New Jersey § 26:2h-46

§ 26:2h-46.

a. The department shall undertake a review of reporting requirements for nursing homes

and shall take steps to standardize and consolidate the reporting requirements for

the purpose of: reducing the administrative demand on nursing homes in complying

with reporting requirements; developing updated standardized data reporting requirements;

and improving the utility of the reported data and the ability to share the data across

systems, including, as appropriate, systems maintained by other State departments

and agencies, county and local agencies, and federal authorities. The department's review shall include: (1) identifying and eliminating duplicative reporting; (2) establishing standardized formats, requirements, protocols, and systems for data

reporting, which may include requiring nursing homes to report data in machine-readable

formats to facilitate the processing and analysis of reported data; (3) establishing a centralized, cross-agency workgroup to monitor nursing home reporting; (4) assessing State health information technology needs to support technology-enabled

and data-driven regulatory oversight across State departments and agencies, anticipate

potential uses for the enhanced technologies and systems, enable systems to readily

accept and analyze additional data metrics required pursuant to subsection b. of this

section, and identify opportunities to centralize and modernize State health data

infrastructure, processes, and analytic capabilities; (5) assessing nursing home health information technology needs to support population

health management, interoperability, and modernized reporting requirements; and (6) identifying and applying for federal funding to support health information technology

infrastructure development. b. (1) The department shall require all nursing homes to post on their Internet websites

annual owner-certified financial statements along with the nursing home's most recent

cost reports submitted to the federal Centers for Medicare and Medicaid Services. The department shall include on its Internet website a link to the page where each

nursing home's certified financial statements and cost reports are posted. Nursing homes that are part of a health care system may post financial statements

and cost reports pursuant to this paragraph that aggregate the financial data across

all nursing homes that are a part of that health care system. A nonprofit nursing home that posts a copy of its most recent Internal Revenue Service

Form 990 on its Internet website shall be deemed to have met the requirement for the

nursing home to post an owner-certified financial statement on its Internet website

pursuant to this paragraph, and the nursing home's posted Internal Revenue Service

Form 990 shall be considered an owner-certified financial statement for the purposes

of this paragraph and subparagraph (d) of paragraph (1) of subsection f. of this section. (2) The department shall require all nursing homes to: (a) participate in the National Health Care Safety Network's Long-term Care Facility

Component; (b) complete the network's long-term care facility annual facility survey; and (c) participate in the network's long-term care facility monthly reporting plan, including: (i) the healthcare-associated infection reporting modules for urinary tract infections,

the laboratory-identified event module for Clostrum difficile (C.diff) infection and

multidrug-resistant organisms, and prevention measures; and (ii) the monthly reporting plan for prevention process measures, including hand hygiene,

gloves, and gown adherence. c. The department may develop additional data reporting requirements for nursing homes

as are necessary to improve transparency and facilitate the department's ability to

oversee and regulate operations in nursing homes, including, but not limited to, data

related to occupancy, operating expenses and other appropriate financial metrics,

and utilization and staffing data. In developing additional reporting requirements pursuant to this subsection, the

department shall solicit feedback from nursing homes, advocacy groups for nursing

home residents and their families, the New Jersey Long-Term Care Ombudsman, and Medicaid

managed care organizations concerning proposed new data metrics, methods of maximizing

the efficiency of data collection and specification, minimizing duplicative data reporting,

and identifying ways to consolidate, automate, or streamline the data required to

be reported by State and federal agencies and managed care organizations. d. The department shall establish centralized State protocols for nursing home communications

to reduce duplicative outreach and enhance information sharing capabilities. e. The department shall require nursing homes to: (1) post on their Internet websites a link to the dashboard developed and maintained

by the department pursuant to paragraph (1) of subsection f. of this section; and (2) designate a staff person who shall be responsible for responding to questions

from the public concerning the nursing home, including questions about the nursing

home's policies, procedures, and operations. The contact information for members of the public to direct questions and request

information shall be posted on the nursing home's Internet website. f. (1) The department shall develop, make available on its Internet website, and update

at least quarterly, a data dashboard that provides a separate page or listing for

each nursing home licensed in the State with links to the sites where information

and data relevant to the nursing home may be found, as well as a description of the

data and information that is accessible through each link. The data dashboard shall be searchable by nursing home. The data and information links available through the dashboard shall include, at

a minimum, for each nursing home: (a) the nursing home's star rating issued by the federal Centers for Medicare and

Medicaid Services; (b) the total number of complaints involving the nursing home, the number and nature

of substantiated complaints involving the nursing home, the number of open investigations

of complaints involving the nursing home, and the total number of outstanding complaints

involving the nursing home that have not been investigated or resolved; (c) the dates and results of inspections and surveys of the nursing home by the Department

of Health, the Department of Human Services, and the federal Centers for Medicare

and Medicaid Services, including links to any deficiencies or violations for which

the nursing home was cited and to any corrective action plans in place at the nursing

home; (d) a link to the website where each nursing home's certified financial statements

and the nursing home's cost reports submitted to the federal Centers for Medicare

and Medicaid Services are posted; (e) general staffing levels at the nursing home and, to the extent feasible, rates

of compliance with mandatory staffing ratios; (f) the frequency with which antipsychotic medication was administered to residents

of the nursing home; (g) the number of residents who developed a pressure ulcer, including the number of

residents who developed multiple pressure ulcers; (h) the number of each type of facility-acquired infection at the nursing home as

reported to the National Health Care Safety Network's Long-term Care Facility Component

pursuant to paragraph (2) of subsection b. of this section; and (i) such other data as the department determines appropriate to allow the public to

make informed choices when evaluating and selecting a nursing home. (2) The department shall prepare and publish on its Internet website annual reports

on New Jersey's nursing home system of care. (3) For the purposes of making available to the public the data described in subparagraph

(h) of paragraph (1) of this subsection, the department shall: request from the National

Healthcare Safety Network, on a quarterly basis, data concerning the number of infections

reported to the network by New Jersey nursing homes pursuant to paragraph (2) of subsection

b. of this section; make the data available on the department's Internet website;

and update the data at least quarterly using the most current data obtained from the

National Healthcare Safety Network. The data shall provide details concerning the number of reported infections, by

infection type, for each nursing home licensed in the State. The department shall additionally provide on its Internet website data concerning

the Statewide and national averages for each type of reported infection in nursing

homes.