STRIVE Time Study

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STRIVE stands for Staff Time and Resource Intensity Verification. This is a national staff time measurement study that will provide data and analysis to update the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS).

This study is sponsored by the Centers for Medicare & Medicaid Services (CMS), which is part of the United States Department of Health & Human Services. The study is being conducted by the Iowa Foundation for Medical Care of West Des Moines, Iowa.

The purpose of this study is to determine the amount of time that nursing home staff spend caring for residents, as well as other elements of resident care. The study will collect information that reflects current care practices.

This is the first national nursing home time study undertaken in the U.S. since 1997. Industry utilization and practice patterns have changed over the years and impacted the resources required to treat patients. However, CMS has not recalibrated the RUG-III case mix weights since that time. CMS will use the current time study to update the earlier studies and to recalibrate the RUG-III case mix weights based on the study results. Then, the RUG-III system will reflect current care protocols and resource needs.

While data collected during the STRIVE study will ultimately update the case mix structure used in Medicare’s Resource Utilization Group System (RUG-III), CMS also intends to explore relationships between payment and quality. During STRIVE, CMS intends to compare and contrast the characteristics and needs of the Medicare and Medicaid populations, and generate the data needed to better align the payment and quality incentives needed to promote high quality care.

STRIVE BACKGROUND (Updated 02/08/07)
FAQs-Frequently Asked Questions (Updated 02/08/07)

This site contains additional information for the following study components:

STRIVE Contact Information





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