1. What is the metric?

Percent of Residents Who Lose Too Much Weight (Long Stay)

  1. What does the metric mean?

The measure captures the percentage of long-stay residents who had a weight loss of 5% or more in the last month or 10% or more in the last 6 months who were not on a physician prescribed weight-loss regimen noted in an MDS assessment during the selected quarter. 

  1. How do we calculate the metric?

    1. The Numerator is the number of long-stay residents with a selected target assessment which indicates a weight loss of 5% or more in the last month or 10% or more in the last 6 months who were not on a physician prescribed weight-loss regimen.

    2. The Denominator is all long-stay residents with a selected target assessment, except those with exclusions.

    3. Exclusions include:

      1. Target assessment is an OBRA Admission assessment or a PPS 5-Day assessment.

      2. The resident’s life expectancy is less than 6 months or life expectancy is missing on the target assessment

      3. The resident is receiving hospice care or the hospice item is missing on the target assessment

      4. The weight loss item is missing on the target assessment

References 

MDS 3.0 Quality Measures User's Manual V16 

Page 41, Table 2-25

For assessments with an ARD prior to 10/01/2023:

MDS 3.0 Quality Measures User’s Manual V15

Page 51, Table 2-27