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.

From Data Elements to Quality Measures – Cross-Setting QRP Web-Based Training.

This web-based training course 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 PAC settings included are those covered under the CMS QRPs for Home Health Agencies (HHAs), Inpatient Rehabilitation Facilities (IRFs), Long-Term Care Hospitals (LTCHs) and SNFs. Information covered in this 60-minute course will include a short review of the QRPs’ cross-setting QMs, how data elements feed into these cross-setting QMs, how QMs are calculated and appear on QM reports and how to access and use this data for quality improvement.

Achieving a Full APU Webinar Training

A video of the SNF QRP: Achieving a Full Annual Payment Update (APU) webinar that took place on Tuesday, March 30, 2021, is available to view on YouTube at the following link: https://www.youtube.com/watch?v=hkU2ega3j3s. The training materials are here:

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: 

*NEW* RESOURCE AVAILABLE: 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: 

*NEW* RESOURCE AVAILABLE: 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 3-Course 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

*NEW* RESOURCES AVAILABLE: 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.

Updates

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: 

December 15, 2023

CMS Health Equity Confidential Feedback Reports Live Q&A Materials

On November 16, 2023, the Centers for Medicare & Medicaid Services (CMS) hosted a live Q&A session about the CMS Health Equity Confidential Feedback Reports for 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, which were released in October 2023. The PAC Health Equity Confidential Feedback Reports stratified the Discharge to Community and Medicare Spending Per Beneficiary measures by dual-enrollment status and race/ethnicity. 

The live Q&A session gave participants an opportunity to ask CMS subject matter experts about the report’s methodologies and interpretations can be found in these links: 

If you would like to submit feedback to CMS on the PAC Health Equity Confidential Feedback Reports, please submit it to your provider-specific helpdesk. Please include “Health Equity Feedback” in the subject line of your email.

October 16, 2023

Educational webinar recording and fact sheet providing an overview of the Health Equity Confidential Feedback Reports

The Centers for Medicare & Medicaid Services (CMS)  has released an educational webinar recording and fact sheet providing an overview of the Health Equity Confidential Feedback Reports. The webinar slides, webinar transcript, and fact sheet are available in the Downloads section below. To access the webinar recording video, click on the following link: Online webinar recording.

August 23, 2023

POST-EVENT MATERIALS AVAILABLE: The SNF MDS 3.0 RAI v1.18.11 Guidance Training Program

A Post-Event Q&A document from the SNF MDS 3.0 RAI v1.18.11 Guidance Training Program is now available. This document contains responses to questions asked throughout the training program. See “2023_August_SNF Guidance Training Program_Q&A” 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.

If you have questions about accessing any of the resources listed on this webpage or have 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.

SNF Quality Reporting Program Archives

Page Last Modified:
03/22/2024 02:57 PM