Percent of Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine

Identifying Attributes

Care Settings
Dementia Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Nursing Home Minimum Data Set (MDS) Resident Assessment Instrument Based Quality Measures
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Managing Other Long-Term Conditions

Defining Attributes

Definition

The measure reports the percent of long-stay residents who are assessed and/or given, appropriately, the influenza vaccination during the most recent influenza season.

Numerator

Residents meeting any of the following criteria on the selected influenza vaccination assessment:1. Resident received the influenza vaccine during the most recent influenza season, either in the facility or outside the facility ; or 2.Resident was offered and declined the influenza vaccine; or 3.Resident was ineligible due to medical contraindication(s) (e.g., anaphylactic hypersensitivity to eggs or other components of the vaccine, history of Guillain-Barré Syndrome within 6 weeks after a previous influenza vaccination, bone marrow transplant within the past 6 months).

Denominator

All long-stay residents with a selected influenza vaccination assessment. This includes all residents who have an entry date on or before March 31 of the most recently completed influenza season and have an assessment with a target date on or after October 1 of the most recently completed influenza season (i.e., the target date must fall on or between October 1 and June 30), except those with exclusions.

Exclusions

Resident's age on target date of selected influenza vaccination assessment is 179 days or less.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Collection and Reporting Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Nursing Home Minimum Data Set (MDS) Resident Assessment Instrument

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Public report, available from www.medicare.gov/care-compare/

Reporting Frequency
Yearly. Internet Quality Improvement and Evaluation System (iQIES) Quality Measure Reports. National, state, facility and resident level (providers only). Nursing Home Care Compare. Publicly reported on CMS website of all Medicare and Medicaid US nursing homes. Reports the average adjusted QM values for most recent three quarters. Five Star Quality Rating System (includes 9 QIs). Publicly available online.
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits/nhqiqualitymeasures Rivera-Hernandez, M., Kumar, A., Roy, I., Fashaw-Walters, S., & Baldwin, J. A. (2022). Quality of Care and Outcomes Among a Diverse Group of Long-Term Care Residents With Alzheimer's Disease and Related Dementias. Journal of aging and health, 34(2), 283-296.

Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025