Analyzing Quality Measures to Identify Systemic Issues in Your SNF - On-Demand

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Analyzing Quality Measures to Identify Systemic Issues in Your SNF - On-Demand

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Analyzing Quality Measures to Identify Systemic Issues in Your SNF - On-Demand

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Available ON-DEMAND

Presented on:
Thursday, May 10, 2018

Presented by:
Stefanie Corbett, DHA

Level of Program:

Skilled nursing facilities’ performance on quality measures (QM) is publicly reported and gives consumers, referral sources, and potential business partners a key source of information on how well a facility is caring for its residents. However, getting a comprehensive picture of how QMs function can be time-consuming due to CMS’ extensive QM manual.

During this 60-minute on-demand webinar, Stefanie Corbett, DHA, will break down how QMs are calculated to help providers routinely analyze their facility’s performance. Knowing how your facility performs will help you identify systemic issues, mitigate risks associated with poor QM performance, and obtain eligibility to participate in alternative payment models.

At the conclusion of this program, participants will be able to:

  • Identify the sources of QMs and determine how they impact surveys, payment, and public reports
  • Mitigate risks for survey deficiencies
  • Incorporate QM analysis into an ongoing quality improvement program to improve resident care and systemic issues
  • Obtain eligibility to participate in alternative payment models

Who Should Listen?

  • Administrators
  • MDS coordinators
  • Directors of nursing
  • Quality assurance professionals
  • Risk management professionals


  • An overview of the types of QMs and the sources of data that each one uses
    • MDS 3.0 assessments
    • Medicare fee-for-service claims
    • Mandatory provider reports (i.e. Payroll-Based Journaling)
  • Navigating the types of QMs and their definitions, including how they are calculated
    • CASPER reports
    • SNF Quality Reporting Program
    • SNF Value-Based Purchasing Program
    • Five-Star Quality Rating
    • Nursing Home Compare
  • Accessing QM reports
    • Internal monitoring, auditing, and analysis
  • How to avoid poor QM performance by understanding how QMs impact:
    • Survey outcomes
    • Referral sources
    • Prospective customers
    • Providers’ eligibility to participate in alternative payment models
  • Analyzing QM performance to identify systemic issues
    • Tracking/trending
    • MDS accuracy
    • Root cause analyses
    • Investigative protocols
  • Live Q&A


  • F-tag crosswalk
  • QM crosswalk
  • QAPI template for addressing substandard QMs

Meet the Speaker

Stefanie Corbett, DHAStefanie Corbett, DHA, is H3.Group’s new postacute regulatory specialist. Corbett has served in various senior leadership roles in postacute care organizations. She founded a healthcare consulting firm based out of Charlotte, North Carolina, in 2014 to assist postacute care organizations with regulatory compliance and operations management.

Previously, Corbett served as the deputy director of health regulation for the South Carolina Department of Health and Environmental Control, where she was responsible for overseeing the promulgation and enforcement of healthcare regulations at all licensed healthcare facilities/agencies across the state. In addition to working as an entrepreneur and in the private/public sectors, Corbett has taught as an assistant professor in university healthcare administration programs.

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version is now available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value! 

Participation in the webinar is just $199 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.