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Brief description of measure
CMS986: Global Malnutrition Composite Score:
This measure assesses the percentage of hospitalizations for adults aged 65 years and older prior to the start of the measurement period with a length of stay equal to or greater than 24 hours who received optimal malnutrition care during the current inpatient hospitalizations where care performed was appropriate to the patient's level of malnutrition risk and severity. Malnutrition care best practices recommend that for each hospitalization, adult inpatients are screened for malnutrition risk, assessed to confirm findings of malnutrition risk, and if identified with a "moderate" or "severe" malnutrition status in the current performed malnutrition assessment, receive a current "moderate" or "severe" malnutrition diagnosis and have a current nutrition care plan performed.
Description of issue
The measure developer recommends updating the clinical eligibility of the Nutrition Assessment component (Measure Observation 2), which is currently with an identified "Malnutrition Screening At Risk Result" from the "Malnutrition Risk Screening" (Measure Observation 1). In the hospital setting, the "Nutrition Assessment" is also initiated by a physician or eligible clinician order or consultation request for a nutritionist. This change permits an evaluation of the "Nutrition Assessment", "Malnutrition Diagnosis", and "Nutrition Care Plan" (Measure Observations 2, 3, & 4 respectively) if the "Malnutrition Risk Screening" (Measure Observation 1) is not performed or the "Malnutrition Screening Result Identified" is not documented.
Goal of review
Obtain technical feedback
Show
Brief description of measure
CMS986: Global Malnutrition Composite Score:
This measure assesses the percentage of hospitalizations for adults aged 65 years and older prior to the start of the measurement period with a length of stay equal to or greater than 24 hours who received optimal malnutrition care during the current inpatient hospitalizations where care performed was appropriate to the patient's level of malnutrition risk and severity. Malnutrition care best practices recommend that for each hospitalization, adult inpatients are screened for malnutrition risk, assessed to confirm findings of malnutrition risk, and if identified with a "moderate" or "severe" malnutrition status in the current performed malnutrition assessment, receive a current "moderate" or "severe" malnutrition diagnosis and have a current nutrition care plan performed.
Description of issue
The measure developer recommends updating the clinical eligibility of the Nutrition Assessment component (Measure Observation 2), which is currently with an identified "Malnutrition Screening At Risk Result" from the "Malnutrition Risk Screening" (Measure Observation 1). In the hospital setting, the "Nutrition Assessment" is also initiated by a physician or eligible clinician order or consultation request for a nutritionist. This change permits an evaluation of the "Nutrition Assessment", "Malnutrition Diagnosis", and "Nutrition Care Plan" (Measure Observations 2, 3, & 4 respectively) if the "Malnutrition Risk Screening" (Measure Observation 1) is not performed or the "Malnutrition Screening Result Identified" is not documented.
Goal of review
Obtain technical feedback