Measure Source

Centers for Medicare and Medicaid Services (CMS), Nursing Home Quality Initiative.

Table

1.97 Chronic care: Percent of residents whose need for help with daily activities has increased, by State, 2002 and 2003.

Data Source

Centers for Medicare and Medicaid Services, Minimum Data Set. The 2003 data were downloaded from http://www.medicare.gov/Download/DownloadDB.asp in April 2004. The 2002 data were downloaded from http://www.medicare.gov/NHCompare/Include/DataSection/Questions/SearchCriteria.asp in November 2002.

Denominator

Medicare beneficiary chronic care residents with a valid target and a valid prior assessment.

Numerator

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.

Comments

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.