Measure Description
Percentage of Adult Post-acute Facility Patients that Had a Risk Assessment for Unintentional Weight Loss and a Plan of Care for Unintentional Weight Loss Documented by Provider
Denominator
- Adult patients aged ≥ 18 years evaluated by the Eligible Professional in the Post-acute Facility (E/M Codes 99304-99310, 99315, 99316)
Numerator
Adult Post-acute Facility Patients that Had a Risk Assessment for Unintentional Weight Loss, Reason for Weight Loss (If Applicable) and a Plan of Care for Unintentional Weight Loss Documented
Definitions
- Weight loss episode: A loss of weight equal to or greater than 5% within a 30-day period or 10% within a 180-day period
- Starting with the patient’s weight closest to 30 days ago, the patient’s current weight is equal to or less than 95%. Starting with the patient’s weight closest to 180 days ago, the patient’s current weight is equal to or less than 90%
- Risk Assessment:
- Nationally recognized tool [e.g., Minimum Data Set (MDS) Swallowing/Nutritional Status, Mini Nutritional Assessment (MNA), Malnutrition Screening] Tool (MST)] which includes the following:
- Weight
- Height
- Body Mass Index (BMI)
- Recent Weight loss
- Recent Intake (e.g. reduced intake, nutritional approach)
- Swallowing Disorder
- Severity of Disease
- Nationally recognized tool [e.g., Minimum Data Set (MDS) Swallowing/Nutritional Status, Mini Nutritional Assessment (MNA), Malnutrition Screening] Tool (MST)] which includes the following:
- Plan Of Care:
- Oral nutrition support (e.g., therapeutic diet, mechanically altered diet, condition specific diet, fortified foods, and/or supplements)
- Parenteral feeding
- Enteral feeding tube
- Patient-centered and/or condition-specific considerations (e.g., prescription of orexigenic alternatives to anorectic drugs, hydration and edema status, increased nutritional needs for patients at high risk of pressure ulcers, patient preferences and availability of choices for foods and fluids, feeding assistance by staff to enhance the resident’s self-feeding ability, social stimulation throughout meal or snack period)
Numerator Options
- Performance Met (PRO11): Patients who did have a risk assessment for unintentional weight loss, reason for weight loss (if applicable) AND a plan of care for unintentional weight loss documented
- Performance Not Met (PRO12): Patients who did not have a risk assessment for unintentional weight loss, reason for weight loss (if applicable) AND a plan of care for unintentional weight loss documented
Numerator Exclusions
None
NQF ID Number
N/A
NQS Domain
Patient Safety
High Priority Measure
Yes
Includes Telehealth?
Yes
Inverse Measure
No
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Number of performance rates to be calculated and submitted
1
Risk-Adjusted Status?
No
Meaningful Measure
Preventive Care
Measure Type
Process
Care Settings
Post-Acute Care