Baseline Care Plan Requirements Outlined by CMS

Posted by LTCS on February 28, 2018

Long term care facilities must develop and implement a baseline care plan for each resident within 48 hours of admission beginning November 28, 2017, according to recently updated surveyor guidelines published by CMS.

The guidelines state the 48 hour baseline care plan must include “the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care,” including, but not limited to: initial goals based on admission orders, physician orders, dietary orders, therapy services, social services, and PASARR recommendation, if applicable.

According to the regulations, facilities may develop a comprehensive care plan in place of the baseline care plan if the comprehensive care plan meets all of the requirements for the baseline care plan outlined in the surveyor guidelines.

In order to assure all of the requirements of the guidelines are met, LTCS Books recommends that the facility develops and implements a comprehensive care plan within 48 hours of admission.

MDS Comprehensive Assessment v1.15.1 for October 2017

Baseline Care Plan Regulations

CMS Updated Surveyor Guidelines for Long Term Care Faciities

Value Based Purchasing Program

Posted by LTCS on February 1, 2018

The VBP, Value Based Purchasing Program, became effective October, 2018. With the changes, CMS states the highest performing SNFs receive the highest payments, and the lowest ranked 40 percent of SNFs receive decreased payments.

Performance rankings are based on unplanned hospital readmissions of Medicare residents within 30 days of discharge, performance scoring, and quality feedback reports.

Overview of the Skilled Nursing Facility Value-Based Purchasing Program