Tip of the week: Know the components of the QM/QI report
Contemporary Long-Term Care Weekly, December 24, 2009
Surveyors look at the major areas that show up on the quality measure/quality indicator (QM/QI) report, such as fecal impactions, dehydration, in-house acquired pressure ulcers, urinary tract infections, psychotropic medication use, and decline in range of motion (ROM) and activities of daily living (ADL). Issues in the QM/QI report that flag at the 90th percentile or higher will be investigated, as will sentinel issues and falls. The QM/QI is composed of 13 sections:
- Accidents (includes fractures and falls, both of which are highly scrutinized)
- Behavioral/Emotional
- Clinical management
- Cognitive patterns
- Elimination/Incontinence
- Infection control
- Nutrition/Eating (includes weight loss and dehydration)
- Pain management
- Physical functioning (includes decline in ROM and ADL)
- Psychotropic drug use
- Quality of life (includes restraints, which is another highly scrutinized area)
- Skin care (includes two subsections involving pressure ulcers)
- Post-acute care measures
This is an excerpt from HCPro’s book, The Long-Term Care Administrator’s Field Guide, by Brian Garavaglia, PhD.
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