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Recently hospitalized residents with pressure ulcers (risk adjusted)

CBE ID
0187
1.4 Project
Nursing Homes
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Full Year 2004
Is Under Review
No
1.3 Measure Description

Recently hospitalized residents with pressure ulcers

    • 1.14 Numerator

      SNF PPS Patients who satisfy either of the following conditions:
      1. On the SNF PPS 5-day assessment, the patient had no pressure ulcers (M2a[t-1]=0) AND, on the SNF PPS 14-day assessment, the patient has at least a stage 1 pressure ulcer (M2a[t]=1,2,3, or 4).
      2. On the SNF PPS 5-day assessment, the patient had a pressure ulcer (M2a[t-1] = 1,2,3, or 4) AND on the SNF PPS 14-day assessment, pressure ulcers worsened or failed to improve (M2a[t]>=M2a[t-1]).

    • 1.15 Denominator

      All patients with a valid SNF PPS 14-day assessment (AA8b=7) AND a valid preceding SNF PPS 5-day assessment (AA8b=1).

    • Exclusions

      Exclusions: Patients satisfying the following condition:
      1.M2a is missing on the 14-day assessment [t
      2. M2a is missing on the 5-day assessment [t-1] and M2a shows presence of pressure ulcers on the 14-day assessment (M2a=1,2,3, or 4.
      3. The Patient is in a facility with a Post Acute Care Admission 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 history of unresolved pressure ulcer on the SNF PPS 5-day assessment. Covariate =1 if M3 =1.
      Covariate =0 if M3 =0.
      2. Indicator of requiring limited or more assistance in bed mobility on the SNF PPS 5-day assessment:
      Covariate = 1 if G1a(A) = 2,3,4, or8.
      Covariate = 0 if G1a(A) =0 or 1.
      3. Indicator of bowel incontinence at least one/week on the SNF PPS 5-day assessment:
      Covariate =1 if H1a 2,3, or 4.
      Covariate =0 if H1a = 0 or 1.
      4. Indicator of diabetes or peripheral vascular disease on the SNF PPS 5-day assessment:
      Covariate =1 if I1a checked (value 1) or I1j checked (value 1).
      Covariate =0 if I1a not checked (value 0) and I1j not checked (value 0).
      5. Indicator of Low Body Mass Index (BMI) on the SNF PPS 5-day assessment:
      Covariate = 1 if BMI >=12 and =19.
      Covariate = 0 if BMI > 19 and = 40.
      Where: BMI = weight(kg)/height2 (m2) = ((K2b*0.45)/(((K2a)*.0254)^2))

      (Note: An implausible BMI value 12 or >40 will be treated as a missing value on this covariate.

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