U.S. News & World Report on Tuesday released its Best Nursing Homes for 2018-2019 and an updated Nursing Home Finder to help people to conduct customized searches for highly-rated nursing homes.
For the ratings, U.S. News evaluated more than 15,000 Medicare- or Medicaid-certified nursing homes in the United States. Around 3,000 facilities earned a Best Nursing Home designation.
In the past, U.S. News has relied on data from Nursing Home Compare, a website run by CMS, for its Best Nursing Home ratings. However, U.S. News said it changed its methodology after CMS in November 2017 began relying on payroll-based nurse staffing reporting and froze health inspection data. Beginning with this year's ratings, U.S. News said it:
Most nursing homes were given two ratings:
To be designated a Best Nursing Home, facilities needed to have a High Performing rating in at least one of the two rating categories and could not have a below-average rating in either category.
According to U.S. News, 2,975 nursing homes were designated a Best Nursing Home for 2018-2019.
U.S. News said Wisconsin had the highest number of top rated nursing homes, with 176 such facilities. The states with the highest proportion of facilities awarded a Best Nursing Home designation were:
Brian Kelly, editor and chief content officer for U.S. News, said, "Several million Americans will spend at least some time in a nursing home this year, whether undergoing rehab after a hospital stay or as long-term residents. Finding a nursing home that meets an individual's specific needs can be overwhelming. The Best Nursing Home ratings are designed to help potential residents and their families navigate this important decision" (U.S. News & World Report release, 10/30).
Monica Westhead , Senior Consultant, Post-Acute Care Collaborative
As lists and tools like those put out by U.S. News show, patients and their families are increasingly being given the tools they need to pick SNF providers based on quality. Clearly, clinical quality has always been critical for SNFs. However, this greater transparency, as well as changing payment methodologies that emphasize readmission prevention and outcomes, mean that it's more important than ever to deliver high-quality care and partner with providers who are also committed to clinical excellence.
“All providers—acute and post-acute—need to do their part to ensure that both they are their partners are delivering high-quality care.”
It isn't always easy to deliver the level of care that today's patients need in post-acute settings, especially as patient acuity and medical complexity continue to rise. All providers—acute and post-acute—need to do their part to ensure that both they are their partners are delivering high-quality care.
In particular, we've found that providers should implement several critical strategies in order to deliver high-quality care. These strategies can help providers weather increasing unpredictability about changes in payment models and episodic accountability. These key strategies include:
Our Post-Acute Clinical Quality Compendium provides tools, resources, and case studies to implement each of these strategies and address some of the most common challenges to clinical quality. SNFs should use the Compendium to address their own challenges—and hospitals should leverage the examples therein to raise the overall quality bar of their partner post-acute providers.
Improving SNF care delivery doesn't happen in isolation. It requires strong support between acute and post-acute partners. To learn more about why post-acute partnership matters, see our newest infographic.
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