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https://www.figma.com/design/4L8zHHXaihjF3jmXnErD1H/Carebrain-Design-System--gluestack-ui- Main Design: https://www.figma.com/design/Jh6BdsV98tbFE2tir9CWb7/Carebrain-Design---90- ## Live Design Tokens (fetched from Carebrain Figma) ### Typography Text-black/2xs : 10px: Inter 10px weight-900 Text-hairline/2xs : 10px: Inter 10px weight-100 Text-light/2xs : 10px: Inter 10px weight-300 Text-extrabold/2xs : 10px: Inter 10px weight-800 Text-semibold/2xs : 10px: Inter 10px weight-600 Text-medium/2xs : 10px: Inter 10px weight-500 Text-normal/2xs : 10px: Inter 10px weight-400 Text-bold/2xs : 10px: Inter 10px weight-700 Text-hairline/Text-thin/2xs : 10px: Inter 10px weight-100 Heading/5xl : 60px: Inter 60px weight-700 Text-bold/xs : 12px: Inter 12px weight-700 Text-hairline/Text-thin/3xl : 30px: Inter 30px weight-100 Text-hairline/Text-thin/md : 16px: Inter 16px weight-100 Text-bold/md : 16px: Inter 16px weight-700 Text-medium/lg : 18px: Inter 18px weight-500 Text-light/5xl : 48px: Inter 48px weight-300 Text-light/4xl : 36px: Inter 36px weight-300 Text-light/2xl : 24px: Inter 24px weight-300 Text-light/xs : 12px: Inter 12px weight-300 Text-medium/md : 16px: Inter 16px weight-500 ## Problem this solves SNF Directors of Nursing, MDS Coordinators, and administrators are accountable for quality measure performance across Five-Star ratings, SNF Value-Based Purchasing, and the Quality Reporting Program — but the data they need lives scattered across PCC's SNF Metrics Portal, iQIES, SimpleLTC, PointRight, and CASPER. There is no single place inside their clinical workflow where they can see what their current QM scores are, which residents are driving risk on a specific measure, and what documentation gaps are contributing to a deficiency. The result is a manual, after-the-fact reconciliation process: DONs pull reports from multiple systems, MDS coordinators track pending assessments in spreadsheets, and QAPI meetings rely on stale data printed the day before. Falls get counted after the injury. Pressure ulcers get flagged after a survey citation. Rehospitalizations get analyzed after the VBP penalty hits. ## MVP scope (what to build) Target 2-3 Carebrain SNF operator accounts where we already have PCC integration established. MVP focuses on a single, high-stakes quality measure domain: fall prevention and tracking. Specifically: (1) a resident-level fall risk QM view inside the Carebrain patient list, pulling fall event data from PCC ADT and post-fall UDA completions, flagging residents who have had 1 fall in the lookback period as 'at risk of QM count' before a second event occurs; (2) a contextual QM alert surfaced within the Carebrain post-fall documentation workflow — when an LN or NP is documenting a fall encounter, Carebrain surfaces whether this is the resident's first or second fall in the lookback window and what the QM implications are; (3) a facility-level QM summary card visible to the DON showing current falls-with-major-injury measure status vs. Five-Star threshold, updated in near-real-time from PCC data. No iQIES or SimpleLTC integration in MVP — data comes exclusively through the existing PCC Marketplace connection. No cross-facility view in MVP. Goal is to prove that contextual, workflow-embedded QM signals change documentation behavior and are preferred over pulling a separate report. ## All user stories - every one must be reflected in the UI 1. As a Director of Nursing, I want to see which residents are currently at high risk of contributing to a quality measure deficiency (e.g., a second fall, a new pressure ulcer, a readmission within 30 days) so that I can direct nursing attention before the event is counted, not after. 2. As an MDS Coordinator, I want to see which upcoming MDS assessments have documentation gaps in the sections that drive quality measures (e.g., Section GG, Section J falls, Section N medications) so that I can close those gaps before the ARD locks and the data is submitted to iQIES. 3. As a DON preparing for a QAPI meeting, I want a single view of our current quality measure scores against Five-Star thresholds and VBP benchmarks so that I can run the meeting from live data instead of a printed report that was current three days ago. 4. As an SNF administrator negotiating a Medicare Advantage contract, I want to export a clean summary of our facility's QM performance trends over the last 12 months so that I can show payers and hospital partners the outcomes data they are asking for. 5. As a licensed nurse completing a post-fall UDA in PCC, I want the Carebrain workflow to automatically flag that this resident now has two falls in the lookback period and surface the QM implications so that I understand the documentation stakes before I finish the note. 6. As a regional director overseeing multiple SNF locations, I want a cross-facility QM performance view so that I can identify which buildings are trending toward a Five-Star downgrade and prioritize where to focus operations support. ## Success metrics - design the UI to make these measurable - Weekly active users on QM dashboard (DON + MDS Coordinator roles): ≥70% of target role users at pilot facilities open the QM view at least once per week within 60 days of launch - QAPI meeting data sourcing: ≥2 of 3 pilot facility DONs report using Carebrain QM data as their primary source in QAPI meetings within 90 days, confirmed via user interview - MDS documentation gap closure rate: Pilot facilities close ≥80% of Carebrain-flagged QM-relevant documentation gaps before ARD lock, measured