The number of residents in my Chronic Care (CC) Quality Measure (QM) is incorrect. We only have 100 beds but have more than 100 residents are used to calculate our QM?
Before concluding your CC QM is incorrect, it is important to review how residents are included in the CC QM calculations. The Chronic Care sample spans a 3 month period and selects residents with the most recent OBRA assessment during that three month period. Some facilities will have high turnover of residents and may have more than one resident occupying a bed during the three-month observation period that has an OBRA MDS assessment completed. This will cause these facilities to have more residents in their sample than total number of beds. Conversely, for each measure some residents are excluded based on their clinical characteristics. This will lower the number of residents used to calculate the measure (denominator size) and will vary by facility depending on your resident population (please review exclusion criteria for CC QMs at (http://www.riqualitypartners.org/Info_For_Nursing_Homes/info_for_nursing_homes.shtml go to quality measure info and select “Overview and comparison of
