Measure Source

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

Table

1.105 Chronic care: Percent of residents whose need for help with daily activities has increased, by State, 2002 and 2004.

Data Source

CMS, Minimum Data Set (MDS).

Denominator

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

Numerator

Residents with worsening (increasing MDS item score) in at least 1 or 2 of the 4 Late-Loss activities of daily living (ADL) self-performance (bed mobility, transfers, toilet use, and eating) or at target relative to prior assessment.

Comments

The data were downloaded from http://www.medicare.gov/NHCompare/Include/DataSection/Questions/SearchCriteria.asp in March 2005.

Excludes residents who cannot 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. Excludes facilities with fewer than 30 residents in the denominator. For details about this and other measures of the Nursing Home Quality Initiative, please refer to the documentation available at http://www.cms.hhs.gov/center/quality.asp.