Chapter 173-60 | Nursing Home Quality Initiative

Rule 173-60-01 | Nursing home quality initiative: introduction and definitions.

• Effective: November 1, 2024
• Promulgated Under: 119.03

(A) Introduction: Division (B) of section 3721.072 of the Revised Code requires every nursing home to participate in a quality improvement project at least once every two years and permits the nursing home to choose an ODA-approved quality improvement project. This chapter establishes the qualifications for ODA's approval of a quality improvement project, the approval and rescission process for quality improvement projects, and the publication of ODA-approved quality improvement projects on the "Nursing Home Quality Initiative" website (https://aging.ohio.gov/nursinghomequalityimprovement).

(B) Definitions for this chapter:

"Nursing home" has the same meaning as in section 3721.01 of the Revised Code.

"ODA" means the department of aging.

"ODH" means the department of health.

Last updated November 1, 2024 at 2:03 PM

Supplemental Information

Authorized By: 121.07, 173.01, 173.02, 173.60
Amplifies: 173.60
Five Year Review Date: 11/1/2029

Rule 173-60-02 | Nursing home quality initiative: requirements for approval.

• Effective: November 1, 2024
• Promulgated Under: 119.03

To qualify for ODA's approval, a quality improvement project shall meet all of the following:

(A) The project shall improve the quality of a nursing home.

(B) The project shall have elements that include a plan, action aimed at improving quality, evaluation of the action, and proposed new action resulting from the evaluation.

Last updated November 1, 2024 at 2:03 PM

Supplemental Information

Authorized By: 121.07, 173.01, 173.02, 173.60
Amplifies: 173.60
Five Year Review Date: 11/1/2029
Prior Effective Dates: 1/9/2020

Rule 173-60-03 | Nursing home quality initiative: approval and rescission processes for quality improvement projects.

• Effective: November 1, 2024
• Promulgated Under: 119.03

(A) Approval:

(1) An entity that sponsors a quality improvement project may apply for ODA's approval of its project by completing the application found by following the "submit your proposal here" link on the "Nursing Home Quality Initiative" website (https://aging.ohio.gov/nursinghomequalityimprovement), unless paragraph (B) of this rule applies.

(2) ODA shall deny a proposed project if the entity in paragraph (A)(1) of this rule does not submit a complete application.

(3) ODA, in consultation with the state long-term care ombudsman, shall review a proposed project, then decide whether to approve or deny the project.

(B) Pre-approval: ODA may approve a quality improvement project without receiving an application from an entity that sponsors that project if the project meets all the following qualifications:

(1) The project qualifies for ODA's approval under rule 173-60-02 of the Administrative Code.

(2) A nursing home voluntarily participates in the project.

(3) One of the following entities administers the project:

(a) ODA's technical assistance program (TAP) for nursing homes.

(b) ODH's provider resource and education program (PREP).

(c) The quality improvement organization (QIO) contracted with the centers for medicare and medicaid services under 42 U.S.C. 1320c-2.

(C) Rescission: If an approved quality-improvement project no longer qualifies for ODA's approval under rule 173-60-02 of the Administrative Code, then ODA shall remove it from the "Nursing Home Quality Initiative" website.

Last updated November 1, 2024 at 2:03 PM

Supplemental Information

Authorized By: 121.07, 173.01, 173.02, 173.60
Amplifies: 173.60
Five Year Review Date: 11/1/2029
Prior Effective Dates: 10/12/2014

Rule 173-60-04 | Nursing home quality initiative: online publication of approved quality improvement projects.

• Effective: November 1, 2024
• Promulgated Under: 119.03

On the "Nursing Home Quality Initiative" website, ODA shall publish the following:

(A) Each ODA-approved quality improvement project.

(B) A description of the evidence that participating nursing homes shall produce for ODH surveyors to demonstrate the nursing home's compliance with section 3721.072 of the Revised Code.

Last updated November 1, 2024 at 2:03 PM

Supplemental Information

Authorized By: 121.07, 173.01, 173.02, 173.60
Amplifies: 173.60
Five Year Review Date: 11/1/2029