Catheter
Problem: One of the ten quality measures (QMs) included in the Centers for Medicaid & Medicare Services (CMS) Five- Star rating for nursing homes relates to discretionary use of catheters. It reflects how well the facility prevents infection in catheterized residents and acts to restore optimum bladder function. Performance in these areas can cause your CMS Five-Star rating to rise or fall. Specifically, the CMS regulation regarding catheters is:
F315 A resident who enters the facility without an indwelling catheter is not catheterized unless the resident’s clinical condition demonstrates that catheterization was necessary.
2. A resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections and to restore as much normal bladder function as possible.
Intent §483.25 (d)(1) and (2): The intent of this regulation is to ensure that:
Each resident who is incontinent of urine is identified, assessed and provided appropriate treatment and services to achieve or maintain as much normal urinary function as possible;
An indwelling catheter is not used unless there is valid medical justification;
An indwelling catheter for which continuing use is not medically justified is discontinued as soon as clinically warranted;
Services are provided to restore or improve normal bladder function to the extent possible, after the removal of the catheter; and
A resident, with or without a catheter, receives the appropriate care and services to prevent infections to the extent possible.
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Solution: There are self-help resources that will enable your facility to improve its catheterization quality performance—and its CMS Five-Star quality rating. Briggs has assembled the exact documentation, charting, education and training, and medical supplies you’ll need. Remember, every Briggs form integrates industry best practices and has been recognized by customers as best-of-class.
Download the Quality Improvement Measure Guide for Catheter [PDF].
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