The proportion of admissions to an institutional facility (e.g., nursing facility, intermediate care facility for individuals with intellectual disabilities [ICF/IID]) for managed long-term services and support (MLTSS) plan enrollees that result in successful discharge to the community (community residence for 60 or more days) within 100 days of admission. This measure is reported as an observed rate and a risk-adjusted rate.
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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 count of discharges from an institutional facility to the community that occurred within 100 days or less from admission and resulted in successful discharge to the community (community residence for 60 or more days).
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1.15 Denominator
New admissions to an institutional setting for MLTSS enrollees age 18 and older.
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Exclusions
None.
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1.13a Data dictionary not attachedNo
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Most Recent Endorsement ActivityEndorsed All-Cause Admissions and Readmissions Fall Cycle 2018Initial EndorsementLast Updated
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StewardCenters for Medicare & Medicaid ServicesSteward Organization POC EmailSteward Organization Copyright
Not applicable.
Measure Developer Secondary Point Of Contact Email
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Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
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6.1.2 Current or Planned Use(s)
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