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(f) A nursing facility's capital component rate allocation must 1 be rebased annually, effective July 1, 2016, in accordance with this 2 section and this chapter. 3 (g) For the purposes of this subsection (5), "RSMeans" means 4 building construction costs data as published by Gordian. 5 (6) A quality incentive must be offered as a rate enhancement 6 beginning July 1, 2016. 7 (a) An enhancement no larger than five percent and no less than 8 one percent of the statewide average daily rate must be paid to 9 facilities that meet or exceed the standard established for the 10 quality incentive. All providers must have the opportunity to earn 11 the full quality incentive payment. 12 (b) The quality incentive component must be determined by 13 calculating an overall facility quality score composed of four to six 14 quality measures. For fiscal year 2017 there shall be four quality 15 measures, and for fiscal year 2018 there shall be six quality 16 measures. Initially, the quality incentive component must be based on 17 minimum data set quality measures for the percentage of long-stay 18 residents who self-report moderate to severe pain, the percentage of 19 high-risk long-stay residents with pressure ulcers, the percentage of 20 long-stay residents experiencing one or more falls with major injury, 21 and the percentage of long-stay residents with a urinary tract 22 infection. Quality measures must be reviewed on an annual basis by a 23 stakeholder work group established by the department. Upon review, 24 quality measures may be added or changed. The department may risk 25 adjust individual quality measures as it deems appropriate. 26 (c) The facility quality score must be point based, using at a 27 minimum the facility's most recent available three-quarter average 28 centers for medicare and medicaid services quality data. Point 29 thresholds for each quality measure must be established using the 30 corresponding statistical values for the quality measure point 31 determinants of eighty quality measure points, sixty quality measure 32 points, forty quality measure points, and twenty quality measure 33 points, identified in the most recent available five-star quality 34 rating system technical user's guide published by the centers for 35 medicare and medicaid services. 36 (d) Facilities meeting or exceeding the highest performance 37 threshold (top level) for a quality measure receive twenty-five 38 points. Facilities meeting the second highest performance threshold 39 receive twenty points. Facilities meeting the third level of 40 p. 1393 ESSB 5187.SL