What is the metric?
The Percent of Residents Whose Ability to Move Independently Worsened (LS)
What does the metric mean?
This measure reports the percent of long-stay residents who experienced a decline in independence of locomotion during the target period.
How do we calculate the metric?
The Numerator is the number of Long-stay residents with a selected target assessment and at least one qualifying prior assessment who have a decline in locomotion when comparing their target assessment with the prior assessment.
This Decline is identified by:
An increase of one or more points on the “locomotion on unit: self-performance” item between the target assessment and prior assessment, with values [7, 8] recoded to [4].
The Denominator is the number of all Long-stay residents who have a qualifying MDS 3.0 target assessment and at least one qualifying prior assessment and do not meet any of the exclusionary criteria below.
Exclusions for this metric include Residents satisfying any of the following conditions:
Comatose or missing data on comatose (B0100 = [1, -]) at the prior assessment.
Prognosis of less than 6 months at the prior assessment as indicated by:
Prognosis of less than six months of life (J1400 = [1]), or
Hospice use (O0100K2 = [1]), or
Neither indicator for being end-of-life at the prior assessment (J1400 ≠ [1] and O0100K2 ≠ [1]) and a missing value on either indicator (J1400 = [-] or O0100K2 = [-]).
Resident totally dependent during locomotion on prior assessment (G0110E1 = [4, 7, or 8]).
Missing data on locomotion on target or prior assessment (G0110E1 = [-]).
Prior assessment is a discharge with or without return anticipated (A0310F = [10, 11]).
No prior assessment is available to assess prior function.
This metric is expressed as a percentage.
References
MDS 3.0 Quality Measures User’s Manual V15
Page 59, Table 2-33