Clinical Topics

Working to improve the quality of care delivery to nursing home residents.

What are Clinical Quality Measures (QM)?

As per the Centers for Medicare & Medicaid Services (CMS);  Quality Measures are tools that help us measure or quantify healthcare processes, outcomes, resident perceptions, and organizational structure and/or systems that are associated with the ability to provide high-quality health care and/or that relate to one or more quality goals for health care. These goals include: effective, safe, efficient, patient-centered, equitable, and timely care.

The Long Stay Quality Measures are:

  • Percent of Residents Experiencing One or More Falls with Major Injury
  • Percent of Residents who Self-Report Moderate to Severe Pain
  • Percent of High-Risk Residents with Pressure Ulcers
  • Percent of Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine
  • Percent of Residents Assessed and Appropriately Given the Pneumococcal Vaccine
  • Percent of Residents with a Urinary Tract Infection
  • Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder
  • Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
  • Percent of Residents Who Were Physically Restrained (Long Stay)
  • Percent of Residents Whose Need for Help with Activities of Daily Living Has Increased
  • Percent of Residents Who Lose Too Much Weight
  • Percent of Residents Who Have Depressive Symptoms
  • Percent of Long-Stay Residents Who Received An Antipsychotic Medication

What is a Quality Composite Measure Score?

The Quality Composite Measure Score is comprised of thirteen publically reported  long-stay quality measures that represent larger systems within the long term care setting. The composite score is calculated by summing the 13 measure numerators to obtain the composite numerator, summing the 13 measure denominators, and multiplying by 100.

Why is the Quality Composite Measure Score Important?

The Quality Composite Score Measure is used to measure progress of QI interventions,  identify improvement opportunities, and create QI goals.

For more  information on the Quality Composite Measure Score click here.

Initiatives

Care Coordination
Care Coordination DC
Resources
Care Coordination NY
Overview
Beneficiaries and Families
Healthcare Professionals
Other Website Resources
Tools and Resources
Past Success
Upcoming Events
Past Events
Blog
Contact Us
Care Coordination SC
Cardiovascular Health
Cardiovascular Health (DC)
Cardiovascular Health (NY)
Cardiovascular Health (SC)
Community Based Sepsis
Educational Events/Webinars
Sepsis in the News
Tools and Resources
Diabetes Self-Management
EDC Foot Care Campaign
Diabetes Self-Management Education (DC)
Diabetes Self-Management Education (NY)
Diabetes Self-Management Education (SC)
Drug Safety
Anticoagulation Safety
Hypoglycemia Avoidance
Opioid Safety
Drug Safety (DC)
Drug Safety (NY)
Drug Safety (SC)
Hospital Safety
Hospital Safety (DC)
Hospital Safety (NY)
Hospital Safety (SC)
Immunization
Immunization (DC)
Immunization (SC)
SC Immunization Coalition Materials
Nursing Home Quality
Nursing Home Quality (NY)
QAPI Self-Assessment
Casper Data
Eliminating Inappropriate Antipsychotic Medication Use
Clinical Quality Measures (QM)
Composite Measure Score
NHQCC Collaborative I Kick-Off
NHQCC Collaborative I Outcomes Congress
QI/QAPI
Using a System's Approach to Quality & Performance Improvement
Nursing Home Quality Care Collaborative (NHQCC) Learning
Engaging Staff in Individualized Care
QAPI Self-Assessment and Related Resources
QAPI In Action
Quality Improvement (QI) Resources
Quality Improvement Strategies
Steps to QAPI
Elements for Framing QAPI in Nursing Homes
Clinical Topics
Medication Use Tools & Resources
Pressure Ulcer Clinical Tools & Resources
Restraint Clinical Tools & Resources
Falls with Major Injuries
Health Care Acquired Conditions
Eliminating Long Term Care Re-Admissions Tools & Resources
Resources
Consumers
Nursing Home Quality (DC)
Nursing Home Quality (SC)
ACE e-Newsletter
Clinical Topics
Organizational Change
Presentations and Handouts
QI/QAPI
Upcoming Events
Outpatient Antibiotic Stewardship
Core Element One: Commitment
Core Element Two: Action for Policy and Practice
Core Element Three: Tracking and Reporting
Core Element Four: Education and Expertise
Technology-Enhanced Care
Meaningful Use of HIT (DC)
Meaningful Use of HIT (NY)
Meaningful Use of HIT (SC)
Transforming End of Life
Quality Payment Program
Request Technical Assistance
QPP Education
QPP General Information
Quality Measures
Improvement Activities (IA)
Advancing Care Information (ACI)
Cost
Alternative Payment Models (APMs)

Contact Us

New York

Pauline Kinney, RN, MA, LNHA, RAC-CT
Senior Director, Health Care Quality Improvement
Tel: (516) 209-5402
Fax: (516) 326-0434
Pauline.Kinney@area-I.hcqis.org

Maureen Valvo, RN, BSN, RAC-CT
Senior Quality Improvement Specialist
Tel: (516) 209-5308
Maureen.Valvo@area.I-hcqis.org

David L. Johnson, NHA, RAC-CT
Senior Quality Improvement Specialist
Tel: (518) 320-3516
David.Johnson@area-i.hcqis.org

Dan Yuricic, MA
Senior Quality Improvement Specialist
Tel: (516) 209-5458
Danny.Yuricic@area-I.hcqis.org

IPRO Nursing Home Team
ipronursinghometeam@ipro.org