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Effectiveness of Care: Nursing Home and Home Health Care
Chronic care: Percent of residents whose need for help with daily activities has increased.
Centers for Medicare and Medicaid Services (CMS), Nursing Home Quality Initiative.
1.97 Chronic care: Percent of residents whose need for help with daily activities has increased, by State, 2002 and 2003.
Medicare beneficiary chronic care residents with a valid target and a valid prior assessment.
Residents with worsening (increasing MDS item score) in at least one or two of the four Late-Loss ADL self-performance (bed mobility, transfers, toilet use and eating) or at target relative to prior assessment.
Excludes residents who can not show decline due to maximum values on target and prior assessments, residents with comatose status, residents with end-stage disease, residents receiving hospice care and residents with unknown status for these conditions. See CMS Quality Measure User Manual for details: http://www.cms.hhs.gov/Manuals/.
The 2002 estimates reflect care delivered in quarter 2, from April 1 to June 30, 2002. The 2003 estimates reflect care delivered in quarter 3, from July 1, 2003 to September 30, 2003.