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On-Time Quality Improvement for Long-Term Care

Sample Reports

The On-Time program is funded by the Agency for Healthcare Research and Quality (AHRQ), with support from the California Healthcare Foundation, to improve long-term care by turning daily documentation into useful information that enhances clinical care planning. These are samples of clinical reports used by front-line teams on a weekly basis to monitor resident status and prompt for changes in the care plan.

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Completeness Report / Nutrition Report / Behavior Report / Pressure Ulcer Trigger Summary Report / Priority Reports


Completeness Report

I. Documentation Completeness: All Shifts

Documentation Item 7/10/2006 7/17/2006 7/24/2006 7/31/2006
Meal Intake 90.2 84.9 83.7 88.3
Bowels 65.8 61.9 63.3 72.7
Bladder 60.1 63.1 60.4 70.3
Behaviors 72.0 74.8 76.5 81.7

II. Summary for Week of 7/31

Total Residents 30
# residents missing >75% nutritional intake data  0
# residents missing >75% of bowel data  0
# residents missing >75% of bladder data  0
# residents missing >75% of behavior data  0

III. Documentation Completeness: Night Shift

Documentation Item 7/10/2006 7/17/2006 7/24/2006 7/31/2006
Bowels 39.7 41.6 45.2 62.9
Bladder 40.6 58.0 46.5 68.1
Behaviors 46.0 69.0 65.0 77.6

IV. Documentation Completeness: Day Shift

Documentation Item 7/10/2006 7/17/2006 7/24/2006 7/31/2006
Breakfast 88.8 84.1 82.0 85.2
Lunch 92.0 86.9 82.9 85.2
Bowels 87.5 76.3 73.3 75.7
Bladder 68.3 62.9 61.3 67.1
Behaviors 87.9 83.3 82.9 81.0

V. Documentation Completeness: Evening Shift

Documentation Item 7/10/2006 7/17/2006 7/24/2006 7/31/2006
Dinner 89.7 83.7 86.2 94.3
Bowels 70.1 67.8 71.4 79.5
Bladder 71.4 68.6 73.3 75.7
Behaviors 82.1 72.2 81.6 86.7

VI. Form Consistency Errors

Name Resident ID Section Description
______________________ X 08/01 (E) bladder Catheter but Incontinent Urine Count not 0
______________________ X 08/02 (E) bladder Catheter but Incontinent Urine Count not 0
______________________ X 08/02 (N) bladder Catheter but Incontinent Urine Count not 0
______________________ X 08/03 (E) behaviors No Behaviors Observed and Frequent Crying both checked
______________________ X 08/03 (E) behaviors No Behaviors Observed and Abusive Language both checked

VII. Resident Summary Details: Sample

Name Resident ID Section % Complete
______________________ X Behaviors 85.7
______________________ X Bladder 71.4
______________________ X Bowels 66.7
______________________ X Meals 95.2
______________________ X Behaviors 76.2
______________________ X Bladder 71.4
______________________ X Bowels 76.2
______________________ X Meals 90.5
______________________ X behaviors 85.7
______________________ X Bladder 71.4
______________________ X Bowels 81.0
______________________ X Behaviors 71.4
______________________ X Bladder 66.7
______________________ X Bowels 57.1
______________________ X Meals 71.4
______________________ X Behaviors 57.1

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Nutrition Report

High Risk (Decreased Meal Intake and Weight Loss)

Resident Name Resident ID Decreased Intake Avg Meal Intake % wk 07/10/06 Avg Meal Intake % wk 07/17/06 Avg Meal Intake wk % 07/24/06 Avg Meal Intake % wk 07/31/06 Weight Change lbs. History Resolved Pressure Ulcer Most Recent Ulcer Assess Date # PUs
Sample Resident 1 0000000 7/31/2006 73 51 61 52 -2.3   - -
Sample Resident 2 1111111 7/31/2006 0 7 3336 -6.2   7/19/2006 1

Medium Risk (Decreased Meal Intake or Weight Loss)

Resident Name Resident ID Decreased Intake Avg Meal Intake % wk 07/10/06 Avg Meal Intake % wk 07/17/06 Avg Meal Intake wk % 07/24/06 Avg Meal Intake % wk 07/31/06 Weight Change lbs. History Resolved Pressure Ulcer Most Recent Ulcer Assess Date # PUs
______________________ X 07/31/2006 32 34 40 42 -   - -
______________________ X 07/31/2006 76 76 - 71 -   - -
______________________ X 08/02/2006 49 36 44 54 -   - -
______________________ X 08/01/2006 74 78 - 64 -   - -
______________________ X 07/31/2006 56 23 43 43 -   - -
______________________ X 07/31/2006 41 23 28 47 -   - -
______________________ X 08/04/2006 73 71 71 62 -   - -

Weight Summary

Resident Name Resident ID Weight 180 Days Prior Weight 90 Days Prior Weight For Week 07/10/06 Weight For Week 07/17/06 Weight For Week 07/24/06 Weight For Week 07/31/06 Weight Change lbs. Date 5-10% Wt. Loss < 30 Days Date
> 10% Wt. Loss
< 180 Days
______________________ X - - 139 - 139 140 1 - -
______________________ X - - - - - - - - -
______________________ X - - 159 159 - - 0 - -
______________________ X - - - - - - - - -

