- To give information about the quality of care at nursing homes to help you choose a nursing home for yourself or others;
- To give you information about the care at nursing homes where you or family members already live;
- To get you to talk to nursing home staff about the quality of care; and
- 4. To give data to the nursing home to help them with their quality improvement efforts.
The current quality measures have been chosen because they can be measured and don't require nursing homes to prepare additional reports. They are valid and reliable. However, they are not benchmarks, thresholds, guidelines, or standards of care. They are based on care provided to the population of residents in a facility, not to any individual resident, and are not appropriate for use in a litigation action.
These quality measures were selected because they are important. They show ways in which nursing homes are different from one another. There are things that nursing homes can do to improve their percentages. The quality measures have been checked and are based on the best research currently available. As this research continues, scientists will keep improving the quality measures on this website.
The nursing home quality measures come from resident assessment data that nursing homes routinely collect on the residents at specified intervals during their stay. These measures assess the resident's physical and clinical conditions and abilities, as well as preferences and life care wishes. These assessment data have been converted to develop quality measures that give consumers another source of information that shows how well nursing homes are caring for their resident's physical and clinical needs.
From the beginning of this Initiative, CMS has said that the quality measures are dynamic and will continue to be refined as part of CMS's ongoing commitment to quality. In June 2011, the National Quality Forum (NQF) endorsed our 17 Nursing Home Quality Measures. The National Quality Forum is a voluntary standard setting, consensus-building organization representing providers, consumers, purchasers and researchers. These measures will become the enhanced set of publicly reported quality measures available on Nursing Home Compare in the spring of 2012.
The periods of time for the quality measures follow:
- For the chronic care measures, calculations are based on any resident with a full or quarterly MDS in the target quarter.
- For post-acute care measures, calculations are based on any resident with a 14-day PPS MDS in the 2 consecutive target quarters.
The current nursing home quality measures are as follows:
- The Percentage of Residents on a Scheduled Pain Medication Regimen on Admission Who Report a Decrease in Pain Intensity or Frequency
- Percent of Residents who Self-Report Moderate to Severe Pain
- Percent of Residents with Pressure Ulcers that are New or Worsened
- Percent of Residents Assessed and Given, Appropriately, the Seasonal Influenza Vaccine
- Percent of Residents Assessed and Given, Appropriately, the Pneumococcal Vaccine
- Percent of Residents Experiencing One or More Falls with Major Injury
- Percent of Residents who Self-Report Moderate to Severe Pain
- Percent of High-Risk Residents with Pressure Ulcers
- Percent of Long Stay Residents Assessed and Given, Appropriately, the Seasonal Influenza Vaccine
- Percent of Long Stay Residents Assessed and Given, Appropriately, the Pneumococcal Vaccine
- Percent of Long-stay Residents with a Urinary Tract Infection
- Percent of Low-Risk Residents Who Lose Control of their Bowels or Bladder
- Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
- Percent of Residents Who Were Physically Restrained
- Percent of Residents Whose Need for Help with Daily Activities Has Increased
- Percent of Long-stay Residents Who Lose Too Much Weight
- Percent of Residents Who have Depressive Symptoms
Specifications for the short stay measure titled "Percent of Residents with Pressure Ulcers that are New or Worsened" are available below under the download section. Specifications for the other measures listed above can be viewed on the MDS 3.0 Technical Information Page
- The facility Quality Measures report displays facility score (%), the Pro-Tracking database average score (this was equivalent to the CMS database with MDS 2.0), the facility percentile rank, the state average and the national average. It also includes the number comprising the numerator and denominator for the calculations. Selecting the numerator or denominator link will display a listof the residents that comprise that number.
- The Regional Quality Measures report displays the same data for the entire region. It includes two drill downs, one for the list of facilities within the region including the last date/time of MDS data submission and one for the facility details for the numerators.
- The facility Quality Measures report displays a list of resident and identifies the quality measures triggered by each resident. The last column includes the total number of QM?s triggered by each resident. The report can be ordered by the total numbers either ascending or descending. The ability to view the highest risk residents is valuable for managing outcomes and locating survey targets.
- The facility Quality Measures Monthly Progress report displays facility percentage scores for each quality measures historically by calendar month for a year. This report permits a quick view of scores for comparison.
- The facility Quality Measures Monthly Progress Graph report provides the same data as the QM monthly progress report but displays the data graphically for easy at-a-glance viewing, comparing your data with a peer group and the 75th and 90th percentile rates.
- The Quality Measures Monthly Progress report displays regional percentage scores for each quality measure historically by calendar month for one year. This report permits a quick view of scores for comparison and to monitor for changing outcomes. Select the ?View Facilities included? link to view a list of facilities that are populating this report.
- The Quality Measures Monthly Progress Graph report provides the same data as the QM monthly progress report but displays the data graphically for easy at-a-glance viewing, comparing your data with a peer group and the 75th and 90th percentile rates.