These measures are very different from the ones currently in use. Only the ADL decline and physical restraint QMs are unchanged. Improvement in walking was deleted, infection was changed to UTI, and the following were added:
Decline in locomotion
Worsening of depressed or anxious mood
Low risk B or B incontinence (paired with catheter use)
Postacute pressure ulcers
Pneumonia vaccine
Flu vaccine
The use of covariates is significantly different for this set of QMs. Risk adjustment scales are used, such as the Personal Severity Index, the Cognitive Performance Scale, and scales based on RUG-III categories, among others.
The bottom line for the MDS team is this: Vastly more of the MDS items are used in calculating these QMs. MDS coding accuracy is even more critical than ever.
Rena
Subj: QM
Date: 10/24/03 7:37:46 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
Is there a place where you can access the new QM's? There is a rumor
that they will change in December but the official site makes no
reference to this and has not published any new technical documentation.
If anyone know's of this we would appreciate the information. Thank you,
Cathy Dale RN
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators (AANAC)
"Setting the standard for SNF MDS/PPS education"
President, RRS Healthcare Consulting Services
17210 Russet Street
San Diego, CA 92127
858-592-6799
858-592-6800 (fax)
858-254-0851 (mobile)
[EMAIL PROTECTED]
www.AANAC.org
