Resident Health Quality » Monroe Community Hospital

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 22.6 24.2 25.4 25.6
Percentage of high risk long-stay residents with pressure ulcers 11.0 9.7 11.1 10.0
Percentage of long-stay residents experiencing one or more falls with major injury 2.7 2.6 3.7 3.2
Percentage of long-stay residents whose need for help with daily activities has increased 27.1 23.3 22.1 24.4
Percentage of long-stay residents who self-report moderate to severe pain 14.7 14.8 14.7 14.6
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.4 1.4 0.4 0.9
Percentage of long-stay residents with a urinary tract infection 1.1 1.3 1.0 1.4
Percentage of long-stay residents who received an antipsychotic medication 11.8 11.4 12.3 11.8

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 57.5 59.2 63.7 62.6
Percentage of short-stay residents who newly received an antipsychotic medication 1.8 4.0 1.7 2.3
Percentage of short-stay residents who self-report moderate to severe pain 20.6 24.3 28.8 25.5

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.7 13.7 12.9 13.1
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 6.2 4.5 4.2 5.2
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0 100.0 99.8 99.9
Percentage of low risk long-stay residents who lose control of their bowels or bladder 50.0 47.0 45.0 48.7
Percentage of long-stay residents who have depressive symptoms 3.0 4.6 3.4 3.5
Percentage of long-stay residents who were physically restrained 0.2 0.0 0.2 0.1

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 98.7 98.7 98.7 98.7
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.4 99.5 99.0 99.5

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