The CAHPS® Nursing Home Survey: Long-Stay Resident Instrument is an in-person survey instrument to gather information on the experience of long stay (greater than 100 days) residents currently in nursing homes. The Centers for Medicare & Medicaid Services requested development of this survey, and can be used in conjunction with the CAHPS Nursing Home Survey: Family Member Instrument and Discharged Resident Instrument. The survey instrument provides nursing home level scores on 5 topics valued by residents: (1) Environment; (2) Care; (3) Communication & Respect; (4) Autonomy and (5) Activities. In addition, the survey provides nursing home level scores on 3 global items.
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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 following topics are measured for nursing homes from a resident's perspective:
Composite 1: Environment – sum of applicable resident scores on 8 survey items (see codebook for points assigned to each response category) related to aspects of environment in nursing home
Composite 2: Care - sum of applicable resident scores on 5 survey items
Composite 3: Communication and Respect- facility score is sum of applicable resident scores on 3 survey items
Composite 4: Autonomy - sum of applicable resident scores on 3 survey items
Composite 5: Activities – sum of applicable resident scores on 2 survey items
Global Items:
Global Rating of care received from staff: sum of resident scores on 0 to 10 scale
Global Rating of overall nursing home: sum of resident scores on 0 to 10 scale
Global item whether respondent would recommend nursing home: sum of resident scores on item (see codebook for points assigned to each response category)
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1.15 Denominator
The denominator is the total number of surveys for respondents that meet CAHPS completion standard and any applicable screener (discussed in details below)
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Exclusions
We exclude residents who (1)are under age 18, (2)are comatose, (3) are severely impaired in mental status or in cognitive skills for daily decisionmaking, (4) cannot answer 3 questions in a row; (5) conscious but unresponsive to interviewer and (6) unable to speak English for survey (we expect Spanish translation will be available in summer/fall 2011). All residents whose length of stay (LOS) in the facility is equal to or less than 100 days from the date of admission will also be excluded. Residents who return to the nursing home following any hospital discharge will not have their stay reset to zero when they return to the facility. AHRQ will harmonize its specification on long stay residents with CMS.
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Person and Family-Centered Care Endorsement Maintenance ProjectInitial EndorsementLast UpdatedRemoval Date
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Steward Organization EmailSteward Organization Copyright
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services. This CAHPS® questionnaire should be used without modification to the core set of questions. Supplemental questions may be added after the core set of questions and before the demographic question section. Please consult Guidelines for Modifying and Naming CAHPS Surveys at https://www.cahps.ahrq.gov/content/products/PROD_ModifySurveys.asp
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Risk Adjustment
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6.1.2 Current or Planned Use(s)6.1.3 Current Use(s)
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