When should a clinician consider alternative data sources for InterRAI LTCF data?

• A. Never; data is always complete
• B. Only during audits
• C. If data appears inconsistent
• D. When missing data is encountered

Answer: (D)

Missing data creates gaps that can distort a resident’s picture and the resulting care planning and quality measures. When you encounter items that aren’t documented, seek alternative data sources to fill those gaps so the assessment remains complete and accurate. Useful sources include chart reviews, prior or concurrent assessments, medication records, lab results, nursing and physician notes, and information from the resident, family, or primary caregivers. Document where the information came from and be transparent about any uncertainties. If you do encounter data that seems inconsistent, you should verify it as well, but the immediate trigger for looking elsewhere is whenever data is missing.