Developing quality indicators for in-patient post-acute care

BMC Geriatrics
John N MorrisErez Schachter

Abstract

This paper describes an integrated series of functional, clinical, and discharge post-acute care (PAC) quality indicators (QIs) and an examination of the distribution of the QIs in skilled nursing facilities (SNF) across the US. The indicators use items available in interRAI based assessments including the MDS 3.0 and are designed for use in in-patient post-acute environments that use the assessments. Data Source: MDS 3.0 computerized assessments mandated for all patients admitted to US skilled nursing facilities (SNF) in 2012. In total, 2,380,213 patients were admitted to SNFs for post-acute care. Definition of the QI numerator, denominator and covariate structures were based on MDS assessment items. A regression strategy modeling the "discharge to the community" PAC QI as the dependent variable was used to identify how to bring together a subset of seven candidate PAC QIs for inclusion in a summary scale. Finally, the distributional property of the summary scale (the PAC QI Summary Scale) across all facilities was explored. The risk-adjusted PAC QIs include indicators of improved status, including measures of early, middle, and late-loss functional performance, as well as measures of walking and changed clinical status and an...Continue Reading

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Citations

Feb 23, 2020·Frontiers in Psychiatry·John P HirdesChantal Van Audenhove
Jan 18, 2021·Journal of the American Medical Directors Association·Elizabeth P HowardEmily R Buchanan

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Methods Mentioned

BETA
MDS

Software Mentioned

SPSS
Nursing Compare
MDS

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