Assisted Living Community Measures (v2021B)
Posted: July 1, 2021

Release Notes:
Measure Information Form
Version 2021B

Measure Information Form

Measure Set: Assisted Living Community (ALC)

Set Measure ID: ALC-05

Set Measure ID Performance Measure Name
ALC-05a viewtopic Overall
ALC-05b viewtopic Direct Care Staff

Performance Measure Name: Staff Stability

Description: Improve staff stability through tracking turnover among assisted living community staff.

Rationale: Those who work most closely with residents are at the core of providing quality care. Research shows that satisfied staff contributes to greater quality of life of the residents in assisted living communities and provide better quality of care.

With a more satisfied, well-trained, and committed staff, providers see increased retention rates and fewer work-related incidents and injuries to the workforce, all of which contribute to better overall performance of the community. The more consistent and dedicated the staff is, the more they understand and are able to effectively respond to each person’s needs – reinforcing the long term care profession’s commitment to delivering person-centered care.

American Health Care Association/National Center for Assisted Living (AHCA/NCAL) https://www.ahcancal.org/ncal/quality/qualityinitiative/Pages/Staff-Stability.aspx

Type Of Measure: Process

Improvement Noted As: Decrease in the rate

Numerator Statement:
  • ALC-05a: Total number of staff who left the assisted living community, during this month.
  • ALC-05b: Total number of direct care staff who left the assisted living community, during this month.
Included Populations: Not applicable

Excluded Populations: Not applicable

Data Elements:

Denominator Statement:
  • ALC-05a: Number of positions/ employees who were employed on the last day of the month per month, including all direct and non-direct.
  • ALC-05b: Number of direct care staff positions/ employees who were employed on the last day of the month, per month.
Included Populations: Not applicable

Excluded Populations: Not applicable

Data Elements:

Risk Adjustment: No.

Data Collection Approach:

ALC-05a:

Denominator: Total number from the data element Number of Positions is the denominator.
  • This number will be entered into the Direct Data Submission Platform (DDSP) tool.

Numerator: Total number from the data element Number of Staff Employed minus the total Number of Positions is the Numerator.
  • The total Number of Staff Employed will be entered into the Direct Data Submission Platform (DDSP) tool, and the tool will calculate the Numerator.

ALC-05b:

Denominator: Total number from the data element Number of Direct Care Staff Positions is the denominator.

Numerator: Total number from the data element Number of Direct Care Staff Employed minus the total Number of Direct Care Staff Positions is the Numerator.
  • The total Number of Direct Care Staff Employed will be entered into the Direct Data Submission Platform (DDSP) tool, and the tool will calculate the Numerator.

Example: You are abstracting ALC-05a for the month of June. On June 30th there are 15 employees who were employed on the last day of the month. Your denominator will be 15. The total number of employees who worked anytime this month was 18.

18-15 = 3 (Numerator)
Formula to calculate the rate is: Numerator divided by Denominator, times 100 = rate
3/15 = 0.2 or 20%
Note: The data collection tool will do this calculation

Data Accuracy: None

Measure Analysis Suggestions: None

Sampling: No.

Data Reported As: Aggregate rate generated from count data reported as a proportion.

Selected References:
  • American Health Care Association/National Center for Assisted Living (AHCA/NCAL)
https://www.ahcancal.org/ncal/quality/qualityinitiative/Pages/Staff-Stability.aspx

Original Performance Measure Source/Developer: American Health Care Association/National Center for Assisted Living (AHCA/NCAL)

Measure Algorithm:

Measure Information Form ALC-05
Assisted Living Community Measures (v2021B)
October 2021 through June 30, 2022

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