending Per Beneficiary (MSPB) Health Equity Confidential Feedback Report.

To help expand access to aggregate stratified results, the National Summary Report provides insights on aggregate (e.g., national-level) differences in quality by dual-enrollment status and race/ethnicity in the PAC settings. This report can be used as a reference by PAC providers who received the 2023 Health Equity Confidential Feedback Reports. In addition, this report can help other stakeholders understand aggregate variations in the stratified DTC and MSPB measure outcomes. The Executive Summary of the National Summary Report serves as a quick summary of the main findings from the National Summary Report. The National Summary Results workbook includes the full set of results that were included in the National Summary Report. 

The National Summary Report, Executive Summary, and National Summary Results workbook can be found in the Downloads section of the PAC QRP Training webpage for HH, IRF, LTCH, and SNF.

July 24, 2024

NEW RESOURCE AVAILABLE:  Patient Mood Interview (Patient Health Questionnaire PHQ-2 to 9©) Video Tutorial

The Centers for Medicare & Medicaid Services (CMS) is offering a video tutorial for completing D0150, Patient Mood Interview (PHQ-2 to 9) and D0160, Total Severity Score. This video depicts two scenarios that demonstrate the coding of the PHQ-2 to 9 for the purposes of completing D0150, Patient Mood Interview (PHQ-2 to 9) and D0160, Total Severity Score. Two patient vignettes are depicted, one in which the PHQ-2 is demonstrated and one in which the entire PHQ-2 to 9 is completed. This video can be viewed through the following link: https://youtu.be/_JU7ABmbBGA.

If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the SNF QRP Help Desk.

July 19, 2024

NEW RESOURCE AVAILABLE: What You Need to Know: PAC QRP Key Program Updates – FY/CY 2025 Web-Based Training

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course that provides an overview of key updates to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) for Fiscal Year (FY) 2025. This targeted training discusses new, removed, and revised quality measures, timelines for public reporting, and measure specifications. In addition, assessment guidelines and coding instructions are presented for a new data element: O0350. Resident’s COVID-19 vaccination is up to date. To access the training, click on the following link: FY/CY 2025 Web-Based Training.

If you have questions about accessing resources or feedback regarding trainings, please email the PAC Training Mailbox. Content-related questions should be submitted to the SNF QRP Help Desk.

June 12, 2024

Invitation to join a CMS Health Equity Confidential Feedback Report Listening Session on July 31, 2024

The Centers for Medicare & Medicaid Services (CMS) would like to invite providers to an upcoming listening session on July 31, 2024 from 2:00 – 3:00 p.m. ET. to discuss the 2023 Health Equity Confidential Feedback Reports, which were released to Post-Acute Care (PAC) providers in the Home Health (HH), Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) settings. 

In October 2023, CMS released two separate Health Equity Confidential Feedback Reports that show provider performance on the Discharge to Community (DTC-PAC) and Medicare Spending per Beneficiary (MSPB-PAC) measures. The reports showed performance on these measures stratified by beneficiaries’ Medicare-Medicaid dual-enrollment status and beneficiaries’ race/ethnicity.

The goal of this listening session is to gather feedback from providers and stakeholders on the PAC Health Equity Confidential Feedback Reports to guide the development of future PAC Health Equity Confidential Feedback Reports.

If you would like to attend, please register at the following link: https://us06web.zoom.us/webinar/register/WN_y4vy8QZrQhuCU1lr3rZopA 

We look forward to hearing your questions on the Health Equity Confidential Feedback Reports prior to this session. Please submit your questions or comments to: cmshealthequitycfrsession@ketchum.com by June 26 and we will incorporate them into the session discussion.

