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Disclaimer

In the Downloads section, the ‘Prior Submission’ file reflects the most recent measure submission to the former CBE. This file is provided for transparency. For any questions or clarification, please contact the designated measure steward.

Recently hospitalized residents with symptoms of delirium (risk-adjusted)

CBE ID
0185
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 Measure Description

Percentage of recently hospitlized patients, with a valid SNF PPS 14-day assessment with symptoms of delirium

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      No
      1.8 Level of Analysis
      1.14 Numerator

      Patients at SNF PPS 14-day assessment with at least one symptom of delirium that represents a departure from usual functioning (at least one B5a through B5f=2).

      1.15 Denominator

      All patients with a valid SNF PPS 14-day assessment (AA8b=7).

      Exclusions

      Exclusions: Patients satisfying any of the following conditions
      1. Comatose (B1=1) or comatose status unknown (B1 = missing) on the SNF PPS 14-day assessment.
      2. Patients with end-stage disease (J5c checked (value 1)) or unknown (J5c = missing) on the SNF PPS 14-day assessment
      3. The resident is receiving hospice care (P1ao=checked (value 1)) or hospice status is unknown (P1ao = missing) on the SNF PPS 14-day assessment.
      4. The QM did not trigger (Patient not included in the numerator) and there is a missing value on any of the items B5a through B5f. on the SNF PPS 14-day assessment
      5. The patient is in a facility with a Post Acute Care Admission sample =0. reads Sample size of 0 (i.e., there are no SNF PPS 5-day assessments with AA8b = 1 in the facility over the previous 12 months).

      Covariates:
      1. Indicator of prior residential history preceding the current SNF stay for the patient:

      Covariate = 1 if there is NO prior residential history indicated by the following condition being satisfied:
      a. There is a recent admission assessment (AA8a=01) AND AB5a through AB5e are not checked (=0) and AB5f checked (=1).

      Covariate =0 if there is prior residential history indicated by either of the following conditions being satisfied:
      1. There is a recent admission assessment (AA8a=01) AND any of the items AB5a through AB5e are checked (value 1) OR AB5f is not checked (value 0)
      2. There is no recent admission assessment (AA8a=01).

      Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Nursing Homes- 2004
      Initial Endorsement
      Last Updated
      Removal Date
      Steward Organization
      Centers for Medicare & Medicaid Services
                  Public Comments