Clinical Quality Measures (QM)

13 Long Stay Quality Measures

1. Webinar - Percent of residents with one or more falls with major injury

This measure reports the % of long stay residents who have experienced one or more falls with major injury reported in the target or look- back period

Resources

MDS 3.0 Measure Description and Specifications

Video

Transcript

Slides  

Additional Tools

2. Webinar – Percent of Residents with a Urinary Tract Infection

This measure reports the % of long stay residents who have a urinary tract infection

Resources

MDS 3.0 Measure Description and Specifications

Video 

Transcript

Slides

3. Webinar - Percent of Residents who self-report moderate to severe pain

This measure captures the % of long stay residents who report either almost constant or frequesnt moderate to severe pain in the last 5 days, and horrible pain in the  past 5 days

Resources

MDS 3.0 Measure Description and Specifications

Video

Transcript

Slides

Pain Scale

4. Webinar – Percent of High Risk Residents with Pressure Ulcers

This measure captures the % of long stay high risk residents with Stage II-IV pressure ulcers

Resources

MDS 3.0 Measure Description and Specifications

Video 

Pressure Ulcer Critical Pathway

Do your Residents Need “Extensive Assistance”? – D Johnson

Additional Tools

 5. Webinar - Percent of Low risk residents who lose control of their bowel or bladder

This measure reports the the % of long stay residents who frequently lose control of their bowel or bladder

Resource

MDS 3.0 Measure Description and Specifications

Video 

Transcript

Slides

Additional Tools

6. Webinar – Percent of residents with catheter inserted and left in bladder

This measure reports the % of residents who have an indwelling catheter in the last 7 days

Resources

MDS 3.0 Measure Description and Specifications/RAI Manual Information

Video

Transcript

Slides

7. Webinar - Percent of residents physically restrained

This measure reports the percent of long stay residents who are physically restrained on a daily basis

Resources

MDS 3.0 Measure Description and Specifications

Video 

Transcript

Slides

Additional Tools

8. Webinar - Percent of residents whose need for help with ADL has increased

This measure reports the % of long stay residents whose need for help with late-loss Activities of Daily Living (ADL) has increased when compared to the  prior assessment

Resources

MDS 3.0 Measure Description and Specifications

Video 

Transcript

Slides

Mobility: Promoting Physical Activity

“ADL…ARE YOU CODING THE INFORMATION CORRECTLY”

Mobility Resources

9. Webinar - Percent of residents who lose too much weight

This measure captures the % of long stay residents who had a weight loss of 5% or more in the last month or 10% or more in the last two quarters who were not on a physician prescribed weight loss regimen noted in an MDS assessment during the selected quarter

 Resources

MDS 3.0 Measure Description and Specifications

Video 

Transcript

Slides

10. Webinar - Percent of residents who have depressive symptoms

This measure reports the % of long stay residents who have had symptomes of depression during the 2 week period preceding the MDS 3.0 target date

Resources

MDS 3.0 Measure Description and Specifications

Video

Transcript

Slides

Cue Cards

 Why should you have a formalized process for both the Resident Mood Interview and Staff Assessment of Resident Mood?

11. Webinar - Percent of residents who received antipsychotic medications

This measure reports the % of long stay residents who are receiving antipsychotic drugs in the target period

Resources

MDS 3.0 Measure Description and Specifications

Video- “Managing Residents Behaviors”

Slides

Additional Tools

12. Webinar - Percent of residents who were assessed and appropriately given flu vaccine

This measure reports the % of long stay residents who are given, appropriately, the influenza vaccination during the current or most recent influenza season

Resources

MDS 3.0 Measure Description and Specifications

13. Webinar – Percent of residents who were assessed and appropriately given Pneumococcal vaccine

This measure reports the % of long stay residents whose pneumoccoccal polysaccharide vaccine status is up to date

Resources

MDS 3.0 Measure Description and Specifications

 

 

Last updated: Thursday, June 30, 2016