Paired Assessment Accuracy Report. Paired Assessment Accuracy Report (PAAR). Purpose to provide nursing facilities with information regarding potential MDS coding discrepancies Intent to be a tool for provider self-audit Vision for the future first generation of provider feedback reports.
Pneumonia Trigger Page
Pneumonia Trigger (MDS Element I2e)
Total Residents with 5- and 14- day assessments: 212
Residents triggering: 8
Percent at this facility: 3.7 %
Compare with: 8.2% nationally
9.4% State of State
Definition of I2e Pneumonia:
Inflammation of the lungs; most commonly of bacterial or viral origin.
Importance of Pneumonia as an MDS Accuracy Trigger:
Symptoms of active pneumonia may include elevated respiratory rate, cough, shortness of breath, chest pain, abnormal breath sounds, and impaired ADL or cognitive functioning. Although pneumonia symptoms may persist in a newly admitted facility patient and be coded on the 5-day assessment, it is unlikely that with treatment the pneumonia would still be active on the 14-day MDS assessment. A pattern showing a large number of cases where pneumonia is coded on both the 5-day and 14-day MDS may be indicative of a coding error.