3.4 HPRD Direct Care Reporting Requirements

As part of SHB 2678, it is now a requirement that facilities have 3.4 hours per resident day (HPRD) of direct care staff.  For the purposes of this law, direct care staff are RNs, LPNs, and CNAs. Additionally, if you do not meet the 3.4 hours with the previously listed staff, you may count geriatric behavioral health workers, as defined in RCW 74.42.010. For the geriatric behavioral health worker exception, the worker must: (1) have at least three years’ experience providing care for individuals with chronic mental health issues, dementia, or intellectual and developmental disabilities in a long-term care or behavioral health care setting, (2) have advanced practice knowledge in aging, disability, mental illness, Alzheimer’s disease, and developmental disabilities, and (3) be supervised by an employee with a master’s degree in social work or a registered nurse if the worker holds less than a master’s degree in social work.

The Center for Medicare and Medicaid Services (CMS) is collecting this information via the Payroll Based Journal (PBJ). The CMS PBJ data is not currently available to the Department, therefore we require all facilities to fill out our survey and return it to us within 60 days from the end of each quarter. The survey measures the HPRD for your facility in a way reasonably consistent with the data metrics used by the CMS PBJ. Please note that when the CMS data becomes available for use the Department will pull the necessary data from the PBJ system and will not require a separate submission directly to the Department.   

Survey sheets should be submitted electronically to: nfrates@dshs.wa.gov, with the subject line saying: 3.4 HPRD Quarterly Reporting. If you have any questions about the survey sheet or the 3.4 HPRD requirement, please contact Jamie Franzen, HPRD Lead, at (360) 725-2438 or Jamie.Franzen@dshs.wa.gov, or Tiffany Hills, Nursing Home Rates Manager, at (360) 725-2472 or Tiffany.Hills@dshs.wa.gov.

Upcoming Deadlines

3rd Quarter 2017 – July 1 to September 30, 2017 - Due to DSHS by November 29, 2017

4th Quarter 2017 – October 1 to December 31, 2017 - Due to DSHS by March 1, 2018

1st Quarter 2018 – January 1 to March 31, 2018 - Due to DSHS by May 30, 2018

2nd Quarter 2018 – April 1 to June 30, 2018 - Due to DSHS by August 29, 2018

3rd Quarter 2018 – July 1 to September 30, 2018 - Due to DSHS by November 29, 2018

4th Quarter 2018 – October 1 to December 31, 2018 - Due to DSHS by March 1, 2019


Forms and Documents

Survey Sheet

Letter to Facilities dated 2/23/17

3.4 HPRD 2016 Quarter 3 Results

3.4 HPRD 2016 Quarter 4 Results

3.4 HPRD 2017 Quarter 1 Results

3.4 HPRD 2017 Quarter 2 Results

3.4 HPRD 2017 Quarter 3 Results updated 2/28/17