The Centers for Medicare and Medicaid Services (CMS) recently announced enhancements to the Minimum Data Set (MDS) 3.0 Resident-Level Quality Measure report for the re-specified hybrid long-stay antipsychotic measure Percent of Residents Who Received an Antipsychotic Medication.
To assist nursing homes in understanding the reason the measure was triggered, or whether the resident was included or excluded from the measure, additional information has been added to the report. In addition to viewing whether the measure was triggered or not triggered, three additional data fields have been added to the report, along with referencing footnotes to explain the data.
The three new fields are:
Trigger Sourceb: Reflects the data source that caused the measure to be triggered:
- 1 = MDS,
- 2 = Claims,
- 3 = Both
Exclusion Reasonc: Reflects the reason the resident was excluded from the measure:
- 1 = Enrollment-based exclusion,
- 2 = Schizophrenia, Tourette's, or Huntington's on MDS and Claims,
- 3 = At least one Medicare Part A/Medicaid record for hospice services during nursing home stay and overlapping with target period,
- 9 = Other
Inclusion Reasond: Reflects the reason the resident was included in the measure:
- 1 = Meets continuous enrollment requirement with no excluded diagnoses indicated,
- 2 = Resident has excluded diagnoses on MDS, but no matching claims for that diagnosis,
- 9 = Other
For questions about this information, please contact the iQIES Service Center by phone: (800) 339-9313 or by email at
iQIES@cms.hhs.gov with questions. You may also email
regulatory@ahca.org.