RE: QI - Dehydration

[Christie Teigland]

Regarding a high percentile rank for dehydration, it is important to remember that your facility percentile rank for this QI can fluctuate greatly from quarter to quarter because of the very small number of occurrences in the numerator and small percentages -- this causes the rate and rank to be more unstable than for other QIs, so you may be in 50th percentile one quarter (at state benchmark) and in 90th percentile the next quarter with only one or two residents flagging.  It is not the percentile rank that is very meaningful here, it is the number of residents since this is considered a sentinel event -- even one resident will flag for survey and residents trigger the use of the surveyor Investigative Protocol for Hydration.

 

I disagree with the 2nd response below - there are no risk adjustments and NO EXCLUSIONS for this QI, so all residents assessed during timeframe will be in denominator, including hospice and end-stage disease -- even though they are certainly at higher risk, they are still counted in the QI.

 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Monday, November 03, 2003 11:30 PM
To: [EMAIL PROTECTED]
Subject: Re: QI - Dehydration

1. the percentile is your facility standing based on the percentage of occurrance (in your case 1.0 percent).

    the average of all of the other facilities is 0.3 percent

    your facility is higher than the averaged score (the mean score)
 
    if the 100th percentile rank is the worst, and average is 0.3 percent, do you see where your facility , at 1.0 percent, would rank in the highest quarter percentile?


* there are times that your facility average will not change at all , but the percentile rank will change because other facility averages change - particularly at the state level.

2. If the resident is listed as end-stage, or hospice, the resident is not in the denominator or numerator. (not counted in the category at all)