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2003 National Healthcare Quality Report

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Post acute care: Failure to improve/manage delirium symptoms.

Measure Source

Centers for Medicare and Medicaid Services (CMS), Nursing Home Quality Initiative.

Tables

1.92a Nursing facility care: Post acute care: Percent of residents with delirium, by state, 2002.

1.92b Nursing facility care: Post acute care: Percent of residents with delirium (with adjustment for facility admission profile over past year), by state, 2002.

Data Source

Centers for Medicare and Medicaid Services. Data from the Minimum Data Set. Downloaded from the CMS Nursing Home Compare web site November 2002: http://www.medicare.gov/NHCompare/Include/DataSection/Questions/SearchCriteria.asp.

Denominator

Patients with a valid SNF PPS 14-day assessment.

Numerator

Patients at SNF PPS 14-day assessment with at least one symptom of delirium that represents a departure from usual functioning.

Comments

Excludes residents with comatose status, residents with end-stage disease, residents receiving hospice care and residents with unknown status for these conditions.

Residents with neurodegenerative diseases are not automatically excluded.

Statistics are calculated based on data from five target quarters occurring between 2000 and 2002.

PPS refers to Medicare Prospective Payment System for skilled nursing facilities (SNFs).

See CMS website for exact measure specification: http://www.cms.hhs.gov/center/quality.aspnhqi/NatlUserMan_v1_1.pdf.

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