Temporal and Geographic variation in the validity and internal consistency of the Nursing Home Resident Assessment Minimum Data Set 2.0

Table 3 Positive Predictive Value of MDS based diagnosis relative to ICD-9 Diagnoses on the Medicare Hospital Claim for selected Diagnoses:

Medicare Hospital Claim Diagnoses	MDS Diagnoses	PPV	Sensitivity	Specificity	PPV inter-state Inter-quartile range
Any hypertension	Hypertension	0.61	0.65	0.61	0.038
Heart failure/Cardiomegaly	Heart failure	0.78	0.67	0.94	0.038
Cerebro-vascular Accident	Stroke/TIA	0.32	0.70	0.90	0.064
Parkinson's disease	Parkinson's disease	0.60	0.69	0.99	0.090
Alzheimer's disease	Alzheimer's disease	0.66	0.53	0.98	0.076
Brain degeneration	Any-type dementia	0.32	0.72	0.86	0.058
Asthma/COPD/emphysema	Asthma/COPD/emphysema	0.80	0.75	0.95	0.036
Any pneumonia	Pneumonia	0.63	0.60	0.96	0.064
Depressive disorders	Depression	0.25	0.78	0.83	0.050
Diabetes mellitus	Diabetes mellitus	0.69	0.93	0.89	0.039
Any cancer	Cancer	0.55	0.51	0.95	0.076
Any anemia	Anemia	0.51	0.39	0.88	0.055
Any UT infection	Urinary tract infection	0.62	0.61	0.92	0.054

ISSN: 1472-6963