What’s new: CMS 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 data fields have been added to the report, along with referencing footnotes to explain the data.

The details: The three new fields are:

Trigger Source: Reflects the data source that caused the measure to be triggered:  

• • 1 = MDS
  • 2 = Claims
  • 3 = Both 
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Exclusion Reason:  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 Reason: 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 
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For questions about this information, please contact the iQIES Service Center by phone: (800) 339-9313 or by email at iQIES@cms.hhs.gov.

• See the CMS Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Training webpage for more resources.