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Residents who have a catheter in the bladder at any time during the 14-day assessment period. (risk adjusted)

CBE ID
0184
1.5 Project
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 Measure Description

Percentage of residents with a valid target assessment who have a catheter in the bladder at any time during the 14-day assessment period.

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.8 Level of Analysis
      1.20 Types of Data Sources
      1.14 Numerator

      Indwelling catheter on target assessment (H3d=checked)

      1.15 Denominator

      All residents with a valid target assessment.

      Exclusions

      Exclusions:
      Residents satisfying any of the following conditions:
      1. The target assessment is an admission (AA8a = 01).
      2. H3d 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).

      Covariates:
      1. Indicator of bowel incontinence on the prior assessment:
      Covariate =1 if H1a =4.
      Covariate =0 if H1a = 0,1,2, or 3.
      2. Indicator of pressure ulcers on the prior assessment:
      Covariate =1 if M2a = 3 or 4.
      Covariate =0 if M2a = 0.

      Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Nursing Homes- 2004
      Initial Endorsement
      Last Updated
      Removal Date
      Steward Organization
      Centers for Medicare & Medicaid Services
                  Public Comments