Urinary tract infections (UTIs) can be uncomfortable and painful and can lead to serious complications. The UTI quality measure (QM) reports the percentage of long-stay residents with a target assessment that indicates a UTI within the last 30 days. The denominator of this quality measure includes all long-stay residents with a selected target assessment, except residents whose:
- Target assessment is an admission assessment (A0310A = ) or a Prospective Payment System (PPS) 5-day or readmissions assessment (A0310B = [01, 06]).
- UTI value is missing (I2300 = [-]).
Learn more about the calculation of this QM on page 32 of the Minimum Data Set (MDS) 3.0 Quality Measures User's Manual (v9.0 08-15-2015).
Performance Improvement Project (PIP)
teams should assess UTI risk factors for each resident at numerous points of care, including pre-admission, admission, changes in continence status or condition, and with MDS assessments. Interventions may include:
- Proper catheter management
- Proper UTI testing
- Toileting programs
- Educating staff about the signs and symptoms to report
Additionally, PIP teams must ensure their goal to prevent UTIs is clearly communicated and involves all staff members, residents, and families.
For more information, review HSAG's handout, MDS Coding Guidelines for UTIs.
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