Percent of Residents With New or Worsened Bowel or Bladder Incontinence

Identifying Attributes

Care Settings
Residential Aged Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Minimum Data Set (MDS) 3.0 Resident Assessment Instrument Quality Measures
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Continence / Elimination

Defining Attributes

Definition

Percent of long-stay residents with new or worsened bowel or bladder incontinence between prior and target assessment.

Numerator

Long-stay residents with selected target and prior assessments that indicate a new or worsened case of bowel or bladder incontinence.

Denominator

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

Exclusions

Target assessment is an admission assessment or 5-day assessment, no prior assessment, indwelling catheter, ostomy.

Use of Risk Adjustment
Yes
Risk Adjustments

Severe cognitive impairment, totally dependent in bed mobility self-performance, totally dependent in transfer self-performance, totally dependent in locomotion on unit self-performance, resident does not qualify as high risk, resident is comatose, indwelling catheter, ostomy.

Stratifications

None

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI).

Frequency of Data Collection
90 days
Frequency of Data Collection in Days
90
Reporting Methods

Nursing Home Care Comparison publicly reported on CMS website of all Medicare and Medicaid US nursing homes. Reports the average adjusted QM values for most recent three quarters. Quality measure reports available at national, state, facility and resident level (providers only). Five-star quality rating system (n=9 QIs) available publicly online.

Reporting Frequency
Quarterly
Reporting Frequency in Days
91
Indicator Has Recommended Targets
No

Source and Reference Attributes

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
Yes
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
12 March 2025