Enhanced Quality Measures

Enhanced Quality Measures are a further defined set of Quality Measures that became publicly available on the Nursing Home Compare web site beginning February, 2004. Facilities can download their Enhanced Quality Measures on their state's intranet site.

Enhanced Chronic Care Quality Measures:

• Percent of residents whose need for help with daily activities has increased
• Percent of residents who have moderate to severe pain
• Percent of residents who were physically restrained
• Percent of residents who spent most of their time in bed or in a chair
• Percent of residents whose ability to move about in and around their room got worse
• Percent of residents with a urinary tract infection
• Percent of residents who have become more depressed or anxious
• Percent of high risk residents who have pressure sores
• Percent of low risk residents who have pressure sores
• Percent of low risk residents who lose control of their bowels or bladder
• Percent of residents who have/had a catheter inserted and left in their bladder

Enhanced Post Acute Quality Measures:

• Percent of short stay residents who had moderate to severe pain
• Percent of short stay residents with delirium
• Percent of short stay residents with pressure sores

More information on Quality Measures can be found in the books:

The MDS Coordinator's Handbook

Coding Manual for MDS 2.0