Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of quality episodes in which the patient has one or more Stage 2-4 pressure ulcers, or an unstageable ulcer/injury, present at discharge that are new or worsened since the beginning of the quality episode.
Numerator
Number of completed quality episodes for patients whose assessment at discharge indicates one or more new or worsened Stage 2-4 or unstageable pressure ulcers/injuries compared to the start or resumption of care assessment.
Denominator
Number of home health quality episodes ending with a discharge during the reporting period, other than those covered by generic or measure-specific exclusions.
Exclusions
Episodes that end in a death at home or transfer to an inpatient facility., episodes without an assessment completed at the start or resumption of care and an assessment completed at discharge, and episodes without a usable response (which includes a valid skip) on the discharge assessment.
Use of Risk Adjustment
Risk Adjustments
Adjusted for where appropriate: age, sex, payment source, care start/admission source, risk of hospitalisation, available assistance, living arrangement, clinical factors (pain, pressure ulcer, stasis ulcer, dyspnoea, urinary status, bowel incontinence, cognitive function, anxiety, confusion, depression screening, behavioural symptoms), ADLs, medication management, supervision / safety assistance, health condition diagnoses.
Stratifications
None
Data Attributes
Type of Data Collection
Data Collection Methods
Outcome and Assessment Information Set (OASIS). Entry of home health service and the last 5 days of every 60 day period beginning with the start of care date.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Home Health Quality Reporting (CMS and providers) CMS Care Compare - Home health services and CMS Provider Compare (CMS, providers and publicly reported).