Page Comparison

Name:

Denominator

Aggregated For:

Proportion measures

Definition:

Summation of denominator cases (proportion) for the measure's population during the month.

Do not eliminate or suppress outliers.

ALC-01, 02, 03, 04, 05a, and 05b:

The Denominator must be entered for the month. The values of the following measure data elements are entered into the Denominator field within the DDSP for the associated measure.

ALC-01:    Assisted Living Community Resident

ALC-02:    Assisted Living Community Resident

ALC-03:    New Resident

ALC-04:    New Resident

ALC-05a:  Number of Positions

ALC-05b:  Number of Direct Care Staff Positions

Note:  The definitions of the above measure data elements is provided within the Specification Manual for Joint Commission Assisted Living Community Quality Measures.

Allowable Values:

0 through 199 (whole numbers only)

Note:  Assisted living organizations entering a zero for this data element will be required to attest that they have no cases in the denominator (i.e., ‘zero denominator’) for the measure for the month. Organizations with denominator cases are expected to enter the appropriate value for each measure or strata.

Edits:

ALC-05a:

• Denominator [Number of Positions] must be <= Number of Staff Employed

ALC-05b:

• Denominator [Number of Direct Care Staff Positions] must be <= Number of Direct Care Staff Employed

Name:

Number of Direct Care Staff Employed

Aggregated For:

Proportion measures – ALC-05b

Definition:

The definition of Number of Direct Care Staff Employed is provided within the Specification Manual for Joint Commission Assisted Living Community Quality Measures.

Do not eliminate or suppress outliers.

Note:  This measure data element is used by the DDSP to calculate the ALC-05b Numerator. See Numerator below for more information.

Allowable Values:

0 through 199 (whole numbers only)

Edits:

• Number of Direct Care Staff Employed must be <= Number of Staff Employed

Name:

Number of Staff Employed

Aggregated For:

Proportion measures – ALC-05a

Definition:

The definition of Number of Staff Employed is provided within the Specification Manual for Joint Commission Assisted Living Community Quality Measures.

Do not eliminate or suppress outliers.

Note:  This measure data element is used by the DDSP to calculate the ALC-05a Numerator. See Numerator below for more information.

Allowable Values:

0 through 199 (whole numbers only)

Edits:

None

Name:

Numerator

Aggregated For:

Proportion measures

Definition:

Summation of numerator cases in a measure's population during the month.

Do not eliminate or suppress outliers.

ALC-01, 02, 03, and 04: 

The Numerator must be entered for the month. The values of the following measure data elements are entered into the Numerator field within the DDSP for the associated measure.

ALC-01:    Off-Label Antipsychotic Drug Prescribed

ALC-02:    Fall with Transfer to Hospital

ALC-03:    Resident Preferences and Goals of Care

ALC-04:    Advanced Care Plan / Surrogate Decision Maker

ALC-05:

The Numerator is calculated by the DDSP as follows:

ALC-05a calculation: (Number of Staff Employed – Denominator)

ALC-05b calculation: (Number of Direct Care Staff Employed – Denominator)

Note:

• The definition of Number of Staff Employed and Number of Direct Care Staff Employed is provided within the Specification Manual for Joint Commission Assisted Living Community Quality Measures.

• ALC-05: See Denominator, Number of Staff Employed, and Number of Direct Care Staff Employed above for more information on entering data into the DDSP.

Allowable Values:

0 through 199 (whole numbers only)

Edits:

ALC-01, 02, 03, and 04: 

• Numerator must be <= Denominator

ALC-05a:

• (Number of Staff Employed – Denominator [Number of Positions]) must be >= zero (0)

ALC-05b:

• (Number of Direct Care Staff Employed – Denominator [Number of Direct Care Staff Positions]) must be >= zero (0)