QM:
Which of the following is not true about the MDS 3.0 Quality
Measures?
-They are intended to be the one tool consumers need to select a nursing
home for a loved one.
They provide a comparison of a facility’s scores to national averages.
They offer the opportunity to compare a facility’s QM scores to other
facilities’ scores.
They represent resident outcome information specific to a facility.
2. When the Resident Mood interview was completed, what
conditions must be met for the long-stay MDS 3.0 QM “Percent of
Residents Who Have Depressive Symptoms”?
Any two of the symptoms in item D0150, Resident Mood Interview, items A –
I, column 1, are scored a 1
All symptoms in item D0150, Resident Mood Interview, frequency (column
2), must be coded 2 or 3 for frequency.
-Item D0150A (little interest or pleasure in doing things) and D0150F
(feeling bad about yourself) must be coded 2 or 3 with the overall Total
Severity score being at least 5.
Either D01500A (little interest or pleasure in doing things) or D0150B
(feeling down, depressed, or hopeless) must be coded 2 or 3 for frequency
and the Total Severity score must be 10–27.
3. What is a covariate?
-A covariate is used to risk-adjust for individual resident characteristics
when calculating Quality Measure(s).
A covariate is a type of resident that is not included in the calculation when
determining Quality Measure(s).
A covariate is the new occurrence of a Quality Measure condition over a
period of time.
, A covariate is used to eliminate an individual resident from the QM
calculation.
4. Which of the following is not included as a covariate for the MDS
3.0 Quality Measure “Percent of Residents With Pressure Ulcers”?
Hospice
-Impaired functional mobility with lying to sitting on the side of the bed
Comatose
Malnutrition
5. For the iQIES MDS 3.0 QM “Percent of Residents Whose Ability to
Walk Independently Worsened (Long Stay)” four of the covariates
are related to functional performance in section GG. What is the
effect of those covariates on the facility’s QM score?
They exclude the resident from the calculation; as a result, they have no
effect on the QM score.
They increase the number of residents who are included in the numerator,
increasing the QM adjusted score.
They have no effect on the final score.
-They level the playing field for a facility that has more residents with the
covariate conditions than other facilities have.
6. Regarding the Facility-Level MDS 3.0 Quality Measure Report for
the survey process, what is the “Comparison Group
National percentile”?
It is the risk-adjustment technique that decreases the QM score if the
facility has a lot of residents with the covariate conditions.
-It indicates the percentage of facilities nationally that scored better on the
QM than your facility did.
It reflects the facility’s performance compared to facilities in the same state.
Which of the following is not true about the MDS 3.0 Quality
Measures?
-They are intended to be the one tool consumers need to select a nursing
home for a loved one.
They provide a comparison of a facility’s scores to national averages.
They offer the opportunity to compare a facility’s QM scores to other
facilities’ scores.
They represent resident outcome information specific to a facility.
2. When the Resident Mood interview was completed, what
conditions must be met for the long-stay MDS 3.0 QM “Percent of
Residents Who Have Depressive Symptoms”?
Any two of the symptoms in item D0150, Resident Mood Interview, items A –
I, column 1, are scored a 1
All symptoms in item D0150, Resident Mood Interview, frequency (column
2), must be coded 2 or 3 for frequency.
-Item D0150A (little interest or pleasure in doing things) and D0150F
(feeling bad about yourself) must be coded 2 or 3 with the overall Total
Severity score being at least 5.
Either D01500A (little interest or pleasure in doing things) or D0150B
(feeling down, depressed, or hopeless) must be coded 2 or 3 for frequency
and the Total Severity score must be 10–27.
3. What is a covariate?
-A covariate is used to risk-adjust for individual resident characteristics
when calculating Quality Measure(s).
A covariate is a type of resident that is not included in the calculation when
determining Quality Measure(s).
A covariate is the new occurrence of a Quality Measure condition over a
period of time.
, A covariate is used to eliminate an individual resident from the QM
calculation.
4. Which of the following is not included as a covariate for the MDS
3.0 Quality Measure “Percent of Residents With Pressure Ulcers”?
Hospice
-Impaired functional mobility with lying to sitting on the side of the bed
Comatose
Malnutrition
5. For the iQIES MDS 3.0 QM “Percent of Residents Whose Ability to
Walk Independently Worsened (Long Stay)” four of the covariates
are related to functional performance in section GG. What is the
effect of those covariates on the facility’s QM score?
They exclude the resident from the calculation; as a result, they have no
effect on the QM score.
They increase the number of residents who are included in the numerator,
increasing the QM adjusted score.
They have no effect on the final score.
-They level the playing field for a facility that has more residents with the
covariate conditions than other facilities have.
6. Regarding the Facility-Level MDS 3.0 Quality Measure Report for
the survey process, what is the “Comparison Group
National percentile”?
It is the risk-adjustment technique that decreases the QM score if the
facility has a lot of residents with the covariate conditions.
-It indicates the percentage of facilities nationally that scored better on the
QM than your facility did.
It reflects the facility’s performance compared to facilities in the same state.
