Quality Indicators in a SNF Part II
Certain conditions impact the 5 Star Rating Quality Indicators, and it is essential to identify pertinent data in order to assess, paint a true portrait of the beneficiary, and care plan to reduce risk for recurrence. Conditions coded on the OBRA admission assessment are stored in the database to compare to the next OBRA assessment.
The primary use of the QI reports by facilities will be to:
Identify any potential areas of concern to focus quality assurance (QA)/quality improvement (QI) activities
Identify and select a resident sample for a QA/QI review.
It is important to determine why certain indicators triggered. If there is a documented clinical condition, then for example, dehydration may be an expected outcome. Ensure that clinical rationale reflects and care plans the risk/complication. Triggered indicators are not an indictment of facility mistakes and culpability rather they are a tool to evaluate systems and quality improvement programs.
The QIs/QMs and reports are not to be considered in isolation but should be used in conjunction with all pertinent information about a facility.