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Percent of Residents Who Lose Too Much Weight (Long-Stay)

CBE ID
0689
1.4 Project
Patient Safety
Endorsement Status
Endorsed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Fall 2021
Is Under Review
No
Next Maintenance Cycle
Patient Safety Fall 2025
1.3 Measure Description

This measure reports the percentage of long-stay nursing home residents with a target Minimum Data Set (MDS) assessment (OBRA, PPS, Discharge) that indicates a weight loss of 5% or more of the baseline weight in the last 30 days or 10% or more of the baseline weight in the last 6 months, which is not a result of a physician-prescribed weight-loss regimen. The baseline weight is the resident’s weight closest to 30 or 180 days before the date of the target assessment. Long-stay residents are identified as residents who have had at least 101 cumulative days of nursing facility care.

    • 1.14 Numerator

      The numerator is the number of long-stay residents with a selected target MDS assessment (OBRA, PPS, or discharge) during the selected target quarter indicating that he or she has experienced a weight loss of 5% or more of the baseline weight in the last 30 days or 10% or more of the baseline weight in the last 6 months and the weight loss was not planned or prescribed by a physician (K0300 = [2]). The baseline weight is the resident’s weight closest to 30 or 180 days before the date of the target assessment.

    • 1.15 Denominator

      The denominator is the number of long-stay nursing home residents with a selected target assessment except those with exclusions.

    • Exclusions

      There are four exclusions applied to the denominator: (1) the target assessment is an OBRA admission assessment, a PPS 5-day assessment, or a readmission/return assessment, (2) having a prognosis of life expectancy of less than six months or the six-month prognosis item is missing on the target assessment, (3) receiving hospice care or the hospice care item is missing on the target assessment, or/and (4) the weight loss item is missing on the target assessment.

      Nursing facilities with fewer than 30 residents in the denominator are excluded from public reporting because of small sample size.

    • Most Recent Endorsement Activity
      Endorsed Patient Safety Fall Cycle 2021
      Initial Endorsement
      Last Updated
    • Steward
      Centers for Medicare & Medicaid Services
      Steward Organization POC Email
      [email protected]
      Steward Organization Copyright

      N/A