NHCMQNursing Home Case-Mix and Quality (Health Care Financing Administration Medicare/Medicaid demonstration project)
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One of the outgrowths of the multi-state NHCMQ demonstration design, then, was the MEDPAR analog to the RUG-III classification system.
The NHCMQ design will use RUG-III to cover the same types of stays as are permitted by the 1988 guidelines, using a payment method that is easier to administer and consistent across States.
MDS+ is part of the Resident Assessment Instrument used to gather data in the NHCMQ demonstration States.
Although the NHCMQ demonstration clinical therapist workgroup(10) generally agreed with the grouping decisions, the MEDPAR proxy data and the MDS+ data for the same resident may not be exactly analogous.