Percent of Residents Whose Need for Help With Activities of Daily Living Has Increased

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
Outcome
IOM Quality Dimension
Effectiveness
Domain
Person-Centred Care

Defining Attributes

Definition

This measure reports the percent of long-stay residents whose need for help with late-loss Activities of Daily Living (ADLs) has increased when compared to the prior assessment.

Numerator

Long-stay residents with selected target and prior assessments that indicate the need for help with late-loss Activities of Daily Living (ADLs) has increased when the selected assessments are compared. The four late-loss ADL items are self-performance bed mobility, self-performance transfer, self-performance eating, and self-performance toileting. An increase is defined as an increase in two or more coding points in one late-loss ADL item or one point increase in coding points in two or more late-loss ADL items. Note that for each of these four ADL items, if the value is equal to on either the target or prior assessment, then recode the item to equal to allow appropriate comparison

Denominator

All long-stay residents with a selected target and prior assessment, except those with exclusions.

Exclusions
  1. All four of the late-loss ADL items indicate total dependence on the prior assessment, 2. Three of the late-loss ADLs indicate total dependence on the prior assessment, 3. If resident is comatose on the target assessment. 4. Prognosis of life expectancy is less than 6 months on the target assessment. 5.Hospice care on the target assessment. 6. The resident is not in the numerator on the prior or target assessment: Bed Mobility, Transferring, Eating, OR Toileting
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
Quarterly
Frequency of Data Collection in Days
91
Reporting Methods

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

Reporting Frequency
Quarterly. 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
91
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits/nhqiqualitymeasures Fitzler, S., Raia, P., Buckley, F. O., & Wang, M. (2016). Does Nursing Facility Use of Habilitation Therapy Improve Performance on Quality Measures? American Journal of Alzheimer's Disease and other Dementias, 31(8), 687-692. Konetzka, R. T., Brauner, D. J., Coca Perraillon, M., & Werner, R. M. (2015). The Role of Severe Dementia in Nursing Home Report Cards. Medical care research and review : MCRR, 72(5), 562-579.

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)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025