Staffing & Five-StarHow the MDS affects your PBJ

Don FeigeDirector of Business Development, ezPBJ

About our Speaker

• ezPBJ provides easy-to-use software to manage all aspects of Payroll-Based Journal reporting

• ezPBJ assembles, validates and submits Payroll-Based Journal reports for facilities in 49 states

• ezPBJ provides a FREE PBJ benchmarking tool ezPBJ Essentials

• Don Feige is a software entrepreneur specializing in workforce solutions that solve healthcare staffing, scheduling and reporting challenges. Don has helped hundreds of skilled nursing facilities understand PBJ policy, design PBJ data capture processes, and improve PBJ reporting.

Staffing Five-Star Fundamentals

What’s New in the Staffing Five-Star

What WasThe 671

What IsPBJ

FrequencyEvery 9 to 15 months,

during Survey(2 weeks of data)

Every 3 months(Every day of the quarter)

Methods Unaudited worked hours

Auditable worked AND paid hoursNew LPN w/ Admin category

Overtime hours for Salaried Staff no longer includable

Case-Mix Adjustment

RUGS-III (53)

1995-1997 time study

RUGS-IV (66)

STRIVE time study

The New PBJ Staffing Five-Star Calculation

Nursing Hours

Paid/worked nursing hours (risk-adjusted) still drive the Five-Star rating:

• RN Hours Per Resident Day (except LPN with Admin. Duties removed)

• Total Nursing Hours Per Resident Day (RN + LPN + Aide)

Reported to Adjusted

Staffing Five-Star Ratings continue to be risk adjusted to account for differences in resident acuity.

Resident RUG-IV data based on most recent MDS and “drawn” on last business day of the last month of the reported quarter.

Five-Star formula

The Staffing Five-Star formula is unchanged:

Timing of PBJ & Staffing Five-Star Ratings

PBJ Reporting QuarterPBJ

Deadline

Approx. Five-Star Posting to NHC(4th Wednesday)

Oct 1 – Dec 31 2017 2/14/18 4/25/2018

Jan 1 – Mar 31 2018 5/15/18 7/25/18

Apr 1 – Jun 30 2018 8/14/18 10/24/18

Jul 1 – Sep 30 2018 11/14/18 1/23/19

Oct 1 – Dec 31 2018 2/14/19 4/24/19

Jan 1 – Mar 31 2019 5/15/19 7/24/19

Apr 1 – Jun 30 2019 8/14/19 10/23/19

First PBJ Five-Star rating

Live on NHC

Staffing Five-Star ratings adjust quarterly

Staffing Five-Star Cut Points Table –RN Focus

Staffing Points and Rating (updated April 2019)

↓ Total nurse staffing rating and hours (RN, LPN and nurse aide) ↓

1 2 3 4 5

Old 671-based < 3.262 3.262 -3.660 3.661 -4.172 4.173 -4.417 ≥ 4.418

RN rating and hours New PBJ < 3.107 3.107 -

3.5733.574 -4.037

4.038 -4.403 ≥ 4.404

1 < 0.283 < 0.316

2 0.283 -0.378 0.316 – 0.500

3 0.379 -0.512 0.501 – 0.723

4 0.513 -0.709 0.724 – 1.041

5 ≥ 0.710 ≥ 1.042

Add 1 StarLose 1 Star

Seeing the MDS in PBJ

The Formula − PBJ-Based Staffing Five-Star

Hours (Reported)

Hours (Expected)

Hours(NatlAvg)

Hours (Adjusted)

The Details − PBJ-Based Staffing Five-Star

Hours(NatlAvg)

Hours (Adjusted)

Payroll Hours / Daily Avg Census

Strive* Hours / Daily Avg

Census

Data Sources − PBJ-Based Staffing Five-Star

CMS CMS

Payroll + Vendors / MDS Census

MDS RUGS /MDS Census

Our Tools: PBJ-Based Staffing Five-Star

/

/Updated

Daily

Updated Quarterly

LIVE Five-StarPROJECTIONS

Updated Daily

Real-Life Example

Essentials: Free PBJ Benchmarking Tool

• www.ezPBJ.com/Essentials

• Analyze your PBJ metrics & run competitive comparisons of your facility’s Public PBJ data and NHC Five-Star metrics

Q&A

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