AAPACN 2025 Quality Virtual Conference Recording Bundle: Novice Track-1.4 iQIES: What Every User Needs to Know

Video Transcription

Video Summary

This comprehensive presentation highlights the critical role of accurate MDS (Minimum Data Set) coding in skilled nursing facilities, emphasizing its impact on reimbursement, compliance, care planning, and quality outcomes. Since 2008, MDS consultants have supported facilities by addressing staffing gaps, providing documentation review, training, and specialized audits, focusing on MDS integrity.<br /><br />A key tool introduced is OLEAR Health, an AI-powered system assisting with large document reviews, reimbursement navigation, quality measure analysis, and alerts for high-risk medications and infections.<br /><br />The core of the presentation details the iQIES system—a platform for accessing MDS-related reports and managing quality improvement efforts. Attendees learn about user roles, access procedures, and report navigation, including quality measure (QM) and SNF Quality Reporting Program (QRP) reports.<br /><br />Quality measures, such as falls with major injury and pressure ulcers, are examined in depth, including how to interpret data, verify coding accuracy, identify at-risk residents, and implement performance improvement projects (PIPs). The importance of timely, accurate data submission to avoid penalties and support quality ratings like the 5-star system is underscored. Tools for auditing missing or error-prone data are recommended.<br /><br />Overall, ongoing data review, root cause analysis, clinical process evaluation, and regular use of iQIES reports are advocated for continuous quality improvement in long-term care settings.

Keywords

MDS coding

skilled nursing facilities

reimbursement

compliance

care planning

quality outcomes

OLEAR Health

iQIES system

quality measures