Pay For Performance in Long Term Care

Pay for Performance, is the OHCA program designed to measure and ensure the integrity, quality and overall wellness of consumers and LTC Medicaid facilities. The PFP program began October 1 2019 through the passage of Senate Bill 280. The program is driven by 4 equally weighted quality measures derived from the Centers for Medicaid and Medicare Nursing Home Compare website.

Our value based program centers around paying providers for quality and value of services provided to our consumers. Our team is driven to ensure the overall wellness and satisfaction of all those involved in their loved one’s care. We are intent on making our Oklahoma LTC facilities top 10 in the nation.

Mission:

To allow nursing facilities that are established and rooted in Oklahoma the opportunity to achieve above and beyond the standard level of care already being provided. This program is goal oriented to enrich the nursing facilities’’ overall quality of care.


Vision:

Our vision is that all facilities will receive incentive reimbursement, and the state of Oklahoma will have the top-rated care in nursing facilities across the nation. This will enhance not only the nursing facilities and their employees, but the lives of Oklahomans and their families.

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Program Measures

  1. N029.02 – PERCENTAGE OF LONG-STAY RESIDENTS WHO LOSE TOO MUCH WEIGHT
  2. N015.03 – PERCENTAGE OF LONG-STAY RESIDENTS WITH HIGH RISK/UNSTAGEABLE PRESSURE ULCERS
  3. N024.02 – PERCENTAGE OF LONG-STAY RESIDENTS WITH A URINARY TRACT INFECTION
  4. N031.03 – PERCENTAGE OF LONG-STAY RESIDENTS WHO RECEIVED AN ANTIPSYCHOTIC MEDICATION

Data and Statistics

(for more information, please see Program Training and Helpful Documents)

Program Measure High Risk/
Unstageable
Pressure Ulcer
Urinary Tract
Infection
Weight Loss Anti-Psychotic
Total Facilities Earned 199 199 200 200
Total Facilities Not Earned 93 93 92 92
Total Number of Facilities 292 292 292 292
Percent of Facilities Earned 68.15% 68.15% 68.49% 68.18%
Percent of Facilities Not Earned 31.85% 31.85% 31.51% 30.82%


Program Training and Helpful Documents