THE GOOD NEWS is that QSAP (Quality supplemental Payment Program) incentive plan encouraged in the Affordable Care Act is working! The intent was to encourage the formation of accountable care organizations in an effort to improve health care quality and slow the growth of health care spending. Accountable Care Organizations embody a set of healthcare providers, including primary care physicians, specialists, hospital and long term care facilities that work together collaboratively and accept collective accountability for the cost and quality of care delivered to patients.
In California Department of Public Health is partnering with California Department of Health care Services to implement this new program. The department’s Center for Health Care Quality is assessing and scoring quality of care of skilled nursing facilities to determine scores that qualify skilled nursing facilities for supplemental payments. Qualified participants can expect to receive payments from the $90 million dollar fund as determined April 23, 2015. Electronic fund transfers will be received April 27, 2015.
Out of 1000 skilled nursing facilities, 363 received incentive awards for their performance. The individual facility payments ranged from $4000 to $1.2 million, an average of $223,000. 185 facilities that qualified for improvement awards ranged from $800 to $213,000, averaging $49,000 per facility.
The scoring of the quality of care is intensive and extensive. It covers every aspect of the operation as well as the condition of the physical plant. The methodology of scoring is still pending. Skilled Nursing Providers are adapting to the Culture change in long term care. Therefore, scoring facilities for quality of care is not only based only on the physical condition of a patient or a reduction of hospital readmissions, but the “wellness” of the patient care is of prime importance. The industry is becoming far more sophisticated and making quantum leaps. Providers bottom line is increasing while patient care quality increases. THE NEWS IS GOOD FOR BOTH SKILLED NURSING PROVIDERS AND FOR THE SENIOR POULATION REQUIRING LONG TERM CA