over 2 consecutive MDS cycles - Time to QM insight: Users can surface current QM risk status for a specific resident in ≤60 seconds without leaving the Carebrain workflow, measured via usability session - Reduction in manual report-pulling: DONs and MDS coordinators at pilot facilities report spending ≥30% less time pulling QM data from external systems (SimpleLTC, SNF Metrics Portal), confirmed via pre/post time-diary study - Quality measure score trend: At least 1 of 3 pilot facilities shows measurable improvement on a targeted QM (e.g., falls with major injury, pressure ulcer prevalence) within 6 months of launch — directional signal, not statistically powered ## UI spec Design a clinical dashboard screen for Carebrain, an AI platform for skilled nursing facilities. Brand color: deep purple #9333EA. The screen has two sections. Top section: a 'Facility QM Summary Card' for a Director of Nursing role — shows a stat card with current 'Falls with Major Injury' quality measure status (e.g., 'At Risk — 4 residents in lookback window'), a Five-Star threshold indicator (a simple progress bar showing current vs. threshold), and a 13-week sparkline trend. Bottom section: a patient list table with columns for resident name, room number, fall risk badge (color-coded: gray=none, yellow=1 fall/at-risk, red=2+ falls/triggered), last fall date, and days remaining in lookback window. Include a top navigation bar with Carebrain logo in purple. Clean, minimal clinical UI, no decorative elements, white background with purple accent colors on badges and active states. ## Design reference Screen: 'SNF Quality Measure Dashboard — Falls (DON View)'. Key components: (1) QM Summary Card — stat widget with measure name, current count, Five-Star threshold progress bar, and 13-week sparkline; (2) At-Risk Resident List — table with fall risk badge column (gray/yellow/red color system using #9333EA tints), resident name, room, last fall date, lookback days remaining; (3) Inline Contextual Alert — modal-style banner that appears over the note generation flow showing 'Resident has 1 prior fall in lookback — this will count toward QM.' User action flow: DON opens app → sees summary card → scans at-risk list → taps resident → views fall history → proceeds to documentation. Visual style: white background, #9333EA primary, Inter typeface, subtle card shadows, no sidebar clutter. ## Platform components to reuse - PCC Marketplace QM Data Connector (integration): Extends the existing PCC Marketplace integration to pull fall event data from ADT records and post-fall UDA completions (specifically the LN: Physical Functioning Monitoring UDA triggered post-fall and LN: Initial Event Documentation UDA) — no new integration partner required, but new data objects must be mapped and pulled from the existing connection. ## New components to build - Fall QM Lookback Calculation Pipeline (pipeline): Ingests PCC fall event data (ADT transfers, post-fall UDA completions, eINTERACT Stop & Watch flags) and applies the CMS Section J1900 lookback window logic to determine whether a resident has had 1 or 2+ falls in the quality measure observation period — the output is a per-resident QM risk status flag consumed by the UI and alert workflow. - Five-Star QM Threshold Comparator (pipeline): Takes the facility-level aggregated fall count from the lookback pipeline and compares it against the current CMS Five-Star Quality Measure cutoffs for falls with major injury — outputs a facility-level QM status card (on track / at risk / exceeding threshold) updated on each PCC data sync. - Post-Fall Encounter QM Contextual Alert (workflow): When a clinician initiates a fall-related encounter or note in Carebrain (matching the same trigger pattern as the LN: Physical Functioning Monitoring UDA in PCC), this workflow queries the fall lookback pipeline and surfaces an inline alert showing whether this is the resident's first or second fall in the lookback window and the QM implications — designed to appear without breaking the existing documentation flow, analogous to how Carebrain already surfaces billing code suggestions during note generation per the carebrain-site positioning. - Resident-Level Fall QM Risk Flag (ui-component): A badge or status indicator on the existing Carebrain patient list (analogous to the New Patient Info View concept in PR-37) that surfaces which residents have had 1 fall in the lookback period and are at risk of triggering a QM count if a second fall occurs — no new page required, embedded into the existing patient list view. - Facility QM Summary Card (DON View) (ui-component): A single summary card visible to DON-role users showing the facility's current falls-with-major-injury QM status vs. the Five-Star threshold, the count of at-risk residents, and a trend line — scoped to one measure in MVP, replacing the need to open PCC's SNF Metrics Portal or SimpleLTC for this specific data point. - QM Risk Status Classifier (model): Lightweight rules-based classification model (not LLM) that applies CMS RAI Manual Section J1900 definitions and lookback window logic to PCC-sourced fall event data to produce a deterministic per-resident QM risk label — rules-based rather than ML given the regulatory requirement for auditability and the stability of CMS measure definitions within a manual version cycle. - CMS Five-Star QM Threshold Reference Data (data-source): A maintained internal reference table of current CMS Five-Star Quality Measure cutoff values for falls with major injury (sourced from CASPER/Care Compare public data), versioned and