Percent of Residents Who Lose Too Much Weight
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The measure captures the percentage of long-stay residents who had a weight loss of 5% or more in the last month or 10% or more in the last 6 months who were not on a physician prescribed weight-loss regimen noted in an MDS assessment during the selected quarter.
Numerator
Long-stay nursing home residents with a selected target assessment which indicates a weight loss of 5% or more in the last month or 10% or more in the last 6 months who were not on a physician prescribed weight-loss regimen
Denominator
Long-stay nursing home residents with a selected target assessment except those with exclusions
Exclusions
- Target assessment is an OBRA Admission assessment or a PPS 5-Day assessment, 2. Prognosis of life expectancy is less than 6 months or the Prognosis item is missing on the target assessment. 3.Receiving Hospice care or the Hospice care item is missing on the target assessment.4.Weight loss item is missing on the target assessment.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Nursing Home Minimum Data Set (MDS) Resident Assessment Instrument
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Public report, available from www.medicare.gov/care-compare/
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
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.