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Behavior Report

Number of Residents with Behaviors by Shift: Unit Snapshot

Shift Freq-
uent
Crying		 Yell/
Scream		 Kicking/
Hitting		 Pinch/
Scratch/
Spit		 Biting Wander. Abusive Lang. Threat Behav. Resist.
Care		 Repit.
Verbal		 Repit.
Move-
ment		 Sexu-
ally
Inap-
prop.
D 2 (6%) 4 (13%) 1 ( 3%) 0 ( 0%) 0 (0%) 4 (13%) 2 ( 6%) 2 ( 6%) 2
( 6%)		 4
(13%)		 2 (6%) 0 (0%)
E 1 (3%) 4 (13%) 1 ( 3%) 0 ( 0%) 0 (0%) 4 (13%) 2 ( 6%) 1 ( 3%) 5
( 17%)		 5
( 17%)		 1 (3%) 0 (0%)
N 3 (10%) 3 (10%) 0 ( 0%) 0 ( 0%) 0 (0%) 0 ( 0%) 1 ( 3%) 0 ( 0%) 3
( 10%)		 3
( 10%)		 2 (6%) 0 (0%)
All 5 (17%) 5 (17%) 1 ( 3%) 0 ( 0%) 0 (0%) 5 ( 17%) 2 ( 6%) 2 ( 6%) 6
( 20%)		 5
( 17%)		 3 (10%) 0 (0%)


Name Resi-
dent
ID		 Shift Freq-
uent
Cry-
ing		 Yell/
Scream		 Kicking/
Hitting		 Pinch/
Scratch/
Spit		 Bit-
ing		 Wan-
der.		 Abus-
ive
Lang.		 Threat
Behav.		 Resist.
Care		 Repit.
Verbal		 Repit.
Move-
ment		 Sex-
ually
Inap-
prop.		 Total
# of
Be-
hav-
iors
______________________ X D 0 0 0 0) 0 0 0 0 0 1 1 0  2
______________________ X E 0 0 0 0 0 0 0 0 0 3 3 0  6
______________________ X N 0 0 0 0 0 0 0 0 0 0 0 0  0
______________________ X D 0 1 0 0 0 0 0 0 1 1 0 0  3
______________________   E 1 0 0 0 0 0 0 0 3 3 0 0  7
______________________   N 3 1 0 0 0 0 0 0 3 1 1 0  9
______________________ X D 0 6 0 0 0 0 5 0 0 0 0 0 11
______________________   E 0 5 0 0 0 0 4 0 0 0 0 0  9
______________________   N 0 7 0 0 0 0 6 0 0 0 0 0 13
______________________ X D 0 1 1 0 0 2 0 1 1 1 0 0  7
______________________   E 0 1 1 0 0 4 0 2 1 2 0 0 11
______________________   N 0 0 0 0 0 0 0 0 0 0 0 0  0

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Pressure Ulcer Trigger Summary Report

Number of Residents and the Percentage of the Unit Within Each Trigger by Week

Pressure Ulcer Triggers Week 1 Week 2 Week 3 Week 4
______________________ 2006-07-10 2006-07-17 2006-07-24 2006-07-31
Wt. Loss 5-10% in < 30 Days - - - -
Wt. Loss > 10% in < 180 Days - - - -
2 Meals < 50% in 1 Day  6 (18%)  8 (23%)  8 (23%)  8 (22%)
Weekly Meal Intake Average < 50%  4 (12%)  7 (20%)  5 (14%)  4 (11%)
Daily Urine Incont. 10 (30%) 16 (47%) 13 (38%) 15 (41%)
> 3 Days Bowel Incont. 13 (39%) 18 (52%) 12 (35%) 15 (41%)
Catherized 10 (30%) 16 (47%)  8 (23%) 12 (33%)
History of Resolved Ulcer - - - -
Current Pressure Ulcer - - - -

Pressure Ulcer Trigger Summary by Resident for Current Week

Name Resi-
dent
ID		 Wt. Loss 5-10% in
< 30 Days		 Wt. Loss
> 10% in
< 180 Days		 2 Meals < 50% in 1 Day Weekly Meal Intake Average < 50% Daily Urine Incont. > 3 Days Bowel Incont. Catheter Hx of Resolved Ulcer Current Pressure Ulcer # of Triggers Last Week # of Triggers This Week
______________________ X     X X X X       3 4
______________________ X         X X X     2 3
______________________ X     X     X X     5 3
______________________ X         X X X     0 3
______________________ X         X X X     2 3
______________________ X     X     X X     0 3
______________________ X     X X     X     3 3
______________________ X         X X       1 2
______________________ X     X       X     1 2
______________________ X           X X     3 2

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Priority Reports

Priority Report

Name Resident
ID		 Decreased
Meal +
Weight Loss		 Weight Loss
>= 5% Last
30 Days		 Incontinence Increase Different Behaviors
>= 31		 Worsening Ulcer New Ulcer Open Area
Resident Name 0001122       3*      
Resident Name 0079601     X       X
Resident Name 0052124     X 4*      
Resident Name 0001637     X        
Resident Name 0003242     X 4      
Resident Name 0039624     X   X    
Resident Name 0065677             X
Resident Name 0002146     X   X X X

1Definition
Behaviors >= 3: If 2 or more different behaviors present for the report week that did not present during previous week
AND total number of behaviors >= 3, display total number of behaviors with asterisk next to number (asterisk indicates 2
or more additional, different behaviors from previous report week).
Examples
If < 3 different behaviors THEN leave behaviors column blank
If >= 3 different behaviors for current week THEN display total # behaviors
If >= 3 different behaviors for current week AND increase in total # of different behaviors from previous week by
>= 2 THEN display # behaviors for current week and asterisk next to number

Residents with Red Areas

Name Resident Id Red Area
Resident Name 0001119 X
Resident Name 0038900 X
Resident Name 0082800 X
Resident Name 0001117 X
Resident Name 0047100 X

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Current as of August 2007

Internet Citation:

On-Time Quality Improvement for Long-term Care: Sample Reports. August 2007. Rockville, MD; Agency for Healthcare Research and Quality. http://www.ahrq.gov/research/ltc/pusamplerep.htm

 
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