Adequate pain management is an important indicator of quality of care and quality of life. Nursing home staff should check patients regularly to see if they are experiencing pain. If pain is not treated, a resident may not be able to perform daily routines, may become depressed, or may have an overall poor quality of life. The reported percentage may include some residents who are getting or who have been prescribed treatment for their pain, but who refuse pain medicines or choose to take less.
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Percentage of Nursing Home Residents Who Report Moderate to Severe Pain
Percent of nursing home residents with moderate to severe pain at any time and any frequency. The Minimum Data Set (MDS) is part of the federally mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes. This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home staff identify health problems. Resident Assessment Protocols (RAPs), are part of this process, and provide the foundation upon which a resident's individual care plan is formulated. MDS assessment forms are completed for all residents in certified nursing homes, regardless of source of payment for the individual resident. MDS assessments are required for residents on admission to the nursing facility and then periodically, within specific guidelines and time frames. In most cases, participants in the assessment process are licensed health care professionals employed by the nursing home. MDS information is transmitted electronically by nursing homes to the MDS database in the respective States. MDS information from the State databases is captured into the national MDS database at CMS.
Numerator: The number of nursing home residents who reported moderate to severe pain at any frequency.
Denominator: The number of nursing home residents assessed.
This measure is calculated by the Centers for Medicare and Medicaid Services from the Minimum Data Set (MDS).