Resident Health Quality » Lbj Medical Center

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 * * * 15.9
Percentage of high risk long-stay residents with pressure ulcers 3.0 11.1 8.3 6.7
Percentage of long-stay residents experiencing one or more falls with major injury 3.8 2.1 2.4 3.4
Percentage of long-stay residents whose need for help with daily activities has increased * * * 7.1
Percentage of long-stay residents who self-report moderate to severe pain 5.9 6.1 10.1 7.9
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0 6.2 4.1 2.6
Percentage of long-stay residents with a urinary tract infection 0.0 2.1 0.0 0.6
Percentage of long-stay residents who received an antipsychotic medication 24.0 22.2 15.0 19.3

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 * * * *
Percentage of short-stay residents who self-report moderate to severe pain * * * 35.0

Additional Quality Measures - Long Stay Residents [1]

Q1 Q2 Q3 Avg
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.9 26.5 23.3 24.8
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.9 92.9 92.9 92.9
Percentage of long-stay residents who lose too much weight * * * 2.9
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.2 93.6 95.2 96.1
Percentage of low risk long-stay residents who lose control of their bowels or bladder * * * 14.8
Percentage of long-stay residents who have depressive symptoms 27.5 29.8 26.2 26.6
Percentage of long-stay residents who were physically restrained 0.0 2.1 0.0 0.6

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 * * * *
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine * * * 44.4
  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