Multidisciplinary Management of Five-Star Quality Measures On-Demand Workshop-Part 2: How to Utilize iQIES Reports and Audit for Accuracy

Video Transcription

Video Summary

This training session focuses on utilizing iQIES reports and auditing MDS data to ensure accurate quality measures and improve nursing home care quality. It covers understanding source manuals for quality measures, interpreting QM and 5-star reports, and completing MDS audits focused on accuracy. The 5-star provider rating report provides data on quality measures, health inspections, and staffing to identify performance trends and areas needing improvement. Facility-level and resident-level quality measure reports help pinpoint specific measures and residents triggering quality concerns.<br /><br />The training emphasizes that 5-star report data is delayed due to quarterly reporting cycles, making it useful for trend analysis but reactive rather than proactive. Therefore, timely monthly QM audits are recommended to catch errors early. A case study on pressure ulcer measures illustrates how to use reports and the MDS Quality Measure User’s Manual to audit data accurately. Auditors must carefully verify numerator and denominator criteria, follow coding instructions strictly, assess risk adjustment covariates, and review supporting clinical documentation for accuracy. Identified errors should be corrected promptly in iQIES before data is publicly reported.<br /><br />Finally, the session highlights that persistent errors or missing data require QAPI intervention to address root causes through staff education and process improvements. Part 3 will cover root cause analysis and quality improvement strategies. Questions can be submitted via the MDS community forum.

Keywords

iQIES reports

MDS data auditing

quality measures

5-star provider rating

nursing home care quality

QM audits

pressure ulcer case study

QAPI intervention