updated when CMS publishes new thresholds — required as the denominator for the facility QM summary card and contextual alerts. ## Technical requirements - Next.js App Router page (default export), TypeScript, Tailwind CSS - Use shadcn/ui: Button, Card, Badge, Input, Select, Table, Skeleton, Dialog as needed - Full interactivity: real state, handlers, forms - no placeholder TODOs - Loading state (Skeleton), empty state (with CTA), error state - Hover/focus states on all interactive elements - Mobile-first (sm: breakpoints). Min touch target 44px. - High contrast text (≥4.5:1). SNF clinical context - clarity over decoration. ## Full spec (reference) # PRD: SNF Quality Measure Tracking **Status:** DRAFT | **Owner:** Carebrain PM | **Last updated:** 2026-06-11 --- ## TLDR Surface CMS quality measure risk signals — starting with falls — directly inside the Carebrain clinical workflow, so Directors of Nursing and MDS Coordinators can act before a deficiency is counted rather than after. --- ## Why Now Three forces are converging: 1. **Financial stakes just got higher.** SNF VBP ties up to 2% of Medicare payments to 30-day readmission rates. Five-Star QM scores are public on Care Compare and are the primary currency in hospital referral relationships — relationships that 56% of SNF operators say are under threat from Medicare Advantage pressure in 2026. 2. **Documentation workflows just changed.** MDS 3.0 v1.20.1 (effective October 2025) restructured Section GG functional scoring — the primary input to functional outcome quality measures. Facilities are still recalibrating. MDS Coordinators are closing gaps manually. The window to embed better tooling into a disrupted workflow is open now. 3. **Carebrain is already in the room.** Our PCC Marketplace integration is live. The ADT events, post-fall UDA completions, and eINTERACT flags that drive QM calculations are flowing through a connection we already own. No new integration partner is required for MVP. --- ## Problem SNF Directors of Nursing, MDS Coordinators, and administrators are accountable for quality measure performance across Five-Star ratings, SNF Value-Based Purchasing, and the Quality Reporting Program — but the data they need lives scattered across PCC's SNF Metrics Portal, iQIES, SimpleLTC, PointRight, and CASPER. There is no single place inside their clinical workflow where they can see what their current QM scores are, which residents are driving risk on a specific measure, and what documentation gaps are contributing to a deficiency. The result is a manual, after-the-fact reconciliation process: DONs pull reports from multiple systems, MDS coordinators track pending assessments in spreadsheets, and QAPI meetings rely on stale data printed the day before. Falls get counted after the injury. Pressure ulcers get flagged after a survey citation. Rehospitalizations get analyzed after the VBP penalty hits. A facility that cannot produce clean, timely QM data is negotiating blind with hospital partners and MA payers who are explicitly rewarding data-sharing as a contract lever. --- ## Users | User | Role | QM Pain Today | |---|---|---| | Director of Nursing (DON) | Accountable for Five-Star QM scores and QAPI | Pulls stale reports from SNF Metrics Portal and SimpleLTC; runs QAPI meetings from printed data | | MDS Coordinator | Submits MDS data to iQIES; owns Section GG, J, N accuracy | Tracks documentation gaps in spreadsheets; misses QM-driving items before ARD locks | | Licensed Nurse (LN) | Documents post-fall UDAs in PCC; unaware of QM implications | Completes the Physical Functioning Monitoring UDA without knowing this is the resident's second fall in the lookback window | | Regional Director / Administrator | Oversees multiple facilities; accountable to operators and payers | No cross-facility QM view; must request facility-level reports individually | --- ## Example User Story: Maria (Director of Nursing, 120-bed SNF) Maria's facility is currently at 3.5 stars on quality measures. She knows a Four-Star upgrade would unlock a preferred-provider agreement with the regional health system that sends her 40% of her Medicare admissions. Her target: reduce falls with major injury from the 85th percentile to below the 75th percentile threshold. **Today:** Maria pulls a weekly report from SimpleLTC every Monday morning. It shows last week's data. When a resident falls on a Tuesday, she finds out Thursday when the post-fall documentation cycle closes. If that was the resident's second fall in the lookback period, the QM count already moved. **With MVP:** Maria opens the Carebrain patient list and sees a yellow badge on Room 214 — Mrs. Chen had one fall 18 days ago and is still in the lookback window. When the night nurse documents a second fall encounter in Carebrain, an inline alert fires before the note is signed: *"This is Mrs. Chen's 2nd fall in the 31-day lookback window. This will count toward your facility's Falls with Major Injury QM. Ensure the Section J1900 response is complete and the injury severity is accurately documented."* Maria's facility QM summary card updates in near-real-time. She can act — care plan review, fall precaution escalation, therapy consult — before the data is submitted to iQIES. --- ## MVP Scope **Target:** 2–3 existing Carebrain accounts with PCC Marketplace integration live. Offered at no additional charge as a structured paid pilot in exchange for feedback and usage data, converting to paid tier at 90 days. **Single domain: Falls.