QM Basics
What does “QM” stand for?
Quality Measure
What is considered a “short stay” resident?
100 days or less in the facility
What is considered a “long stay” resident?
More than 100 days in the facility
Why must CNA charting match MDS coding?
Because MDS pulls data directly from CNA documentation
What does QAPI stand for?
Quality Assurance and Performance Improvement
What tool gathers data for Quality Measures?
The MDS (Minimum Data Set)
Name one short-stay measure related to hospitalizations.
Rehospitalization within 30 days of admission
Name one long-stay measure related to mood.
Depression symptoms or use of antidepressants
What should a nurse do if a resident refuses care multiple times?
Document the refusal and notify the care team
Who participates in QAPI?
All departments — it’s an interdisciplinary process
How often are Quality Measures updated on Care Compare?
Quarterly
What short-stay measure tracks how many residents improved in function?
Improvement in Self-Care and Mobility
Which QM measures antipsychotic use?
Long-stay residents receiving antipsychotic medications
Who is responsible for reviewing ADL accuracy before MDS submission?
The nurse and MDS coordinator
What’s one common QM-related survey citation?
Inaccurate or inconsistent MDS data
What three domains make up the CMS 5-Star Rating?
Survey, Staffing, and Quality Measures
What impacts the “New or Worsened Pressure Ulcer”
Accurate skin assessments and daily CNA documentatio
What long-stay QM looks at mobility decline?
Residents whose ability to move independently worsened
What happens if care is provided but not charted?
It appears the care wasn’t done, hurting QM scores
How often must QAPI meetings occur?
At least quarterly
What’s the goal of the Quality Measure system?
To reflect the quality of care and outcomes for residents
What short-stay QM involves pain management?
Moderate to severe pain reported
What long-stay QM involves weight loss?
Residents who lose too much weight unintentionally
Why is the look-back period important?
Only what’s documented in the look-back window counts
What’s the best way to improve Quality Measures?
Accurate, timely documentation and early intervention