Resident Health Quality » Mille Lacs Health System

Used in Quality Measure Five Star Rating - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents whose ability to move independently worsened 11.5 23.8 19.8 15.8
Percentage of high risk long-stay residents with pressure ulcers 11.4 5.6 6.3 9.6
Percentage of long-stay residents experiencing one or more falls with major injury 4.0 4.3 6.7 4.8
Percentage of long-stay residents whose need for help with daily activities has increased 15.8 22.5 13.9 17.2
Percentage of long-stay residents who self-report moderate to severe pain 6.9 14.8 4.1 8.5
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.4 2.5 2.4 3.4
Percentage of long-stay residents with a urinary tract infection 4.0 6.5 2.2 4.3
Percentage of long-stay residents who received an antipsychotic medication 6.0 8.7 13.3 10.2

Used in Quality Measure Five Star Rating - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents who made improvements in function * * * *
Percentage of short-stay residents who newly received an antipsychotic medication * * * 5.1
Percentage of short-stay residents who self-report moderate to severe pain * * * 21.2

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.3 4.5 6.8 7.2
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0 100.0 100.0 100.0
Percentage of long-stay residents who lose too much weight 8.5 6.8 13.6 11.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.0 100.0 100.0 99.5
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 41.1
Percentage of long-stay residents who have depressive symptoms 0.0 0.0 0.0 0.0
Percentage of long-stay residents who were physically restrained 0.0 0.0 0.0 0.0

Additional Quality Measures - Short Stay Residents [2]

Q1 Q2 Q3 Avg
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine * * * 70.0
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * 81.8 86.6
  1. * Not Available - The number of residents is too small to report.  Call the facility to discuss this quality measure.

Nursing homes regularly collect assessment information on all their residents using a form called the Minimum Data Set. The information collected includes the residents' health, physical functioning, mental status, and general well being. Nursing homes self-report this information to Medicare.

About Quality Measures

References

  1. http://www.medicare.gov/NursingHomeCompare/Data/Long-Stay-Residents.html
  2. http://www.medicare.gov/NursingHomeCompare/Data/Short-Stay-Residents.html