This site houses resources to help Quality & Improvement staff be successful with regulatory and quality programs. Intended users may include quality specialists analyzing performance outcomes or nurses/providers/clinicians carrying out the workflows.  Please note that regulatory and quality programs can change frequently.  We review content annually, but if discrepancies are noted please contact UI HCIS Regulatory & Quality Reporting team for updates.

Resources

Inpatient Resources

  • Malnutrition Care Score - (Handout) Malnutrition Care Score (MCS) or CMS 986 is part of the CMS Inpatient Quality Reporting program. It assesses the percentage of eligible encounters of adults aged 18 years and older, with a length of stay equal to or greater than 24 hours, who received optimal malnutrition care based on the patient’s level of malnutrition risk and severity.
  • Total Hip Arthroplasty and Total Knee Arthroplasty Patient Reported Outcome Performance Measure - (Handout) Total Hip Arthroplasty and Total Knee Arthroplasty Patient Reported Outcome Performance Measure (THA and TKA PRO-PM) is required for Centers for Medicare & Medicaid Services (CMS) Inpatient and Outpatient Quality Reporting programs. It includes perioperative questionnaires that aim to capture the patient’s self-assessment of pain and function before and after THA and/or TKA, and to measure improvement in a risk-standardized way.

Related Pages

Return to Epic Resources