This measure reports the percentage of long-stay residents in a nursing home who have a urinary tract infection in the 30 days prior to the target assessment. This measure is based on data from the Minimum Data Set (MDS) 3.0 OBRA, PPS, and/or discharge assessments during the selected quarter. Long-stay nursing home residents are identified as those who have had 101 or more cumulative days of nursing home care.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
The numerator is the number of long-stay nursing home residents in the denominator sample with an episode during the selected quarter with a target assessment that indicates a urinary tract infection within the last 30 days.
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1.15 Denominator
The denominator includes all long-stay residents in the nursing home who have an episode during the selected quarter with a qualifying target assessment (OBRA, PPS or discharge) and who do not meet the exclusion criteria.
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Exclusions
If the target assessment is an OBRA Admission Assessment, PPS 5-Day Assessment, or PPS Readmission/Return Assessment, the resident is excluded from the denominator for this quality measure. A resident is also excluded if the target assessment indicates that data is missing for the data element assessing urinary tract infection in the last 30 days.
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Most Recent Endorsement ActivityEndorsed Patient Safety Fall Cycle 2019Initial EndorsementLast Updated
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Steward Organization EmailSteward Organization Copyright
This is not applicable.
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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