Harmony Healthcare Blog

Quality Measure #11:  Pressure Ulcers/Injury - Long Stay (Part 2)

Posted by Kim Steele on Thu, Sep 29, 2016

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Continued from the last post, lets tie all of the pieces together when coding Pressure Ulcers (Long Stay).  Understanding the RAI Guidelines for completion of Section M is the third and final key to assist with managing this Quality Measure. 

In order to ensure accurate coding and documentation, it is important to understand the intent of each area of Section M. Harmony Healthcare International (HHI) provides the following helpful tips to assist with this process: 

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Topics: Pressure Ulcer, Quality Measures, Long Stay

Quality Measure #11: Pressure Ulcers/Injury - Long Stay (Part 1)

Posted by Kim Steele on Tue, Sep 27, 2016

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


As discussed with the short stay Quality Measure for Pressure Ulcers/Injury, we have seen that it is all about understanding different ulcer types and staging, which directly impacts Documentation and MDS Accuracy. 

1)  Root Cause Analysis

The first step in drilling down to the root cause of this Quality Measure is to understand how the measure is calculated.  This Long Stay Quality Measure is calculated and used both in the Five Star reporting system and the Public Reporting Nursing Home Compare website. The measure specifically focuses on High Risk Residents who have Stage 2 up to Stage 4 Pressure Ulcers (Injuries). 

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Topics: Pressure Ulcer, Quality Measures, Long Stay

Quality Measure: New or Worsening Pressure Ulcer - Short Stay

Posted by Kim Steele on Tue, Sep 13, 2016

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Of the Harmony dubbed “Sweet 16 Quality Measures” that impact SNF Five-Star Rating, Pressure Ulcer falls on the list twice.  Once for long stay and once for short stay. Today’s blog will focus on the short stay measure. Many facilities become concerned when they note that their Quality Measures for Patients With New or Worsening Pressure Ulcer (Injury) is elevated above facility benchmarks or national averages.  This concern is justified and opens an excellent opportunity to investigate current facility practices for managing, coding and clinical operations. Harmony Healthcare International (HHI) offers the following guidelines to assist facilities:

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Topics: Pressure Ulcer, Quality Measures, MDS Short Stay

Wound Care in the Skilled Nursing Facility: The Latest “Buzz”

Posted by Kim Steele on Fri, Jan 09, 2015

The world of wound care and clinically appropriate practices and documentation has been one area of health care that is ever evolving with the times. With heightened focus on the prevention, development and treatment of ulcers of any type, it is more important than ever that facilities remain aware of the latest acceptable practices and news. Several areas of focus in wound care have been reviewed and updated over the past year. 

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Topics: wound care, Pressure Ulcer, NPUAP

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