Urinary Tract Infections
Problem: UTIs in the elderly can be caused by several factors, including catheterization and incontinence. Nursing homes play a key role in preventing or eliminating this condition, which is one of ten quality measures (QMs) in the Centers for Medicaid & Medicare Services (CMS) Five-Star rating system. If your nursing home falls short, so can its ability to attract and retain residents. The CMS regulation pertaining to UTIs 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. 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: Improving your nursing home’s performance in CMS’ quality measures will have the most immediate impact on its Five-Star rating. To help you reduce the incidence of UTIs, Briggs offers a comprehensive family of related documentation, charting, education and training, and medical supplies. Every Briggs form integrates industry best practices, and has been recognized by customers as best-of-class.
Download the Quality Improvement Measure Guide for UTI [PDF]. |
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