Table 3

Quality Indicators, derived from RAI-MDS 2.0, tested by Abt Associates Inc.

Indicator


Percent of residents with inappropriate behavior (high risk and low risk)**

Prevalence

Percent of residents with inappropriate behavior (high risk)

Percent of residents with inappropriate behavior (low risk)

Percent of residents engaging in little or no activity

Percent of residents with indwelling catheters*

Percent of residents who are bladder or bowel incontinent (high and low risk; high risk; low risk)*

Percent of residents with a urinary tract infection*

Percent of residents who have fallen

Percent of residents with infections*

Percent of residents with a feeding tube

Percent of residents with a low BMI

Percent of residents who have unexplained weight loss**

Percent of residents with pain*

Percent of residents with pressure sores (high and low risk)*

Percent of residents with pressure sores (high risk)*

Percent of residents with pressure sores (low risk)

Percent of residents with burns, skin tears or cuts

Percent of residents in physical restraints

Percent of residents on antipsychotics without a diagnosis of psychosis (high risk and low risk)**

Percent of residents on antipsychotics without a diagnosis of psychosis (high risk)

Percent of residents on antipsychotics without a diagnosis of psychosis (low risk)


Incidence

Percent of residents who had an unexpected loss of function in some basic daily activities*

Percent of residents with worsening function in some basic daily activities*

Percent of residents who have improved in their ability to function

Percent of residents who have declined in their ability to locomote*

Percent of residents who walk as well or better than the previous assessment*

Percent of residents whose cognitive ability has worsened

Percent of residents whose ability to communicate has worsened

Percent of residents with symptoms of delirium

Percent of residents whose behavior has worsened**

Percent of residents who have become more depressed or anxious

Percent of residents with a new indwelling catheter

Percent of residents with worsening bowel continence

Percent of residents with worsening bladder continence*

Percent of residents with worsening pain

Percent of residents with worsening pressure sores**


* Found to have the highest level of validity and highly recommended by Abt Associates for use by CMS and nursing homes

** Rejection of these quality indicators was recommended by Abt Associates at the time of the research

Hutchinson et al. BMC Health Services Research 2010 10:166   doi:10.1186/1472-6963-10-166

Open Data