The Skilled Nursing Facilities Readmission Measure (SNFRM) is the quality measure used to evaluate skilled nursing facility performance in the CMS Value-Based Purchasing program (VBP).  A facility’s performance is linked to value-based financial incentives and penalties. The measure is calculated by assessing the risk-standardized rate of all-cause, unplanned hospital readmissions within 30 days of discharge from the acute care hospital. The term “hospitalization” includes inpatient, critical access and psychiatric hospitals. 

  • Tracks hospital readmissions, not readmissions to the SNF via claims-based data.  It is adjusted  to account for patient differences, such as comorbidities, when comparing facility readmission rates.
  • SNFRM performance information will be made available to each SNF through confidential quarterly feedback reports. In addition, the measure will be included on the CMS Nursing Home Compare website
  • Includes all Medicare fee-for-service Skilled Nursing Facility patients, with the exception of certain measure exclusions.
  • Tracks readmissions within 30-days after discharge from an acute care hospital. The readmission window starts on the day of or up to 24 hours after hospital discharge.
  • As required by the SNF VBP Program’s statute, CMS has proposed to adopt the SNF 30-Day Potentially Preventable Readmission Measure (SNFPPR). CMS will propose to replace the SNFRM with the SNFPPR in future rulemaking.

Functional Pathways is working to create collaborative partnerships with our clients to address the Skilled Nursing Facilities Readmission Measure (SNFRM). This includes early identification of residents at risk, critical clinical pathways and close monitoring of patient progress/decline through our unique RightTrack™ outcome software. Additional information on the measure’s calculations may be found on the SNF VBP Program’s website at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Other-VBPs/SNF-VBP.html

Beth Reigart
Clinical Operations Specialist