Quality Measures
Ability to Walk Independently Worsened Triggers are determined by this one GG Item
What is............GG0170I -- Mobility--
Walk 10 Feet
I should be monitoring for this daily for residents with DM.
What is
Diabetes with both of the following:
Insulin injections (N0350A) for all 7 days
Insulin order changes on 2 or more days (N0350B)
True/False---Hypodermoclysis can qualify for Parenteral or IV Feedings While a Resident and While NOT a Resident if Documentation that includes any and all nutrition and hydration received by the nursing home resident during the observation period either at the nursing home, at the hospital as an outpatient or an inpatient, provided the documentation supports the need for nutrition or hydration.
True
15-16
Nursing Function Score 11
Isolation for active COVID Infection/single room droplet isolation with all care and services provided in room
ES1
When the frozen QM's are unfrozen for the January 2025 5 Star Report, What 4 Quarters of Data are to be pulled to calculate the measure?
What are:
Q4 2023
Q1 2024
Q3 2024
Q4 2024
A resident with Parkinson's disease whose usual performance fluctuates, and most recent assessment resulted in functional score of 12............what am i monitoring and why?
Monitor for functional score of 11 or less to bump to Special Care Low Category.
True/False
Lacerations that require suturing or butterfly closure can be coded as a surgical wound.
False
PHQ2-9 Score required to capture depression end-split
10 or higher
COPD AND SHORTNESS OF BREATH WHILE LYING FLAT
PHQ2-9 SCORE 12----NURSING FUNCTION SCORE 16
CA2
Long Stay ADL's Worsened QM is now determined by what 4 GG Items?
What is:
1. Eating
2. Sit to Stand
3. Sit to Lying
4. Toileting Transfers
You find in morning clinical meeting; a resident has a fever. What are you looking for to pair with the fever, to bump up to Special Care High?
Hint........... there are 4
- Fever and one of the following:
Pneumonia, Vomiting, Weight loss, or Feeding tube 51% or more of total calories OR (2) K0710A3 is 26% to 50% of total calories and K0710B3 is 501 cc or more per day fluid enteral intake in the last 7 days.
- I2000 PneumoniaJ1550B VomitingK0300 Weight lossK0510B1 or K0510B2 Feeding tube1
This is required to support a depression end split
Validation of completion of interview items D0150 A - I at Z0400 dated on or before the ARD and within the observation period.
True/False
We may complete a staff Assessment of Resident Mood (PHQ2-9-OV) if resident refuses interview.
False-- The Staff Assessment of Resident Mood may only be completed if D0100 is coded as "No-- Resident is rarely or never understood"
Nursing function score 14-------BIMS 6
Two Qualifying Restorative Programs with both at least 6 days a week
HINT -- REMEMBER INDEX MAXIMIZING VS HIERARCHIAL
BA2/PBC2
Which new Measure is replacing Short Stay improvement in function?
What is: The SNF QRP Measure of Discharge Function Score
You currently have a resident at CA1 with COPD and SOB while flat. You learn in clinical meeting that this resident has been requiring more assistance with transfers than usual. What will you investigate and why?
Investigate the resident's usual performance to assess for functional score change of 14 or less to bump up to speical care high.
Supportive Documentation to capture isolation for active ATB resistant UTI in contact isolation are:
N/A We cannot capture isolation for a urinary tract infection, encapsulated PNE, or a wound infection
Name the 3 CMI categories who are eligible for depression end splits..............
Special Care High
Special Care Low
Clinically Complex
Dx Parkinson's disease is active
Nursing Function Score 12
PHQ2-9 = 0
PBC1
When is the SNF QRP Measure of Short Stay Function scheduled to be "unfrozen"
October 2024
You learn that a resident you currently have LBC1 for respiratory failure with oxygen use has new order for Nebulizer treatments x 10 days for pulmonary congestion. What am i checking and why?
1. Ask DON or designee if respiratory training documentation up to date for all nurses to administer treatments.
2. Assure MAR is setup correctly with minutes included.
3.Share with team goal to obtain documentation for 15 min/day for 7 days and ARD.
What is the following requirement for?
Documentation of the date(s) staff member(s) interviewed across all shifts, dates of staff observations, and the frequency reported for each applicable item D0500 A-J.
Staff Assessment of Resident Mood (PHQ-9-OV)
Number of RUG Groups within the Nursing Component
What are 25?
26 if default rug included
Returned from hospital yesterday Nursing Function Score = 5, PHQ2-9 = 10-----Received IV fluids for documented hydration purposes while in the hospital (2 days ago)
HDE2