ROUNDS OF REDUCTIONS ROUNDS OF REDUCTIONS No Compromise on Quality While skilled nursing care centers remain committed to improving the quality of care provided, rounds of government reductions to critical federal health programs are taking their toll in an already struggling economy. 2007 2008 2009 2010 2011 2012 2013 2006 $750 million FY 2006 Change in RUG classiﬁcations $12 billion over 10 years FY 2010 CMS Rule The long term and post-acute care profession continues to make significant strides in improving the quality of care and the quality of life for the millions of individuals that require skilled nursing and assisted living care each day. Rare Citations Safely Reduce Hospital Readmissions by 15% by March 2015 Increase Staff Stability (reduce nursing staff turnover) by 15% by March 2015 Increase Customer Satisfaction up to 90% by March 2015 Reduce the Off-Label Use of Antipsychotics by 15% by December 2012 1 CMS Five-Star Quality Rating System 2 CMS CASPER Data $3 billion over 10 years Bad Debt $670 million Sequestration ADVANCING QUALITY CARE ADVANCING QUALITY CARE Better Staﬃng Levels When rating facilities based on staffing 1 27% 40% Five Stars on the Rise Since the program’s inception in 2009 38% 32% are not cited by CMS for Substandard Quality of Care. 2 95% RAISING THE BAR While progress is ongoing, AHCA/NCAL continues to challenge the long term and post-acute sector to improve quality care through its Quality Initiative. The Quality Initiative sets four measurable goals : $6.3 billion Medicaid Shortfall Federal Health Reform $14.6 billion over 10 years Learn more at qualityinitiative.ahcancal.org © 2012 American Health Care Association/National Center for Assisted Living | 1201 L St. NW Washington, DC 20005 | www.ahcancal.org

No Compromise on Quality - AHCA/NCAL...No Compromise on Quality While skilled nursing care centers remain committed to improving the quality of care provided, rounds of government

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ROUNDS OF REDUCTIONSROUNDS OF REDUCTIONS

No Compromise on Quality

While skilled nursing care centers remain committed to improving the quality of care provided, rounds of government reductions to critical federal health programs are taking their toll in an already struggling economy.

2007 2008 2009 2010 2011 2012 20132006

$750 million

FY 2006 Change in RUG classifications

$12 billion over 10 years

FY 2010 CMS Rule

The long term and post-acute care profession continues to make significant strides in improving the quality of care and the quality of life for the millions of individuals that require skilled nursing and assisted living care each day.

Rare Citations

Safely Reduce Hospital Readmissions by 15% by March 2015Increase Staff Stability (reduce nursing staff turnover) by 15% by March 2015Increase Customer Satisfaction up to 90% by March 2015Reduce the Off-Label Use of Antipsychotics by 15% by December 2012

1 CMS Five-Star Quality Rating System 2 CMS CASPER Data

$3 billion over 10 years

Bad Debt

$670 million Sequestration

ADVANCING QUALITY CAREADVANCING QUALITY CARE

Better Sta�ng Levels

When rating facilities based on staffing1

27%40%

Five Stars on the Rise

Since the program’s inception in 2009

38%32%

are not cited by CMS for Substandard Quality of Care.2 95%

RAISINGTHE BAR

While progress is ongoing, AHCA/NCAL continues to challenge the long term and post-acute sector to improve quality care through its Quality Initiative. The Quality Initiative sets four measurable goals:

$6.3 billion Medicaid ShortfallFederal Health Reform

$14.6 billion over 10 years

Learn more at qualityinitiative.ahcancal.org