Drug Regimen Review Conducted With Follow-Up for Identified Issues
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of resident stays in which a drug regimen review was conducted at the time of admission and timely follow-up with a physician occurred each time potential clinically significant medication issues were identified throughout that stay.
Numerator
Total number of denominator stays meeting each of the following 2 criteria: 1) The facility conducted a drug regimen review on admission and a) No potential and actual clinically significant medication issues were found during the review or b) potential or actual clinically significant medication issues were found during the review and then a physician(or physician- designee) was contacted and prescribed/recommended actions were complete by midnight of the next calendar day or c) the resident was not taking any medications. 2) Appropriate follow-up occurred each time a potential or actual clinically significant medication issue was identified during the stay; or no potential or actual clinically significant medication issues were identified since the admission or patient was not taking any medications.
Denominator
The number of Medicare Part A skilled nursing facility stays during the reporting period.
Exclusions
The resident died during the SNF stay (i.e. Type 2 SNF Stays).
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Data Attributes
Type of Data Collection
Data Collection Methods
Collected using the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI).
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Skilled Nursing Facilities Quality Reporting Program (CMS and Providers). Certification and Survey Provider Enhanced Reports (CASPER) Review and Correct Reports contain facility-level and resident-level measure information CMS Care Compare - Nursing Homes and CMS Provider Compare (CMS, providers and publicly reported).