Holy
I agree with you and you made my point. It is
a Quality Indicator not a Quality Measure. Quality Improvement can be
anything that systematically guides us to better care.
However,
"Traditional" quality assurance system require exact recording of information
related to outcomes, not an estimate of an outcome.
Can you imagine the
police saying that an escaped murder killed no one in the last 7 days of the
quarter but before that they killed 30 people. Thus the police can not
arrest them.
Visit our MDS Users Forum WWW.RAI.TO
THIS MESSAGE IS INTENDED ONLY FOR THE ADDRESSEE, IT
MAY CONTAIN PRIVILEGED OR CONFIDENTIAL INFORMATION. ANY UNAUTHORIZED DISCLOSURE
IS
STRICTLY PROHIBITED.
IF YOU HAVE RECEIVED THIS MESSAGE IN ERROR, PLEASE NOTIFY US IMMEDIATELY SO THAT WE MAY CORRECT OUR INTERNAL RECORDS. PLEASE THEN DELETE THE ORIGINAL EMAIL.
-----Original Message-----
From: Holly McGran [mailto:[EMAIL PROTECTED]]
Sent:
Thursday, November 13, 2003 2:08 PM
To: [EMAIL PROTECTED]
Subject: RE: I am
not sure the MDS QIs are useful as a Traditional
Quality Assurance
system
Depending on the software you have the MDS data can be a very
rich tool to use for the Continuous Quality Improvement process in your facility
- we use it all the time. We have Pathlinks software and are able to query every
item on the MDS - how many pressure ulcers, incont, psychotropics - on and on.
The data of course may need to be tweeked for some of it may be old (if
approaching quarterly might be old data). But QI data is based on trends and
patterns, not necessary indiv. residents.
Holly QI in CT
>
-----Original Message-----
> From: Paul Beaulne
[SMTP:[EMAIL PROTECTED]
> Sent: Thursday, November 13, 2003 1:06
PM
> To: [EMAIL PROTECTED]
>
Subject: I am not sure the MDS QIs are useful as a
Traditional Quality Assurance
system
>
>
>
>
>
> The MDS is not a Quality
Assurance System in the traditional sense.
>
> You can not use it
for data collection that requires the answers to questions such
as:
>
> a) How many falls did we have in the month of
January?
> b) Have the absolute number of falls increased this year over
last?
> c) Are more people falling?
>
>
> There are 2
questions related to
falls:
> 1 ask, in the
last 30 days and
> the
other ask, in the last 31 to 180 days.
>
> So if a person fell on
December 1 2002 and had following assessment schedule:
>
> Quarterly
December 1 2002
> Quarterly March 1 2003
> Quarterly June 1
2003
> Annual Sept 1 2003
> Quarterly December 1
2003
> Quarterly March 1 2004
> Quarterly June 1 2004
>
Annual Sept 1 2004
>
> Then in December there
would be "1" fall last 30 days "0" 31-180 days
>
> Let 0 mean no
Fall and 1 mean a fall then the fall pattern for person A would
be:
>
> Date 30Day 31-180Day
>
> Dec
1 0
> Mar
0 1
> Jun
0 1
> Sep
0 0
> Dec
0 0
> Mar
0 0
> Jun
0 0
> Sep
0 0
>
>
*******************
>
> Now lets assume that a person B fell twice a
day for every day of December 2003 or 62 times.
>
> Date
30Day 31-180Day
>
> Dec
1 0
> Mar
0 1
> Jun
0 1
> Sep
0 0
> Dec
0 0
> Mar
0 0
> Jun
0 0
> Sep
0 0
>
> How
would you know if person A was different than person B
>
> The only
thing you can say with the MDS QI is relative to how the MDS measures things
other site may be having more or less falls.
>
> The way I see
it.
>
>
>
>
> << File:
businesscard-paul.gif >>
>
> <http://office.mede-care.ca/emaillogo/footer.gif>
>
>
Visit our MDS Users Forum WWW.RAI.TO
>
> THIS MESSAGE IS INTENDED
ONLY FOR THE ADDRESSEE, IT MAY CONTAIN PRIVILEGED OR CONFIDENTIAL INFORMATION.
ANY UNAUTHORIZED DISCLOSURE IS
> STRICTLY PROHIBITED.
>
> IF
YOU HAVE RECEIVED THIS MESSAGE IN ERROR, PLEASE NOTIFY US IMMEDIATELY SO THAT WE
MAY CORRECT OUR INTERNAL RECORDS. PLEASE THEN DELETE THE ORIGINAL
EMAIL.
>
/----------------------------------------------------------
The
Case Mix Discussion Group is a free service of the
American Association
of Nurse Assessment Coordinators
"Committed to
the Assessment Professional"
Be sure to visit the AANAC website. Accurate
answers to your
questions
posted to NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
