- THCA

Volume XXX, Number 12
December 2015

CMS Issues Final CJR Rule

In a recent communication from the American Health Care Association (AHCA), it was announced that on November 16, the Centers for Medicare & Medicaid Services (CMS) issued the final rule for the Comprehensive Care for Joint Replacement (CJR, formerly known as CCJR) payment model demonstration. Under CJR, participation will be mandatory for 791 hospitals in 67 geographic regions called Metropolitan Statistical Areas (MSAs). These hospitals will be held accountable for the quality and cost of care provided to Medicare fee-for-service beneficiaries for lower extremity joint replacement (LEJR) procedures and recovery, including all hip and knee replacement surgeries — some of the most common inpatient surgeries for Medicare beneficiaries. The CJR payment model will be codified at 42 CFR Part 510.

In response, AHCA has prepared a high-level summary of the CJR final rule, which can be accessed by clicking here or by visiting the AHCA/NCAL website.

AHCA also announced that over the coming months, it will be developing a range of resources and tools to help members understand the new rule and learn how to succeed under the CJR program. Components of the summary document will be expanded into more comprehensive analyses, and these products will be packaged into a member toolkit that will be housed on the AHCA/NCAL website. AHCA members should feel free to contact Mike Cheek or James Michel with any questions.

President’s Report

President’s Report

___________________________

Legislative Update

House Speaker Announces Interim Charges

THCA Honors Estes for Leadership on Long Term Care Issues

___________________________

Commitment to Care

One a Month Campaign

Register Today – THCA Members Only Webinar Your 5-STAR Rating Really IS in Your Control – December 8

DADS is Accepting Applications for Civil Money Penalty Project Funding

Updated Texas Minimum Data Set Resources

Taking the Pulse of Person-Centered Care

DADS Asking for Nurses Feedback on CE Needs and Preferences

DADS Joint Training Opportunities in December and January

If you have any questions about the THCA C to C Initiative or would like to share your facilities successes please contact Gloria Bean-Williams at gbwilliams@txhca.org or call (512) 458-1257.

___________________________