The nurse providing care in a long-term care facility knows that under Medicare's Pay for Performance (P4P) a facility's reimbursement is based on quality of care provided

Question

This is based on how well the facility performs on pre-established quality measures. Publicly reported quality measures (PRQM) include the percentage of residents with which of the following? Select all that apply A) Respiratory infection
B) Moderate to severe pain
C) Pressure ulcers
D) Malnutrition
E) Placement in restraints
F) Depression greater than when admitted

Answer 1

B, C, E, F
Feedback:
Four of these publicly reported quality measures (PRQM) include the percentage of residents with the following: moderate to severe pain—the goal: through appropriate care measures and/or medication administration, the person will not experience "break-through pain" and his/her pain will be managed; pressure ulcers—the goal: care provided should aid in healing of wounds existing on admission and should prevent new pressure areas from developing; placement in physical restraints—the goal: facilities are encouraged to work toward a restraint-free environment; and depression or anxiety greater than when the client was admitted to the facility—the goal: counseling and medications should be provided to help alleviate mental health concerns.