On September 25th, 2017, the Centers for Medicare and Medicaid Services (CMS), Survey and Certification Group (S&C) issued S&C:  17-45-NH, Electronic Staffing Submission – Payroll-Based Journal(PBJ) Public Use File.

The S&C Memo states that on November 1st, 2017, CMS will begin posting Payroll –Based Journal public use files for viewing by LTC facilities, stakeholders, or the general public.  The public use files will be posted at https://data.cms.gov/.

The first posting will include data submitted for the reporting period of calendar quarters 1 and 2, 2017 and submitted by the May 15th and August 14th deadline. 

Any data submitted by providers after the deadline or if the data did not pass specific quality checks, will not be posted.  CMS will be flagging these facilities on Nursing Home Compare. 

The published public file data will include:

  1. Total number of hours submitted for nursing services job categories for each day of the quarter
  2. The facility’s census for each quarter as calculated using minimum data set(MDS) submissions

The S&C Memo discusses the differences between the PBJ data and the CMS-671, CMS-672 and not compare the data.  CMS states, CMS Regional Offices, and stakeholders should also not interpret the data to indicate noncompliance with other requirements for LTC facilities.

NOTE:  CMS states that it is critical that all providers complete and submit data on time. Providers that do not submit data by the required deadline will have their overall and staffing star ratings suppressed (e.g., removed) on Nursing Home Compare.

In 2018, CMS is planning to post-tenure and turnover measures.  CMS will calculate rates of tenure and turnover using each employee’s unique identifier (ID).  According to the S&C Memo:   Therefore, CMS is providing a method for facilities to link an old employee ID with a new one.  This will enable us to track each unique employee’s employment, regardless if their ID is changed.

More information on this can be found at https://www.cms.gov/Medicare/Quality-InitiativesPatient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ.html

Lastly, The PBJ website, Policy Manual, and Frequently Asked Questions will be updated and available at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-AssessmentInstruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ.html

by October 1, 2017