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Maltreatment screening

Measure Purpose: To ensure the safety of patients with neurological conditions.

The numerator: Patients screened* for maltreatment at least once during the measurement period.

*Screening is a yes/no question. Do you feel safe in your home? If no, additional assessment and documentation of all of the following:

  • Physical abuse
  • Emotional or psychological abuse
  • Sexual abuse
  • Neglect
  • Elder abandonment
  • Financial or material exploitation
  • Self-neglect
  • Unwarranted control
  • Question and/or physical examination

is divided by

The denominator: All patients with a neurological condition

Exclusions:

  • Patient refuses
  • Patient is in an urgent or emergent situation where time is of the essence and to delay treatment would jeopardize the patient's health status
  • Patients that are non-verbal

Key Phrases

Examples of key phrases you might use to meet this measure:

  • Maltreatment screening
  • Maltreatment screening negative
  • Maltreatment screening positive

Measure Calculation Example

Dr. Alfonsi saw 100 patients with a neurological condition between January 1 and December 31 of the measurement year. This is the denominator. Three patients refused to answer the question and one patient was non-verbal. These patients are removed from the denominator.

Of the remaining 96 patients, 36 were screened for maltreatment. This is the numerator.

Quality of care =36/(100-4). Dr. Alfonsi has a score of 37% for this measure.