May 13, 2024

NEW RESOURCE AVAILABLE Social Determinants of Health (SDOH) Explainer Video 

The Centers for Medicare & Medicaid Services is offering a 4-minute, animated explainer video, Social Determinants of Health (SDOH) Items: Using Sources Other Than the Resident to Code for SNF providers. This video is intended to assist providers in accurately determining when the use of other sources is allowed for SDOH items: A1005. Ethnicity, A1010. Race, A1110. Language, A1250. Transportation, B1300. Health Literacy, and D0700. Social Isolation. The video is now available through the following link: SNF SDOH Explainer Video.

If you have questions regarding access to the resources or feedback related to the training, please email the PAC Training Mailbox. Content-related questions should be submitted to the SNF QRP Help Desk.

May 13, 2024

POST-EVENT MATERIALS AVAILABLE: SNF QRP: Achieving a Full APU Webinar Post-Event Q&A

A Post-Event Q&A document from the SNF QRP: Achieving a Full APU Webinar that took place on March 26, 2024, is now available. This document contains responses to questions related to the webinar. See “2024_March_SNF APU Webinar_QA” in the Downloads section below.

If you have questions about accessing resources or feedback regarding the trainings, please email the PAC Training Mailbox. If you would like to receive email notifications related to future training resources or events, please register to be added to our Notification List. Content-related questions should be submitted to the SNF QRP Help Desk.

May 6, 2024

NEW RESOURCE AVAILABLE: Recording Available for the SNF QRP: Achieving a Full APU Webinar 

The Centers for Medicare & Medicaid Services (CMS) hosted a webinar on March 26, 2024, to educate providers of current changes and to help them achieve a full Annual Payment Update (APU) in the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP). This webinar covered updates to the SNF QRP, Minimum Data Set (MDS) and National Healthcare Safety Network (NHSN) submission and reporting requirements, available Internet Quality Improvement and Evaluation System (iQIES) and NHSN reports, the reconsideration process for providers who are identified as being noncompliant, and helpful resources.

A recording of the webinar is available on the CMS YouTube channel. A Post-Event Q&A document containing responses to questions asked throughout the webinar will be made available at a later date. 

If you would like to receive email notifications related to future training resources or events, please register to be added to our Notification List. If you have questions regarding access to the resources or feedback related to the training, please email the PAC Training Mailbox. Content-related questions should be submitted to the SNF QRP Help Desk.

March 22, 2024

REGISTRATION REMINDER: SNF QRP: Achieving a Full APU Webinar – Update 

The Centers for Medicare & Medicaid Services (CMS) is hosting a webinar on March 26 from 1:00 p.m. to 2:30 p.m. ET to educate providers of current changes and to help providers to achieve a full Annual Payment Update (APU) in the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP). This webinar will cover updates to the SNF QRP, Minimum Data Set (MDS) and National Healthcare Safety Network (NHSN) submission and reporting requirements, available Internet Quality Improvement and Evaluation System (iQIES) and NHSN reports, the reconsideration process for providers who are identified as being noncompliant, and helpful resources.

Still Need to Register? Registration is open and can be completed online through Zoom.

A PDF version of the webinar presentation is available in the Downloads section below.

If you have questions regarding access to the resources or feedback related to the training, please email the PAC Training Mailbox. Content-related questions should be submitted to the SNF QRP Help Desk.

January 19, 2024

NOW AVAILABLE: CMS Frequently Asked Questions (FAQ) Document and Methodology Report for the Post-Acute Care Health Equity Confidential Feedback Reports 

In October 2023, the Centers for Medicare & Medicaid Services (CMS) released two Health Equity Confidential Feedback Reports to post-acute care (PAC) providers: the Discharge to Community (DTC) Health Equity Confidential Feedback Report and the Medicare Spending Per Beneficiary (MSPB) Health Equity Confidential Feedback Report.

To answer frequently asked questions and to provide methodological information about these reports, CMS released the Frequently Asked Questions (FAQ) Document and the Methodology Report. The materials can be access through these links: 

SNF Quality Reporting Program Archives

Downloads

Page Last Modified:
10/30/2024 05:01 PM
Help with File Formats and Plug-Ins