From: Practice sensitive quality indicators in RAI-MDS 2.0 nursing home data
Quality indicator | RAI-MDS 2.0 assessment items | Definition |
---|---|---|
Antipsychotic use without psychosis | O4a – Number of days during last 7 days receiving antipsychotic medication | Percent of residents on antipsychotics without a diagnosis of psychosis |
Decline in mood | E1a – Negative statements | Percent of residents who decline in mood from symptoms of depression |
E1d – Persistent anger with self or others | ||
E1f – Expressions of unrealistic fears | ||
E1h – Repetitive health complaints | ||
E1i – Repetitive anxious non-health complaints or concerns | ||
E1l – Sad pained or worried facial expressions | ||
E1m – Crying, tearfulness | ||
Declining behavioral symptoms | E4a – Wandering | Percent of residents who have declining behaviour symptoms. Where 1 or more of the indicators are greater at the target assessment than the prior assessment |
E4b – Verbally abusive | ||
E4c – Physically abusive | ||
E4d – Socially inappropriate behaviour | ||
Fallen last 30 days | J4a – Resident has fallen in the last 30 days | Percent of residents who have fallen in the last 30 days |
Feeding tube | K5b – Feeding tube | Percent of residents with a feeding tube |
Indwelling catheter | H3d – Indwelling catheter | Percent of residents with indwelling catheter |
Late loss ADL decline | G1a – Bed mobility | Percent of residents with loss in 1 or more of the ADL late loss self-performance categories |
G1b – Transfer | ||
G1h – Eating | ||
G1i – Toilet use | ||
Physical restraint use | P4c – Trunk restraint | Percent of residents in physical restraints on a daily basis |
P4d – Limb restraint | ||
P4e – Chair prevents rising | ||
Pressure ulcer | M2a – Stage of pressure ulcer (0 for none) | Percent of residents who have a stage 2 to 4 pressure ulcer |
Symptoms of delirium | B5a – Easily distracted | Percent of residents with symptoms of delirium |
B5b – Periods of altered perception or awareness of surroundings | ||
B5c – Episodes of disorganized speech | ||
B5d – Periods of restlessness | ||
B5e – Periods of lethargy | ||
B5f – Mental function varies over the course of the day | ||
Unexplained weight loss | K3a – Weight loss | Percent of residents who have unexplained weight loss |
Urinary tract infections | I2j – Urinary tract infection | Percent of residents with urinary tract infections |
Quality indicator | RAI-MDS 2.0 assessment items | Definition |
Worsening pain | J2a – Frequency of pain | Residents with greater pain at target assessment relative to prior assessment |
J2b – Intensity of pain |