Quality Measures
Sit to lie, sit to stand, toilet transfer and eating
What are the four late loss ADLs
This is how you code a resident who is two person assist.
What is dependent?
Weight loss, fall with major injury, antipsychotics.
What is clinical quality metrics?
Administrator, BOM, Nursing, Therapy, Medical records and MDS are members of this team.
Who are triple check IDT members?
This is how many must have care plans you should have.
What is 18?
Percent of residents who made improvement in function (short stay). Percent of residents who need help with daily living has increased (long stay). Percent of residents whose ability to move has worsened (long stay). Percent of high risk for pressure ulcers (long stay).
What are the four frozen quality measures?
This is how you code resident unable to eat by mouth and receives nutrition through G-tube, which is administered by a nurse.
What is not attempted due to medical condition or safety concerns?
The percentages used to calculate weight loss for 30 days and 180 days.
What is .95 and .90?
This persons role is compliance, communication and completion.
Who is the Administrator?
This is done after each comprehensive quarterly or SCOC.
What are comprehensive care plans?
This is when the quality measures unfreeze.
What is January 2025?
This is how you code a resident that is walked by two RNA's, one is holding a gait belt and one is pushing W/C behind resident.
What is dependent?
Scheduling an MDS 276 days after this happens helps to remove this from equation.
What is falls with major injury?
Presence of all documentation used to code MDS.
What is supportive documentation?
This causes a delay in care plans.
What is solely relying on the MDS nurse to complete care plans?
Frequently run Casper Report, check wound module, pay attention when scrubbing MDS, accurate GG coding.
What are our MDS recommendations?
These people are members of the IDT.
Who is MDS, DON, DOR, SS, ADON and Administrator?
Race and ethnicity affect this.
What is the Equality Metrics?
Verifies presence of skilled notes, pharmacy, lab and radiology.
What is the nursing role?
These three people are responsible for checks and balances and improving the care plan process.
What is DON, MDS and Medical Records?
At risk for malnutrition, diabetes, PVD and PAD.
What are covariates?
This is the performance coded on GG.
What is usual performance?
You have this many days to fix an erroneously coded MDS.
What is 60 days?
The meeting is chaired by one IDT member.
What is the BOM?
This is what a surveyors look at to ensure a care plan has been properly updated.
What is a new review?