** 1. **Resident-Level Fall QM Risk Flag** — A badge on the existing Carebrain patient list for residents who have had 1 fall in the CMS Section J1900 lookback window. Badge state: clear (no fall), yellow (1 fall, at risk), red (2+ falls, QM triggered). No new page required — embedded in the existing patient list view. 2. **Post-Fall Encounter QM Contextual Alert** — When a clinician opens a fall-related encounter in Carebrain, an inline alert surfaces whether this is the resident's first or second fall in the lookback window and what the QM documentation implications are. Alert appears without interrupting the note generation workflow — same pattern as existing billing code suggestions. 3. **Facility QM Summary Card (DON View)** — A single card visible to DON-role users showing: current falls-with-major-injury QM status vs. Five-Star threshold, count of at-risk residents (1 fall in lookback), and a 13-week trend line. Updated on each PCC data sync. Role-gated: only users with DON or administrator designation see facility-level aggregate data. **Data source:** PCC Marketplace API only. Specifically: ADT events (fall-related transfers via Quick ADT), LN: Physical Functioning Monitoring UDA completions (triggered every shift × 3 days post-fall), LN: Initial Event Documentation UDA completions, and eINTERACT Stop & Watch flags. **Explicitly out of scope for MVP:** iQIES integration, SimpleLTC integration, pressure ulcers, rehospitalization, antipsychotic use, functional improvement (GG), cross-facility view, MDS documentation gap detection, data export. **Critical-path prerequisite:** A technical spike (1–2 weeks) to confirm which PCC Marketplace API data objects correspond to fall UDA completions and fall-related ADT events before any pipeline build begins. If PCC does not expose raw UDA completion data via the marketplace API, the fallback is ADT-only fall detection — acceptable for MVP but must be flagged to users as an approximation. --- ## Next Level If MVP demonstrates adoption (≥70% weekly active DON/MDS users at pilot facilities within 60 days) and behavioral change (≥80% of flagged documentation gaps closed before ARD lock): 1. **Expand to full Five-Star / VBP QM set:** Pressure ulcers (Section M), rehospitalization 30-day (ADT-derived), antipsychotic use (Section N), functional improvement (Section GG), discharge to community (ADT). 2. **MDS documentation gap detection:** Before ARD locks, flag QM-driving sections with incomplete or inconsistent MDS responses to the MDS Coordinator inside their workflow. 3. **Cross-facility QM view:** Regional director and administrator tier with portfolio-level QM performance across all Carebrain-connected facilities. 4. **QAPI-ready export:** QM trend reports formatted for QAPI meetings and MA contract negotiations, exportable as PDF and CSV. 5. **iQIES / SimpleLTC cross-validation:** Direct data pull or SimpleLTC integration to validate Carebrain-calculated QM scores against officially submitted data, enabling F-Tag risk identification and audit-readiness features. --- ## Framework Nodes | Node | Type | Status | Notes | |---|---|---|---| | PCC Marketplace QM Data Connector | Integration (extends existing) | Reuses `snf-ehr` | New data objects: fall UDA completions, ADT fall events, eINTERACT flags | | Fall QM Lookback Calculation Pipeline | Pipeline | New | Applies Section J1900 logic to PCC event data; deterministic, auditable | | Five-Star QM Threshold Comparator | Pipeline | New | Aggregates resident-level flags to facility-level QM count vs. CMS cutoffs | | QM Risk Status Classifier | Model (rules-based) | New | Per-resident QM risk label; every classification traceable to source PCC event | | Resident-Level Fall QM Risk Flag | UI Component | New | Badge in existing patient list; no new page | | Facility QM Summary Card (DON View) | UI Component | New | Role-gated; DON and admin only | | Post-Fall Encounter QM Contextual Alert | Workflow | New | Hooks into existing note generation trigger; surfaces before note is signed | | CMS Five-Star QM Threshold Reference Data | Data Source | New | Versioned internal table; manual update process with alerting | --- ## Success Metrics | Goal | Metric | Target | |---|---|---| | Adoption | Weekly active users (DON + MDS roles) on QM features | ≥70% of target role users at pilot facilities open QM view ≥1× per week within 60 days | | Workflow change | QAPI meeting data sourcing | ≥2 of 3 pilot facility DONs report using Carebrain QM data as primary source in QAPI within 90 days | | Documentation impact | MDS gap closure rate | ≥80% of Carebrain-flagged QM-relevant gaps closed before ARD lock over 2 consecutive MDS cycles | | Speed | Time to QM insight | Users surface current QM risk for a specific resident in ≤60 seconds without leaving Carebrain | | Efficiency | Manual report-pulling reduction | DONs/MDS coordinators report ≥30% less time pulling QM data from external systems (pre/post time-diary study) | | Outcomes | QM score trend | ≥1 of 3 pilot facilities shows measurable improvement on a targeted QM within 6 months (directional signal) | --- ## Business Goals - **New buyer persona, new revenue stream.** QM tracking is purchased by the SNF operator (DON, administrator, regional director) rather than the specialty provider who buys scribe. This opens a facility-side contract alongside the provider-side scribe subscription — consistent with Carebrain's land-on-scribe, upsell-on-clinical-intelligence distribution strategy. - **Pricing model:** Add-on module fee per facility per month ($300–$600/facility/month range, benchmarked against SimpleLTC and PointRight). Multi-facility portfolio tier at premium for regional operators. - **Defensive moat.