The measure reports the percentage of all long-stay residents who were physically restrained daily during the 7 days prior to the target MDS 3.0 assessment (OBRA, PPS or discharge) during their episode of nursing home care ending in the target quarter (3-month period). Long-stay residents are identified as residents who have had at least 101 cumulative days of nursing facility care.
- Measure TypeElectronic Clinical Quality Measure (eCQM)Level Of AnalysisCare SettingNumerator
The numerator is the number of long-stay residents with a selected target Minimum Data Set (MDS) assessment (assessments may be OBRA, PPS or discharge) who have experienced daily physical restraint usage during the 7 days prior to the selected assessment, as indicated by MDS 3.0, Section P, Item P0100, subitems B (P0100B – Trunk restraint used in bed), C (P0100C – Limb restraint used in bed), E (P0100E – Trunk restraint used in chair or out of bed), F (P0100F – Limb restraints used in chair or out of bed), or G (P0100G – Chair prevents rising).
DenominatorThe denominator is the total number of all long-stay residents in the nursing facility who have a target OBRA, PPS or discharge MDS 3.0 assessment during the selected quarter and who do not meet the exclusion criteria.
ExclusionsA resident is excluded from the denominator if there is missing data in any of the responses to the relevant questions in the MDS (P0100B= -, or P0100C= -, or P0100E= -, or P0100F= -, or P0100G= -).
If the facility sample includes fewer than 30 residents, then the facility is excluded from public reporting.Testing Data Sources
- Measure StructureNon Condition SpecificTarget PopulationMeasure Selection AttributesNational Quality Strategy PrioritiesPatient Safety
- Risk Adjustment
- Current or planned use(s)
- Most Recent Endorsement ActivityEndorsed Patient Safety Endorsement Maintenance Project 2015Initial EndorsementNext Planned Maintenance ReviewPatient Safety Fall 2024Endorsement StatusLast Updated
- Steward Organization EmailSteward Organization Copyright
This is not applicable.