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2003 National Healthcare Quality Report

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Chronic care: Late-loss ADL worsening.

Measure Source

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

Tables

1.88 Nursing facility care: Chronic care: Percent of residents with loss of ability in basic daily tasks, 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

Chronic care residents with a valid target and a valid prior assessment.

Numerator

Residents with worsening (increasing item score) in at least 1 of 4 Late-Loss ADL self-performance (bed mobility, transfers, toilet use and eating) at target relative to prior assessment.

Comments

Excludes residents who can not show decline due to maximum values on target and prior assessments.

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

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

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

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