Measure Source

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

Table

1.109 Chronic care: Percent of residents whose ability to move about in and around their room got worse, by State, 2003 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 whose value for locomotion self-performance is greater 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.

Percent is risk-adjusted using resident-level covariates.

Excludes admission assessments; residents with missing values on the target assessment or with "total dependence", "activity did not occur" or missing values on the prior assessment; residents with comatose status, residents with end-stage disease, residents receiving hospice care, and residents with unknown status for these conditions on the target assessment. 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.