5. Responses by Data Source “Negative” A response is a response None Identify any low or high outliers by data source for the report and state average compared to the national “negative” that includes a resident in the average. “QCLI Criteria Met” category of the QCLI Review the surveyor rates to determine whether any surveyor has a low or high rate of negative responses by calculation results, or is part of a set data source compared to the national average. of questions that includes a resident Survey-level: Counts are made within a survey and across surveyors. in the Criteria Met” category. “QCLI Counts are made across surveys for individual surveyors. Report-level: Survey-level rates are averaged across surveys. Rate (one for each data source) = Number of negative Numerator: responses by data source for each Determine whether a surveyor has an unusual occurrence of 0% for Stage 1 negative responses or has a surveyor. considerably lower/higher average rate of negative responses compared with the state or national average for Denominator: Number of responses each data source. If concerns are identified, examine QIS process steps that are associated with negative by data source for each surveyor. response rates. Ensure surveyors: Understand the intent of the questions, Outlier rules Ask the questions accurately, Low outlier- Do not ask leading questions, Half or less than the national average Do not repeat the question to elicit a positive response, (Except for FI and CR: a low outlier is Ask all of the questions, =0%). Answer the questions correctly, Conduct appropriate observations, and Conduct appropriate clinical record reviews. High outlier- Double or more than the national Ensure surveyors discuss pertinent findings for both resident and facility task assignments during team average meetings. (Except for SI: a high outlier is ≥20%). Ensure the team coordinator documents concerns during team meetings. 6. Census Sample Interview Rate
5. “Negative” Responses by Data Source A “negative” response is a response that includes a resident in the “QCLI Criteria Met” category of the QCLI calculation results, or is part of a set of questions that includes a resident in the “QCLI Criteria Met” category. Rate (one for each data source) = Numerator: Number of negative responses by data source for each surveyor. Denominator: Number of responses by data source for each surveyor. Outlier rules Low outlier- Half or less than the national average (Except for FI and CR: a low outlier is =0%). High outlier- Double or more than the national average (Except for SI: a high outlier is ≥20%). None Identify any low or high outliers by data source for the report and state average compared to the national average. Review the surveyor rates to determine whether any surveyor has a low or high rate of negative responses by data source compared to the national average. Survey-level: Counts are made within a survey and across surveyors. Counts are made across surveys for individual surveyors. Report-level: Survey-level rates are averaged across surveys. Determine whether a surveyor has an unusual occurrence of 0% for Stage 1 negative responses or has a considerably lower/higher average rate of negative responses compared with the state or national average for each data source. If concerns are identified, examine QIS process steps that are associated with negative response rates. Ensure surveyors: Understand the intent of the questions, Ask the questions accurately, Do not ask leading questions, Do not repeat the question to elicit a positive response, Ask all of the questions, Answer the questions correctly, Conduct appropriate observations, and Conduct appropriate clinical record reviews. Ensure surveyors discuss pertinent findings for both resident and facility task assignments during team meetings. Ensure the team coordinator documents concerns during team meetings. 6. Census Sample Interview Rate
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