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PACE-Acquired Pressure Ulcer/Injury Prevalence Rate

CBE ID
3000
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

Prevalence of PACE-acquired pressure ulcers/injuries (Stages 3, 4, unstageable, and deep tissue injury) among PACE participants in a quarter, expressed as persons with 1 or more pressure ulcers/injuries divided by the number of participants on the PACE organization’s census who resided in a home setting (home or assisted living facility)for at least one day during the quarter.

This is a rate-based measure of skin breakdown due to pressure or pressure combined with sheer. The rate will be calculated quarterly. The target population is participants on a PACE organizations census who are residing in a home setting for at least one day during a quarter.

        • 1.14 Numerator

          The total number of participants enrolled during the quarter that have at least one documented PAPU/I (Stages 3, 4, unstageable, and deep tissue injury) acquired while a PACE participant.

        • 1.15 Denominator

          Number of participants on a PACE organization’s census during the quarter.

        • Exclusions

          Exclude participants who lived outside their home/assisted living setting for every day of the quarter.

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Patient Safety Spring Cycle 2021
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          Centers for Medicare & Medicaid Services
          Steward Organization POC Email