HIM 650 Topic 1 DQ 2 Consider the CMS core measures and the data used to support their reporting HIM 650 Topic 1 DQ 2 Topic 1 DQ 2

HIM 650 Topic 1 DQ 2 Consider the CMS core measures and the data used to support their reporting HIM 650 Topic 1 DQ 2 Topic 1 DQ 2

Core measures refer to evidence-based, systematically researched standards of care that have been established to promote improved clinical outcomes (Duseja et al., 2020). The CMS core measures that are easiest to collect include Nursing home compare programs such as the percent of residents who: Have Depressive Symptoms; Had a Catheter Inserted and Left in Their Bladder; Lose Too Much Weight; Who Made Improvements in Function; Newly Received an Antipsychotic Medication; Received an Antipsychotic Medication; Used Antianxiety or Hypnotic Medication; Were Assessed and Appropriately Given the Seasonal Influenza Vaccine; Ability to Move Independently Worsened (CMS, 2021). The measures under the Nursing home compare program are easy to collect because the information is easily obtained from nursing homes (Stefanacci, 2019).

Measures under Hospital-Acquired Condition Reduction Program are also easy to collect including: Acute Kidney Injury; Falls; Number of Unintentional Medication Discrepancies per Patient; CAUTI; CLABSI; Inpatient Hospital-onset Clostridium difficile Infection; Inpatient Hospital-onset Methicillin-resistant Staphylococcus aureus Bacteremia. The data can easily be retrieved from patient records and hospitals’ databases (CMS, 2021).

Measures under the Home Health Based Value program are the most difficult to collect. These measures include improvement in: bathing, dyspnea, bed transferring, pain interfering with activity, and management of oral medications (CMS, 2021). They also include multifactor fall risk assessment conducted for all patients who can ambulate, timely initiation of care, total normalized composite change in mobility, and total normalized composite change in self-care (CMS, 2021). Data used to report these measures are hard to collect because it is difficult to define and obtain quantitative data on the improvement of these measures. In addition, measures under Hospice quality reporting that are difficult to collect include: Beliefs and Values Addressed; Comfortable Dying; Pain Brought to a Comfortable Level Within 48 Hours of Initial Assessment; Consumer Assessment of Healthcare Providers and Systems Hospice Survey; Hospice Visits When Death is Imminent; Pain assessment; Pain screening (CMS, 2021).

References

CMS. (2021, June 30). Measure inventory. https://cmit.cms.gov/CMIT_public/ListMeasures