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Recently hospitalized residents with symptoms of delirium (risk-adjusted)

CBE ID
0185
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

Percentage of recently hospitlized patients, with a valid SNF PPS 14-day assessment with symptoms of delirium

        • 1.14 Numerator

          Patients at SNF PPS 14-day assessment with at least one symptom of delirium that represents a departure from usual functioning (at least one B5a through B5f=2).

        • 1.15 Denominator

          All patients with a valid SNF PPS 14-day assessment (AA8b=7).

        • Exclusions

          Exclusions: Patients satisfying any of the following conditions
          1. Comatose (B1=1) or comatose status unknown (B1 = missing) on the SNF PPS 14-day assessment.
          2. Patients with end-stage disease (J5c checked (value 1)) or unknown (J5c = missing) on the SNF PPS 14-day assessment
          3. The resident is receiving hospice care (P1ao=checked (value 1)) or hospice status is unknown (P1ao = missing) on the SNF PPS 14-day assessment.
          4. The QM did not trigger (Patient not included in the numerator) and there is a missing value on any of the items B5a through B5f. on the SNF PPS 14-day assessment
          5. The patient is in a facility with a Post Acute Care Admission sample =0. reads Sample size of 0 (i.e., there are no SNF PPS 5-day assessments with AA8b = 1 in the facility over the previous 12 months).

          Covariates:
          1. Indicator of prior residential history preceding the current SNF stay for the patient:

          Covariate = 1 if there is NO prior residential history indicated by the following condition being satisfied:
          a. There is a recent admission assessment (AA8a=01) AND AB5a through AB5e are not checked (=0) and AB5f checked (=1).

          Covariate =0 if there is prior residential history indicated by either of the following conditions being satisfied:
          1. There is a recent admission assessment (AA8a=01) AND any of the items AB5a through AB5e are checked (value 1) OR AB5f is not checked (value 0)
          2. There is no recent admission assessment (AA8a=01).

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