** A facility deeply integrated with Carebrain for both specialty provider scribe and QM tracking is significantly harder to displace than a facility using Carebrain for scribe alone. QM data accumulates over time; switching cost grows with each MDS cycle of historical data. - **MA contract leverage.** As payers and hospital partners increasingly require outcomes data as a contract condition, Carebrain-generated QM reports become a direct revenue-protection tool for the SNF — increasing perceived value of the platform beyond documentation time savings. --- ## Assumptions | Assumption | Certainty | Validation | |---|---|---| | PCC Marketplace API exposes fall UDA completion events and fall-related ADT data at the item level needed for Section J1900 calculation | 5/10 | Technical spike in week 1 before any pipeline build | | DONs and MDS Coordinators will adopt a Carebrain-native QM view rather than defaulting to SimpleLTC or SNF Metrics Portal | 5/10 | 5 discovery interviews with DONs and MDS coordinators at current Carebrain accounts | | Contextual QM alerts during fall documentation will change charting behavior, not just be dismissed | 6/10 | Prototype and test with 2–3 LNs before full build | | CMS QM definitions are stable enough for the build period — audit last 3 MDS RAI Manual versions to scope maintenance cost | 4/10 | Audit v1.18, v1.19, v1.20.1 change logs for QM-related item changes before committing | | DON/MDS Coordinator has authority to expand Carebrain use without C-suite approval | 6/10 | Ask budget ownership question explicitly in discovery interviews | | Existing Carebrain SNF operator contacts will see QM tracking as a natural platform extension, not a second tool | 6/10 | Present concept to 2–3 existing SNF operator contacts (not specialty providers) | | A workflow-integrated QM UI is meaningfully better than PCC's SNF Metrics Portal — problem is integration and context, not just aesthetics | 7/10 | Comparative usability session: same QM lookup task in PCC vs. Carebrain prototype | --- ## Open Questions 1. Does the PCC Marketplace API expose raw UDA completion events (specifically LN: Physical Functioning Monitoring and LN: Initial Event Documentation) or only aggregate nursing note counts? **Answer required before pipeline build begins.** 2. What is the exact CMS Section J1900 lookback window for the falls-with-major-injury quality measure — and does it differ between short-stay and long-stay QM calculations? Must confirm against MDS 3.0 RAI Manual v1.20.1. 3. Who owns the decision to add a clinical analytics tool at the target SNF accounts — the DON, the administrator, or the corporate operator? Determines whether we can close a pilot conversion at 90 days without a new sales cycle. 4. Are there existing Carebrain accounts where both a specialty provider and a DON are active users? If yes, these are the ideal MVP pilots — warm relationships on both sides of the buyer persona split. 5. Is there a regulatory risk in displaying calculated QM scores to DONs inside a third-party platform if those scores differ from officially submitted iQIES data? Requires legal review before launch. 6. What is the PCC data refresh cadence on the Marketplace API — real-time, hourly, or daily? This determines whether the facility QM summary card can be meaningfully described as 'near-real-time' or needs a different framing. 7. Should the contextual alert fire during any fall documentation encounter or only when the clinician is using Carebrain's AI note generation? Determines whether alert coverage is comprehensive or partial relative to the full LN workflow. Deliver a production-grade initial version that engineers can build on directly. Not a wireframe.40:o4a0,ae:T48f,I'm setting up a fresh Next.js 16 app with shadcn and Tailwind v4 to build the SNF Quality Measure Dashboard, using deep purple as the brand color with Inter typography and a clean white clinical interface. The badge system will use gray for no falls, yellow for one fall or at-risk status, and red for two or more falls or triggered alerts. Now I'm planning out the overall structure. I'll need to set up the root layout with Inter fonts and metadata, add the purple primary color token to globals, create the main dashboard page as a client component orchestrator, then build out the navigation bar with the Carebrain logo, a facility summary card showing QM metrics with a threshold progress bar and 13-week sparkline, a resident table displaying at-risk residents with fall risk badges, a modal for post-fall documentation, reusable badge and sparkline components, and mock data with types and lookback calculation logic. Since this is a single cohesive dashboard, I don't need a separate TodoManager—I'll build it directly. Let me start by configuring the design tokens with Inter font and setting the primary color to purple. Building the data file first...af:Teeda,40:oeeda,[V0_FILE]typescriptreact:file="app/layout.tsx" isMerged="true" import type { Metadata } from 'next' import { Inter } from 'next/font/google' import { Analytics } from '@vercel/analytics/next' import './globals.css' const inter = Inter({ subsets: ['latin'], variable: '--font-inter' }) export const metadata: Metadata = { title: 'QM Tracking — Falls (DON View) | Carebrain', description: 'Surface CMS quality measure risk signals for skilled nursing facilities directly inside the Carebrain clinical workflow — starting with falls.', generator: 'v0.app', icons: { icon: [ { url: '/icon-light-32x32.png', media: '(prefers-color-scheme: light)', }, { url: '/icon-dark-32x32.png', media: '(prefers-color-scheme: dark)', }, { url: '/icon.svg', type: 'image/svg+xml', }, ], apple: '/apple-icon.png', }, } export default function RootLayout({ children, }: Readonly<{ children: React.ReactNode }>) { return ( {children} {process.env.NODE_ENV === 'production' && } ) } [V0_FILE]json:file="package.json" isMerged="true" { "name": "my-project", "version": "0.1.0", "private": true, "scripts": { "dev": "next dev", "build": "next build", "start": "next start", "lint": "eslint ." }, "dependencies": { "@hookform/resolvers": "^3.9.1", "@vercel/analytics": "1.6.1", "@radix-ui/react-accordion": "1.2.12", "@radix-ui/react-alert-dialog": "1.1.15", "@radix-ui/react-aspect-ratio": "1.1.8", "@radix-ui/react-avatar": "1.1.11", "@radix-ui/react-checkbox": "1.3.3", "@radix-ui/react-collapsible": "1.1.12", "@radix-ui/react-context-menu": "2.2.16", "@radix-ui/react-dialog": "1.1.15", "@radix-ui/react-dropdown-menu": "2.1.16", "@radix-ui/react-hover-card": "1.1.15", "@radix-ui/react-label": "2.1.8", "@radix-ui/react-menubar": "1.1.16", "@radix-ui/react-navigation-menu": "1.2.14", "@radix-ui/react-popover": "1.1.15", "@radix-ui/react-progress": "1.1.8", "@radix-ui/react-radio-group": "1.3.8", "@radix-ui/react-scroll-area": "1.2.10", "@radix-ui/react-select": "2.2.6", "@radix-ui/react-separator": "1.1.8", "@radix-ui/react-slider": "1.3.6", "@radix-ui/react-slot": "1.2.4", "@radix-ui/react-switch": "1.2.6", "@radix-ui/react-tabs": "1.1.13", "@radix-ui/react-toast": "1.2.15", "@radix-ui/react-toggle": "1.1.10", "@radix-ui/react-toggle-group": "1.1.11", "@radix-ui/react-tooltip": "1.2.8", "autoprefixer": "^10.4.20", "class-variance-authority": "^0.7.1", "clsx": "^2.1.1", "cmdk": "1.1.1", "date-fns": "4.1.0", "embla-carousel-react": "8.6.0", "input-otp": "1.4.2", "lucide-react": "^0.564.0", "next": "16.2.6", "next-themes": "^0.4.6", "react": "19.2.4", "react-day-picker": "9.13.2", "react-dom": "19.2.4", "react-hook-form": "^7.54.1", "react-resizable-panels": "^2.1.7", "recharts": "2.15.0", "sonner": "^1.7.1", "tailwind-merge": "^3.3.1", "vaul": "^1.1.2", "zod": "^3.24.1", "tailwindcss-animate": "1.0.7" }, "devDependencies": { "@tailwindcss/postcss": "^4.2.0", "@types/node": "^24", "@types/react": "19.2.14", "@types/react-dom": "19.2.3", "postcss": "^8.5", "tailwindcss": "^4.2.0", "tw-animate-css": "1.3.3", "typescript": "5.7.3" } } [V0_FILE]css:file="app/globals.css" isMerged="true" @import 'tailwindcss'; @import 'tw-animate-css'; @custom-variant dark (&:is(.dark *)); :root { --background: oklch(1 0 0); --foreground: oklch(0.21 0.01 285); --card: oklch(1 0 0); --card-foreground: oklch(0.21 0.01 285); --popover: oklch(1 0 0); --popover-foreground: oklch(0.21 0.01 285); /* Carebrain deep purple #9333EA */ --primary: oklch(0.556 0.244 302.9); --primary-foreground: oklch(0.99 0 0); --secondary: oklch(0.968 0.007 300); --secondary-foreground: oklch(0.35 0.15 302); --muted: oklch(0.97 0.003 285); --muted-foreground: oklch(0.5 0.012 285); --accent: oklch(0.965 0.02 302); --accent-foreground: oklch(0.4 0.18 302); --destructive: oklch(0.577 0.245 27.325); --destructive-foreground: oklch(0.99 0 0); --border: oklch(0.918 0.004 285); --input: oklch(0.918 0.004 285); --ring: oklch(0.556 0.244 302.9); /* Clinical fall-risk semantic tokens */ --risk-none: oklch(0.55 0.01 285); --risk-none-bg: oklch(0.968 0.003 285); --risk-warn: oklch(0.55 0.13 75); --risk-warn-bg: oklch(0.965 0.06 90); --risk-danger: oklch(0.55 0.22 27); --risk-danger-bg: oklch(0.968 0.03 25); --risk-ok: oklch(0.52 0.13 155); --risk-ok-bg: oklch(0.96 0.04 160); --chart-1: oklch(0.646 0.222 41.116); --chart-2: oklch(0.6 0.118 184.704); --chart-3: oklch(0.398 0.07 227.392); --chart-4: oklch(0.828 0.189 84.429); --chart-5: oklch(0.769 0.188 70.08); --radius: 0.625rem; --sidebar: oklch(0.985 0 0); --sidebar-foreground: oklch(0.145 0 0); --sidebar-primary: oklch(0.205 0 0); --sidebar-primary-foreground: oklch(0.985 0 0); --sidebar-accent: oklch(0.97 0 0); --sidebar-accent-foreground: oklch(0.205 0 0); --sidebar-border: oklch(0.922 0 0); --sidebar-ring: oklch(0.708 0 0); } .dark { --background: oklch(0.145 0 0); --foreground: oklch(0.985 0 0); --card: oklch(0.145 0 0); --card-foreground: oklch(0.985 0 0); --popover: oklch(0.145 0 0); --popover-foreground: oklch(0.985 0 0); --primary: oklch(0.985 0 0); --primary-foreground: oklch(0.205 0 0); --secondary: oklch(0.269 0 0); --secondary-foreground: oklch(0.985 0 0); --muted: oklch(0.269 0 0); --muted-foreground: oklch(0.708 0 0); --accent: oklch(0.269 0 0); --accent-foreground: oklch(0.985 0 0); --destructive: oklch(0.396 0.141 25.723); --destructive-foreground: oklch(0.637 0.237 25.331); --border: oklch(0.269 0 0); --input: oklch(0.269 0 0); --ring: oklch(0.439 0 0); --chart-1: oklch(0.488 0.243 264.376); --chart-2: oklch(0.696 0.17 162.48); --chart-3: oklch(0.769 0.188 70.08); --chart-4: oklch(0.627 0.265 303.9); --chart-5: oklch(0.645 0.246 16.439); --sidebar: oklch(0.205 0 0); --sidebar-foreground: oklch(0.985 0 0); --sidebar-primary: oklch(0.488 0.243 264.376); --sidebar-primary-foreground: oklch(0.985 0 0); --sidebar-accent: oklch(0.269 0 0); --sidebar-accent-foreground: oklch(0.985 0 0); --sidebar-border: oklch(0.269 0 0); --sidebar-ring: oklch(0.439 0 0); } @theme inline { --font-sans: var(--font-inter), 'Inter', ui-sans-serif, system-ui, sans-serif; --font-mono: 'Geist Mono', 'Geist Mono Fallback'; --color-risk-none: var(--risk-none); --color-risk-none-bg: var(--risk-none-bg); --color-risk-warn: var(--risk-warn); --color-risk-warn-bg: var(--risk-warn-bg); --color-risk-danger: