TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 147 REIMBURSEMENT FOR NURSING COSTS FOR GERIATRIC FACILITIES
SECTION 147.345 QUALITY INCENTIVES


 

Section 147.345  Quality Incentives

 

Effective January 1, 2015, the Department shall allocate an amount for quality incentive payments.  To establish baselines for these measures, the information shall be submitted beginning January 1, 2014.  These measures may be included as part of the on-site reimbursement review.  To receive the quality incentive payments for these measures, a facility shall meet the following criteria. 

 

a)         The Department shall allocate an amount for staff retention.  To receive the quality incentive payment for this measure, the facility's staff retention rate shall meet or exceed the threshold established and published by the Department based upon statewide averages and must be at least 80 percent.

 

1)         Retention relates to the extent to which an employer retains its employees and may be measured as the proportion of employees with a specified length of service expressed as a percentage of overall workforce numbers.

 

2)         The staff retentions shall reflect the percentage of individuals employed by the facility on the last day of the previous calculation period who are still employed by the facility on the last day of the following calculation period. 

 

3)         Staff retention shall be calculated on a semiannual basis.

 

A)        The June 30 calculation will be based on the percentage of full-time (defined as 30 or more hours per week) direct care staff employed by the nursing facility on January 1 and still employed by the nursing facility on June 30.  The deadline for reporting this information shall be July 31.  Direct care staff is defined as certified nursing assistants.

 

B)        The December 31 calculation shall be based on the percentage of full-time direct care staff employed by the nursing facility on July 1 and still employed by the nursing facility on December 31. The deadline for reporting this information shall be January 31.

 

4)         The staff retention rate is calculated using full-time direct care staff employed in a facility.

 

5)         Documentation in the employee's record shall support the retention rate submitted.

 

6)         Facilities shall submit the required information to the Department in a format designated by the Department.

 

b)         The Department shall allocate an amount for consistent assignments.  To receive the quality incentive payment for this measure, the facility shall meet the threshold established and published by the Department based upon statewide averages.

 

1)         Consistent assignments shall be calculated on a semiannual basis.  The deadline for reporting this information shall be July 31 and January 31, respectively.

 

2)         The facility shall have a written policy that requires consistent assignment of certified nursing assistants and it shall specify a goal of limiting the number of certified nursing assistants that provide care to a resident to no more than 8 certified nursing assistants per resident during a 30-day period.

 

3)         Documentation shall support that no less than 85 perecent of Long Term Care residents received their care from no more than 8 different certified nursing assistants during a 30-day period.

 

4)         There shall be evidence the policy has been communicated, and understood, to the staff, residents and family of residents.

 

5)         Facilities shall submit the required information to the Department in a format designated by the Department.

 

c)         The Department shall establish a center for Psychiatric Rehabilitation in Long Term Services and Support to organize and coordinate the provision of training on serious mental illness, psychiatric rehabilitation services and evidence-based informed practices.

 

(Source:  Old Section 147.345 repealed at 26 Ill. Reg. 3093, effective February 15, 2002; new Section 147.345 added at 38 Ill. Reg. 12173, effective May 30, 2014)