Percetage of residents with a valid target assessment and not qualifying as high risk with pressure ulcers
Measure Specs
General Information
Numerator
Residents with pressure ulcers (Stage 1-4) on target assessment (M2a >0 OR I3a-e =707.0)
Denominator
All residents with a valid target assessment and not qualifying as high risk.
Exclusions
Exclusions for both measures:
Residents satisfying any of the following conditions are excluded from all risk groups (high and low, high, and low)—this is 1, with 1, 2, and 3 below being 1.1, 1.2, and 1.3:
1. The target assessment is an admission (AA8a = 01) assessment.
2. The QM did not trigger (resident is not included in the QM numerator) AND the value of M2a is missing on the target assessment.
3. The resident is in a facility with a Chronic Care Admission Sample size of 0 (i.e., there are no admission assessments with AA8a = 01 in the facility over the previous 12 months.
4. The resident does not qualify as high-risk AND the value of G1a(A) or G1b(A) is missing on the target assessment.
5. The resident does not qualify as high-risk AND the Value of B1 is missing on the target assessment.
Public Comments