Webinar - Team MDS Series: Expert Quality Measure Management8/25/2026
Presented By:
- Christine Twombly, RN-BC, RAC-MT, RAC-MTA, HCRM, CHC
Contact Person:
Proactive Medical Review and Consulting [email protected]
Course Description:
The session is designed for IDT members who are responsible for driving quality improvement and regulatory compliance. Participants will gain expert level insights into the Quality Measure that impact facility performance, reimbursement and public reporting through the Five Star Quality Rating System. This session will provide attendees with strategies to lead quality initiatives that elevate care, enhance outcomes and position the facility for success.
Learning Objectives
- Identify Key Quality Measures that influence SNF performance and the Five Star Quality Rating
- Interpret Quality Measure data reports and understand impact of MDS coding on the data
- Apply targeted strategies to improve outcomes in high impact measures such as falls, pressure ulcers and functional abilities and declines
Course Content
- 10 min: Overview of the MDS Quality Measures
- 30 min: Review of the calculation of high impact QMs with targeted strategies for improvement
- 10 min: Monitoring & Sustaining Improvements in Performance
- 10 min: Closing comments and Q&A
Target Audience: MDS/RAI Coordinators, Nurse Leaders
Instructional Level: Beginner/Intermediate
Program Length: 1 hour
List Learning Objectives: What participants will gain from attending this session:
Content: Bullet-point list of information covered to meet learning objective:
1. Identify key Quality Measures that influence SNF performance and the Five Star rating
- Overview of MDS based QMs used in the Five Star rating system, VBP and SNF QRP
- Categories of QMs, Short stay vs Long Stay
- Identify high Impact QM (Fall, Pressure Ulcers, Functional Measures)
2. Interpret QM date reports and understand the impact of MDS coding
- Overview of QM calculations and key definitions
- Review the role of MDS coding accuracy in the QM outcomes
- Common documentation and MDS coding pitfall that impact accuracy of data
3. Apply targeted strategies to improve high-impact measures
- Utilizing a QAPI framework for focused improvement
- Engage the Interdisciplinary team in root cause analysis and PIP for action planning
- Celebrate successes and sustain improvement through accountability
4. Analyze the relationship between MDS assessment timing, accuracy, and facility financial outcomes.
- How assessment timing influences PDPM payment windows
- Impact of missed or incorrect OBRA/PPS assessments on Medicaid Case Mix
- IPA timing considerations and reimbursement implications
- The financial effect of coding drift or declining accuracy over time
- Real-world case studies showing revenue gains from improved coding and assessment processes