Measure Information Form

Measure Set: Assisted Living Community (ALC)

Set Measure ID: ALC-03

Performance Measure Name: Resident Preferences and Goals of Care

Description: Assisted living residents with documentation of preferences and goals of care.

Rationale: Residents who are given the opportunity to express preferences and goals are more likely to receive care consistent with their values, and resident and family satisfaction outcomes improve. Use of the resident preferences quality measure will improve attention to this important practice, in order to enhance resident autonomy, facilitate resident-centered decision-making, and communicate resident preferences.

Type Of Measure: Process

Improvement Noted As: Increase in the rate

Risk Adjustment: No.

Data Collection Approach:

Denominator: The total number from the data element New Resident is the Denominator.

• This number will be entered into the Direct Data Submission Platform (DDSP) tool.

Numerator: Count the number of residents with 'Yes' to the data element Resident Preferences and Goals of Care; the total number is the numerator.

• This number will be entered into the Direct Data Submission Platform (DDSP) tool.

Example: You are abstracting cases for the month of November. On November 30th there were 6 new residents living at the assisted living community. Your denominator will be 6. When you look back through the 6 resident’s records, all 2 had documentation of their preference and goals of care; this is the numerator.

Denominator = 6
Numerator = 2

Data Accuracy: None

Measure Analysis Suggestions: None

Sampling: No.

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

Selected References:

• Institute for Healthcare Improvement http://www.ihi.org/Engage/Initiatives/Age-Friendly-Health-Systems/Pages/default.aspx