Effective October 1, 2023, Minimum Data Set (MDS) Section G: Functional Status was replaced with Section GG: Functional Abilities and Goals. This transition significantly impacts the specifications of the following MDS-based Quality Measures (QMs):
Percentage of Residents Who Made Improvements in Function (Short Stay)
Percent of Residents Whose Need for Help with Activities of Daily Living Has Increased (Long Stay)
Percent of Residents Whose Ability to Move Independently Worsened (Long Stay)
Percent of High-Risk Residents with Pressure Ulcers (Long Stay)
Percent of Low-Risk Residents Who Lose Control of Their Bowel and Bladder (Long Stay)
To address the impact of this Section G to GG transition, the above five measures were frozen (held constant) in the iQIES MDS 3.0 Facility-Level and Resident-Level QM Reports on 10/1/2023. Starting on the first Monday of November, iQIES processed any qualifying records submitted on or after 10/1/2023 that had a target date prior to 10/1/2023 in order to provide updated measure data based on newer submissions. Please note that MDS records with a target date on or after 10/1/2023 will not be included in these impacted measures. As a result, if the requested report period (e.g., Begin Date Range and End Date Range) in the MDS 3.0 QM Reports includes dates on or after 10/1/2023, then there would be expected decreases in the numerator and denominator due to the MDS G-GG transition.
This information was provided by The Centers for Medicare & Medicaid Services and iQIES. If you have questions regarding this information, please contact the QIES/iQIES Service Center by phone at (800) 339-9313 or send an email.