There are 15 quality measures that factor into the QM Total Quality STAR rating:

Long-Stay measures derived from MDS Assessments:

• Percent of residents whose need for help with activities of daily living has increased
• Percent of residents whose ability to move independently worsened
• Percent of high-risk residents with pressure ulcers
• Percent of residents who have/had a catheter inserted and left in their bladder
• Percent of residents with a urinary tract infection
• Percent of residents experiencing one or more falls with major injury
• Percent of residents who received an antipsychotic medication

Long-Stay measures derived from claims data:

• Number of hospitalizations per 1,000 long-stay resident days
• Number of outpatient emergency department (ED) visits per 1,000 long-stay resident days

Short-Stay measures derived from MDS assessments:

• Percent of residents who made improvement in function
• Percent of SNF residents with pressure ulcers that are new or worsened
• Percent of residents who newly received an antipsychotic medication

Short-Stay measures derived from claims data:

• Percent of short-stay residents who were re-hospitalized after a nursing home admission
• Percent of short-stay residents who have had an outpatient emergency department (ED) visit
• Rate of successful return to home and community from a SNF

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