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Residents with a decline in their ability to move about in their room and the adjacent corridor.

CBE ID
0195
Project
Endorsed
New or Maintenance
Endorsement and Maintenance (E&M) Cycle
Is Under Review
No
Measure Description

Percentage of residents with a valid target assessment and a valid prior assessment, with a decline in their ability to move about in their room and the adjacent corridor.

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Level Of Analysis
    Numerator

    Total number of residents whose value for locomotion self-performance is greater at target relative to prior assessment (G1e(A)[t]>G1e(A)[t-1]).

    Denominator

    All residents with a valid target assessment and a valid prior assessment.

    Exclusions

    Exclusions:
    Residents satisfying any of the following conditions:)
    1. The G1e(A) value is missing on the target assessment [t].
    2. The G1e(A) value is missing on the prior assessment [t-1] and the G1e(A) value shows some dependence on the target assessment (G1e(A)[t]>0).
    3. The G1e(A) value on the prior assessment is 4 (total dependence) or 8 (activity did not occur).
    4. The resident is comatose (B1 = 1) or comatose status is unknown (B1= missing) on the target assessment.
    5. The resident has end-stage disease (J5c = checked) or status is unknown (J5c = missing) on the target assessment.
    6. The resident is receiving hospice care (P1ao = checked) or hospice status is unknown (P1ao = missing) on the target assessment or the most recent full assessment.
    7. 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 recent falls on the prior assessment:
    Covariate = 1 if J4a checked or J4b checked.
    Covariate = 0 if J4a not checked AND J4b not checked.

    2. Indicator of extensive support or more dependence in eating on the prior assessment:
    Covariate =1 if G1h(A) = 3,4,8.
    Covariate = 0 if G1h(A) = 0,1,2.

    3. Indicator of extensive support or more dependence in toileting on the prior assessment:
    Covariate =1 if G1i(A) = 3,4, or 8.
    Covariate = 0 if G1i(A) = 0,1, or 2.

    Testing Data Sources
  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Nursing Homes- 2004
    Initial Endorsement
    Endorsement Status
    Last Updated
    Removal Date