The nursing home quality measures come from resident assessment data that nursing homes routinely collect on the residents at specified intervals during their stay. These measures assess the resident’s physical and clinical conditions and abilities, as well as preferences and life care wishes. These assessment data have been converted to develop quality measures that give consumers another source of information that shows how well nursing homes are caring for their resident’s physical and clinical needs.
The current quality measures have been chosen because they can be measured and don’t require nursing homes to prepare additional reports. They are valid and reliable. However, they are not benchmarks, thresholds, guidelines, or standards of care. The quality measures are based on care provided to the population of residents in a facility, not to any individual resident, and are not appropriate for use in a litigation action.
These quality measures were selected because they are important. They show ways in which nursing homes are different from one another. There are things that nursing homes can do to improve their quality measure percentages. The quality measures have been validated and are based on the best research currently available. As this research continues, scientists will keep improving the quality measures on this website.
From the beginning of this initiative, CMS (Centers for Medicare & Medicaid Services) has said that the quality measures are dynamic and will continue to be refined as part of CMS’s ongoing commitment to quality. In June 2011, the National Quality Forum (NQF) endorsed our 16 nursing home quality measures. NQF is a voluntary standard setting, consensus-building organization representing providers, consumers, purchasers and researchers. These nursing home quality measures will become the enhanced set of publicly reported quality measures available on Nursing Home Compare in the summer of 2012.
The quality measure short stay and long stay definitions are:
– The short stay quality measures include all residents in an episode whose cumulative days in the facility is less than or equal to 100 days at the end of the target period.. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). A target period is the span of time that defines the QM reporting period (e.g. a calendar quarter).
– The long stay quality measures include all residents in an episode whose cumulative days in the facility is greater than or equal to 101 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). A target period is the span of time that defines the QM reporting period (e.g. a calendar quarter).