Table 1.

RAI-MDS codes and definitions of practice sensitive quality indicators

Quality indicator	RAI-MDS 2.0 assessment items	Definition
Antipsychotic use without psychosis	O4a – Number of days during last 7 days receiving antipsychotic medication	Percent of residents on antipsychotics without a diagnosis of psychosis
Decline in mood	E1a – Negative statements	Percent of residents who decline in mood from symptoms of depression
	E1d – Persistent anger with self or others
	E1f – Expressions of unrealistic fears
	E1h – Repetitive health complaints
	E1i – Repetitive anxious non-health complaints or concerns
	E1l – Sad pained or worried facial expressions
	E1m – Crying, tearfulness
Declining behavioral symptoms	E4a – Wandering	Percent of residents who have declining behaviour symptoms. Where 1 or more of the indicators are greater at the target assessment than the prior assessment
	E4b – Verbally abusive
	E4c – Physically abusive
	E4d – Socially inappropriate behaviour
Fallen last 30 days	J4a – Resident has fallen in the last 30 days	Percent of residents who have fallen in the last 30 days
Feeding tube	K5b – Feeding tube	Percent of residents with a feeding tube
Indwelling catheter	H3d – Indwelling catheter	Percent of residents with indwelling catheter
Late loss ADL decline	G1a – Bed mobility	Percent of residents with loss in 1 or more of the ADL late loss self-performance categories
	G1b – Transfer
	G1h – Eating
	G1i – Toilet use
Physical restraint use	P4c – Trunk restraint	Percent of residents in physical restraints on a daily basis
	P4d – Limb restraint
	P4e – Chair prevents rising
Pressure ulcer	M2a – Stage of pressure ulcer (0 for none)	Percent of residents who have a stage 2 to 4 pressure ulcer
Symptoms of delirium	B5a – Easily distracted	Percent of residents with symptoms of delirium
	B5b – Periods of altered perception or awareness of surroundings
	B5c – Episodes of disorganized speech
	B5d – Periods of restlessness
	B5e – Periods of lethargy
	B5f – Mental function varies over the course of the day
Unexplained weight loss	K3a – Weight loss	Percent of residents who have unexplained weight loss
Urinary tract infections	I2j – Urinary tract infection	Percent of residents with urinary tract infections
Quality indicator	RAI-MDS 2.0 assessment items	Definition
Worsening pain	J2a – Frequency of pain	Residents with greater pain at target assessment relative to prior assessment
	J2b – Intensity of pain

ADL, activities of daily living.