A JOURNEY THROUGH THE MERRY OLD LAND OF OZ WITH KANSAS HEALTH CARE ASSOCIATION AND KANSAS CENTER FOR ASSISTED LIVING

Transcription

1 A JOURNEY THROUGH THE MERRY OLD LAND OF OZ WITH KANSAS HEALTH CARE ASSOCIATION AND KANSAS CENTER FOR ASSISTED LIVING 1

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3 A JOURNEY TO QUALITY 3

4 Kansas is Quality Malcolm Balridge Silver Award homes 16 Malcolm Balridge Bronze Award homes Kansas 144 homes 4 or 5 stars Global satisfaction= 86% Ks Report Card Rehospitalization some of the lowest Discharge to Community Satisfaction Surveys 4

5 FOLLOW THE YELLOW BRICK ROAD KANSAS DEMOGRAPHICS 5

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8 ALL 105 KANSAS COUNTIES HAVE A SKILLED NURSING CENTER 8

9 AHCA/NCAL Research Division Kansas SNF-PPS payments by swing-bed designation, CY2014 Date: 5/31/2016 Source: CY % Skilled Nursing Facility Limited Dataset Standard Analytic File Note: Total Payment includes Medicare and beneficiary shares SNFs Covered Days Total Payments Payments per Day Overall ,907 $ 428,435,213 $ 534 Freestanding ,278 $ 306,303,516 $ 427 Swing bed - STACH 13 7,876 $ 2,273,104 $ 289 Swing bed - LTCH - - $ - Swing bed - IRF - - $ - Swing bed - CAH 84 76,753 $ 119,858,593 $ 1,562 HCBS SETTINGS RULE PBJ MANDATORY PAYROLL REPORTING CMS: NEW RULES OF PARTICIPATION CHANGES IN FUNDING CMS: CHANGES TO FIVE STAR DOJ: OVERSIGHT NEW LIFE SAFETY CODE IMPLEMENTATION VALUE BASED PURCHASING ADVERSE EVENTS: REHOSPITALIZATION 9

10 Voter Opinion Survey July 2016 Key Finding #1: Public Lacks Awareness of Sector Half are aware of the KanCare Program How much have you read, seen or heard about the KanCare program? 16% 16% 34% 34% A lot Very little Some Nothing 10

11 Over half believe KanCare is a state run Medicaid program for the poor and less fortunate Which of the following statements comes closest to your understanding of the program? Statement A: Private company that provides doctors to meet specific needs. Statement B: State run Medicaid program for the poor. Statement C: None of the above/unsure. 30% 15% 55% Statement A Statement C Statement B Key Finding #2: Quality message can help advocacy efforts Six in ten agree nursing home quality of care in has improved Do you agree or disagree that the quality of care in Kansas nursing homes has improved during the last 20 years? 26% 12% 5% 41% 16% Strong Agree Some Disagree Unsure Some Agree Strong Disagree 11

12 Six in ten would be more likely to support increased funding Since the launch of the statewide quality initiative to advance quality health care, nursing homes have seen a decrease in the number of residents returning to hospitals for care. After learning this, are you more or less likely to support increased funding for nursing homes? 35% 22% 2% 4% 37% Much more likely Some more likely Some less likely Much less likely No difference Key Finding #3: Kansas voters do not support Medicaid cuts Eight in ten oppose the administration making cuts to health care providers Which of the following statements comes closest to your opinion? Statement A: I support the administration for cutting Medicaid and KanCare programs. Statement B: I oppose the administration for making these cuts to health care providers. 20% 80% Statement A Statement B 12

13 Over eight in ten agree that nursing homes are facing a crisis due to cutting payments to providers Do you agree or disagree: Nursing homes in Kansas are facing a crisis because the state is cutting payments to providers who care for Kansas seniors? 0% 10% 20% 30% 40% 50% 60% Strongly agree 32% Some agree 51% Some disagree 14% Strong disagree 3% Nearly half believe the state should not make these cuts as nursing homes have been cut too much already As lawmakers consider millions of dollars in Medicaid cuts from nursing homes, which of the following statements comes closest to your opinion? 13

14 Over six in ten believe they would be less likely to re elect a legislator who voted to cut Medicaid payments. If your local legislator voted to cut millions in Medicaid payments to nursing homes and skilled nursing centers, would you be more or less likely to re elect them? 6% 21% 9% 34% 31% Much more likely Some more likely Some less likely Much less likely No difference Eight in ten would support a lawmaker who opposed Medicaid cuts for nursing homes Which of the following statements comes closest to your opinion? Statement A: I support Kansas lawmakers who oppose Medicaid cuts for nursing homes. Statement B: I support Kansas lawmakers who will reduce Medicaid funding for nursing homes. 20% 80% Statement A Statement B 14

15 Who? 800 registered Kansas voters 48% male 52% female 45% republican 25% democrat 31% independent Opinion Access Corporation New York City 15