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PACE-Acquired Pressure Ulcer/Injury Prevalence Rate

CBE ID
3000
1.5 Project
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 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.

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.8 Level of Analysis
      1.9 Care Setting
      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 Organization
      Centers for Medicare & Medicaid Services
      Steward POC email
      Helen.Dollar-Maples@cms.hhs.gov
                Public Comments