Measure Information Form

Measure Set: Assisted Living Community (ALC)

Set Measure ID: ALC-05

Set Measure ID	Performance Measure Name
ALC-05a	Overall
ALC-05b	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/Workforce-and-Career/Pages/Organizations.aspx

Type Of Measure: Process

Improvement Noted As: Decrease in the rate

Risk Adjustment: No.

Data Collection Approach: The Direct Data Submission Platform (DDSP) Chart Abstracted Measure (CAM) module will automatically calculate the numerator for ALC-05a and ALC-05b in the submission form. The counts for Number of Staff Employed and Number of Direct Care Staff Employed, which are the numerator data elements, will be entered into the DDSP CAM module submission form along with the denominator counts so that the numerator can automatically be calculated by the DDSP.

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/Workforce-and-Career/Pages/Organizations.aspx

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