Super Star
What 3 categories make up the 5-star rating?
What is Survey, Staffing and Quality Measure
Name the 2 qualifying diagnosis for the long stage measure: Residents who have/had a catheter inserted and left in the bladder.
What is neurogenic bladder and obstructive uropathy.
This QM measure reports the percent of LONG STAY residents who experience a decline in independence of locomotion during the target period.
What is Residents whose ability to move independently worsened.
This measure captures the percentage of long-stay, high-risk residents with Stage II-IV or unstageable pressure ulcer
What is long stay hish risk residents iwth pressure ulcers.
What is in the DOT.
If you are 1 star in staffing, you will ______ a star.
what is lose. :(
Name the 3-qualifying diagnosis for Antipsychotic meds.
What is Schizophrenia (schizoaffective disorder), Tourettes, and Huntington's
This measure reports the percent of LONG STAY residents whose need for help with late loss ADLS has increased when compared to the prior assessment.
Residents Whose need for help with activities of daily living has increased.
If a Residents Pressure ulcer heals, what can be done to ensure it will not continue to trigger on the QM?
What is talk to the CMN and Schedule an off cycle MDS.
Where do you find how many points you are from the next QM star rating ?
What is Team TSI Report , QM section - point to high star rating .
How many Long stay QMs are MDS based and how many long stay QMs are claims based?
what is 7 and 2.
According to the new CMS changes and the RAI Manuel , Schizophrenia can be coded if __________ is present.
What is to code schizophrenia, it must be a current active diagnosis in the last 7 days, acitve dx is defined as a physician-documented diagnosis in the last 60 days that has a direct relationship to the resident’s current functional status, cognitive status, mood or behavior, medical treatments, nursing monitoring, or risk of death during the 7-day look-back period. ‘Physician’ can be a nurse practitioner, physician assistant, or CNS.
And have supporting documentation to back the given dx.
How many Quality measures are based off of ADLs ?
Bonus ( double Jeopardy Question)
What is 3.
What are the 3 Quality measure that are based off of ADLS.
Bonus: N028.02, N035.03, N037.03
Which LONG STAY QM measure Stage II-IV or unstageable pressure ulcers are present during the MDS lookback period?
What is High Risk Resident with pressure ulcers.
Where can you locate the Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users Guide January 2023?
What is www.cms.gov
How is the Quality measure rating calculated?
What is CMS calculates ratings for the QM domain using the four most recent quarters for which data are available.
What criteria must the resident meet to be coded for a UTI on the MDS?
What is Mcgeers Criteria. ( Exception: must code UTI if they admit from the Hospital with an active UTI dx)
Which Short Stay QM measures the residents adl performance from admit (5d) to discharge?
This SHORT STAY quality measure is calculated using the SNF Quality Reporting Program measure Changes in Skin Integrity Post-Acute Care:
What is changes in skin integrity post-acute care: pressure ulcer/injury
Where do you go if you want to review who is trigering for a specific QM.
What is QM perspective.
Survey Cycle 3 (25-36 months ) is based off of weight adjustment percentage of :
What is 16.7%
Measures for Long-Stay residents is defined as residents who are in the nursing home for ____________.
what is greater than 100 days.
Which measure reports the percentage of SHORT STAY residents who were discharged from the nursing home that gained more independence in transfer, locomotion and walking during their episode of care?
What is Resident Who Made improvements in Function (SS)
Malnutrition, comatose, impaired bed mobility and transfers ( coded as extensive assist, total dependence or did not occur) are exclusion for which LONG STAY QM?
What is High Risk residents with pressure ulcers.
All blue hyerlink in the Team TSI 5 star rating report are ________.
What is clickable.