The Quality Award Program
Prepared by: American Health Care Association
April 2016
FASTfacts
How the program works
The AHCA/NCAL National Quality Awards Program is a progressive program that is based on the
Baldrige Criteria for Performance Excellence. Participants move from the Bronze level, to Silver, and
then ultimately to the Gold. Bronze recipients must demonstrate a groundwork for excellence by
completing a self-assessment that outlays their organizational priorities and goals. Silver awardees
outline their systematic approaches and demonstrate sustainable organizational and process results
linked to their key customer requirements, success factors and challenges. Gold recipients represent
an elite group by meeting all of the demands of the Baldrige Criteria, they demonstrate the
achievement of high levels of performance over time in the areas of: leadership, strategic planning,
customer and workforce, operations and knowledge management.
Totals From The Quality Award Program 2007-2015
MAP
BRONZE
Commitment to Quality
4,220 total applications
3,490 total awards
SILVER
Achievement in Quality
1,404 total applications
476 total awards
Where the Awardees Are
Percent of AHCA/NCAL Members Receiving a
Quality Award, 2007-2015
31-53%
16-20%
21-30%
2-15%
GOLD
Excellence in Quality
143 total applications
23 total awards
Quality Performance Measures i
13%
13%
5%
4%
Percent
better
than
national
average
14%
1%
Hospital
Readmissions
Urinary Tract
Infections
Off-Label Use
of
Antipsychotics
Falls
Pressure Ulcers
Discharge
to
Community
Starpower ii
Five Star Ratings
Overall Five Star Rating
Silver and Gold Recipients
3 to 5
stars
}
43%
5
23%
26%
4
23%
15%
3
19%
9%
2
20%
7%
1
15%
Survey
82%
57%
The Nation
Staffing
Quality Awards
The Nation
81%
65%
Quality Awards
The Nation
Quality Metrics
80%
70%
Quality Awards
The Nation
i. Quality performance data from Nursing Home Compare and LTC Trend Tracker. The readmissions measure is PointRight Pro30 Rehospitalization and discharge to community is Trend
Tracker’s MDS-based measure. All measures reflect 2015-Q4, except readmissions (2015-Q3) and discharge to community (2015-Q2). Performance difference is statistically significant
(p<0.05) for all measures, except Discharge to Community.
ii. Star rating data from April 2016 release of Nursing Home Compare. Performance difference is statistically significant (p<0.05) for all measures.
Business Advantage for Owners iii
2012-2015 Silver and Gold Recipients vs. the Nation
Occupancy Rate
85%
81%
Bad Debt
Operating Margin
0.65%
Quality Awards
Quality Awards
38%
73%
The Nation
-2.9%
The Nation
Quality Awards
The Nation
Facility Characteristics iv
2012-2015
Silver and Gold Award Recipients
Ownership
Size
Location
81%
19%
110
76%
24%
For-Profit
Not-For-Profit/
Government
Average Beds
Urban
Rural
The Nation
70%
30%
107
70%
30%
For-Profit
Not-For-Profit/
Government
Average Beds
Urban
Rural
iii. Financial data from FY2014 CMS Cost Reports. Operating Margin = (Operating Revenue – Operating Expenses) / Operating Revenue x 100. Bad Debt = Total Liabilities / Total Assets X
100. Occupancy Rate = Total Patient Days / Total Available Bed Days X 100. Performance difference is statistically significant (p<0.05) for all measures.
iv. Demographic data from December 2015 CMS Provider of Services file and FY2014 CMS Cost Reports
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