var(--risk-danger); --color-risk-danger-bg: var(--risk-danger-bg); --color-risk-ok: var(--risk-ok); --color-risk-ok-bg: var(--risk-ok-bg); --color-background: var(--background); --color-foreground: var(--foreground); --color-card: var(--card); --color-card-foreground: var(--card-foreground); --color-popover: var(--popover); --color-popover-foreground: var(--popover-foreground); --color-primary: var(--primary); --color-primary-foreground: var(--primary-foreground); --color-secondary: var(--secondary); --color-secondary-foreground: var(--secondary-foreground); --color-muted: var(--muted); --color-muted-foreground: var(--muted-foreground); --color-accent: var(--accent); --color-accent-foreground: var(--accent-foreground); --color-destructive: var(--destructive); --color-destructive-foreground: var(--destructive-foreground); --color-border: var(--border); --color-input: var(--input); --color-ring: var(--ring); --color-chart-1: var(--chart-1); --color-chart-2: var(--chart-2); --color-chart-3: var(--chart-3); --color-chart-4: var(--chart-4); --color-chart-5: var(--chart-5); --radius-sm: calc(var(--radius) - 4px); --radius-md: calc(var(--radius) - 2px); --radius-lg: var(--radius); --radius-xl: calc(var(--radius) + 4px); --color-sidebar: var(--sidebar); --color-sidebar-foreground: var(--sidebar-foreground); --color-sidebar-primary: var(--sidebar-primary); --color-sidebar-primary-foreground: var(--sidebar-primary-foreground); --color-sidebar-accent: var(--sidebar-accent); --color-sidebar-accent-foreground: var(--sidebar-accent-foreground); --color-sidebar-border: var(--sidebar-border); --color-sidebar-ring: var(--sidebar-ring); } @layer base { * { @apply border-border outline-ring/50; } body { @apply bg-background text-foreground; } } [V0_FILE]typescript:file="lib/qm-data.ts" isMerged="true" // --------------------------------------------------------------------------- // SNF Quality Measure — Falls domain data layer // // This module models the output of the "Fall QM Lookback Calculation Pipeline" // and the "QM Risk Status Classifier" (rules-based, per CMS RAI Manual Section // J1900 definitions). In production these values arrive from the PCC // Marketplace connection (ADT fall transfers + post-fall UDA completions). // // The classifier here is intentionally deterministic and auditable: every risk // label is a pure function of the resident's fall event dates and the CMS // lookback window. No ML — the regulatory requirement is traceability. // --------------------------------------------------------------------------- /** CMS Section J1900 falls-with-major-injury lookback window, in days. */ export const LOOKBACK_WINDOW_DAYS = 31 /** * "Today" anchor for the demo so the deterministic classifier produces stable * output. In production this is simply `new Date()`. */ export const TODAY = new Date("2026-06-11T09:00:00") export type RiskLevel = "none" | "at-risk" | "triggered" export type FallEventSource = "ADT" | "Post-Fall UDA" | "eINTERACT" export interface FallEvent { /** ISO date of the fall event. */ date: string /** Which PCC data object surfaced this event. */ source: FallEventSource /** Whether the fall resulted in a major injury (drives the QM numerator). */ majorInjury: boolean /** Section J1900 documentation completion status. */ j1900Complete: boolean note: string } export interface Resident { id: string name: string room: string unit: string ageSex: string admitType: "Short Stay" | "Long Stay" falls: FallEvent[] } export interface ClassifiedResident extends Resident { /** Falls that fall inside the current lookback window. */ fallsInLookback: FallEvent[] riskLevel: RiskLevel /** ISO date of the most recent fall (any time), if any. */ lastFallDate: string | null /** * Days until the earliest in-window fall ages out of the lookback window. * `null` when the resident has no in-window falls. */ lookbackDaysRemaining: number | null /** Whether any in-window fall involved a major injury. */ hasMajorInjuryInLookback: boolean } // --------------------------------------------------------------------------- // Classifier (rules-based, Section J1900) // --------------------------------------------------------------------------- function daysBetween(a: Date, b: Date): number { return Math.floor((a.getTime() - b.getTime()) / (1000 * 60 * 60 * 24)) } export function classifyResident( resident: Resident, today: Date = TODAY, ): ClassifiedResident { const windowStart = new Date(today) windowStart.setDate(windowStart.getDate() - LOOKBACK_WINDOW_DAYS) const fallsInLookback = resident.falls .filter((f) => { const d = new Date(f.date) return d >= windowStart && d <= today }) .sort((a, b) => new Date(a.date).getTime() - new Date(b.date).getTime()) const allFallsSorted = [...resident.falls].sort( (a, b) => new Date(b.date).getTime() - new Date(a.date).getTime(), ) const lastFallDate = allFallsSorted[0]?.date ?? null let riskLevel: RiskLevel = "none" if (fallsInLookback.length >= 2) riskLevel = "triggered" else if (fallsInLookback.length === 1) riskLevel = "at-risk" // The earliest in-window fall is the one that will age out first; when it // does, the resident's in-window count drops. let lookbackDaysRemaining: number | null = null if (fallsInLookback.length > 0) { const earliest = new Date(fallsInLookback[0].date) const ageOut = new Date(earliest) ageOut.setDate(ageOut.getDate() + LOOKBACK_WINDOW_DAYS) lookbackDaysRemaining = Math.max(0, daysBetween(ageOut, today)) } const hasMajorInjuryInLookback = fallsInLookback.some((f) => f.majorInjury) return { ...resident, fallsInLookback, riskLevel, lastFallDate, lookbackDaysRemaining, hasMajorInjuryInLookback, } } // --------------------------------------------------------------------------- // Five-Star QM Threshold Comparator // --------------------------------------------------------------------------- export type FacilityQmStatus = "on-track" | "at-risk" | "exceeding" export interface FacilityQmSummary { measureName: string /** Facility-level count of falls-with-major-injury in the lookback window. */ currentCount: number /** At-risk residents (exactly 1 fall in lookback). */ atRiskResidentCount: number /** CMS Five-Star cutoff for this measure (from reference data). */ fiveStarThreshold: number status: FacilityQmStatus /** 13-week trend of the measure count (oldest → newest). */ trend: number[] lastSyncedAt: string raiManualVersion: string } export function comparToThreshold( count: number, threshold: number, ): FacilityQmStatus { if (count >= threshold) return "exceeding" if (count >= threshold - 1) return "at-risk" return "on-track" } // --------------------------------------------------------------------------- // Mock roster (stands in for the PCC Marketplace pull) // --------------------------------------------------------------------------- export const RESIDENTS: Resident[] = [ { id: "r-214", name: "Margaret Chen", room: "214", unit: "North", ageSex: "82 F", admitType: "Long Stay", falls: [ { date: "2026-05-24", source: "Post-Fall UDA", majorInjury: false, j1900Complete: true, note: "Unwitnessed fall in bathroom. No fracture on imaging.", }, ], }, { id: "r-118", name: "Robert Alvarez", room: "118", unit: "South", ageSex: "76 M", admitType: "Short Stay", falls: [ { date: "2026-05-20", source: "ADT", majorInjury: true, j1900Complete: true, note: "Fall with hip fracture. Transferred out via Quick ADT, returned.", }, { date: "2026-06-07", source: "Post-Fall UDA", majorInjury: true, j1900Complete: false, note: "Second fall, head laceration. J1900 pending completion.", }, ], }, { id: "r-330", name: "Dorothy Washington", room: "330", unit: "Memory Care", ageSex: "88 F", admitType: "Long Stay", falls: [ { date: "2026-05-31", source: "eINTERACT", majorInjury: false, j1900Complete: true, note: "Stop & Watch flag → witnessed near-fall, lowered to floor.", }, ], }, { id: "r-207", name: "James O'Brien", room: "207", unit: "North", ageSex: "79 M", admitType: "Long Stay", falls: [ { date: "2026-05-18", source: "Post-Fall UDA", majorInjury: false, j1900Complete: true, note: "Slid from wheelchair. No injury.", }, { date: "2026-06-02", source: "ADT", majorInjury: true, j1900Complete: true, note: "Fall with major injury — humerus fracture. ED transfer.", }, ], }, { id: "r-142", name: "Helen Nakamura", room: "142", unit: "South", ageSex: "84 F", admitType: "Short Stay", falls: [ { date: "2026-06-05", source: "Post-Fall UDA", majorInjury: false, j1900Complete: true, note: "Fall during PT transfer training. No injury.", }, ], }, { id: "r-225", name: "Frank Delgado", room: "225", unit: "North", ageSex: "71 M", admitType: "Long Stay", falls: [ { date: "2026-03-02", source: "ADT", majorInjury: false, j1900Complete: true, note: "Prior fall — aged out of current lookback window.", }, ], }, { id: "r-101", name: "Gloria Simmons", room: "101", unit: "South", ageSex: "90 F", admitType: "Long Stay", falls: [], }, { id: "r-318", name: "Walter Kowalski", room: "318", unit: "Memory Care", ageSex: "85 M", admitType: "Long Stay", falls: [ { date: "2026-05-28", source: "eINTERACT", majorInjury: false, j1900Complete: false, note: "Stop & Watch: unsteady gait, one fall. J1900 pending.", }, ], }, ] export function getClassifiedRoster(today: Date = TODAY): ClassifiedResident[] { return RESIDENTS.map((r) => classifyResident(r, today)) } export function getFacilitySummary( roster: ClassifiedResident[], ): FacilityQmSummary { const currentCount = roster.filter((r) => r.hasMajorInjuryInLookback).length const atRiskResidentCount = roster.filter( (r) => r.riskLevel === "at-risk", ).length const fiveStarThreshold = 3 // CMS Five-Star cutoff (reference data, v1.20.1) return { measureName: "Falls with Major Injury (Long Stay)", currentCount, atRiskResidentCount, fiveStarThreshold, status: comparToThreshold(currentCount, fiveStarThreshold), // 13-week trend of the measure count (oldest → newest). trend: [1, 1, 2, 2, 1, 2, 3, 2, 2, 3, 3, 4, currentCount], lastSyncedAt: "2026-06-11T08:42:00", raiManualVersion: "MDS 3.0 RAI Manual v1.20.1", } } // --------------------------------------------------------------------------- // Presentation helpers // --------------------------------------------------------------------------- export const RISK_META: Record< RiskLevel, { label: string; short: string; description: string } > = { none: { label: "No falls in window", short: "Clear", description: "No falls recorded in the current lookback window.", }, "at-risk": { label: "At risk — 1 fall", short: "At Risk", description: "One fall in the lookback window. A second fall will count toward the QM.", }, triggered: { label: "QM triggered — 2+ falls", short: "Triggered", description: "Two or more falls in the lookback window. Counts toward the QM.", }, } export function formatDate(iso: string | null): string { if (!iso) return "—" return new Date(iso).toLocaleDateString("en-US", { month: "short", day: "numeric", year: "numeric", }) } export function formatDateTime(iso: string): string { return new Date(iso).toLocaleString("en-US", { month: "short", day: "numeric", hour: "numeric", minute: "2-digit", }) } [V0_FILE]typescriptreact:file="components/qm/sparkline.tsx" isMerged="true" interface SparklineProps { data: number[] /** Threshold line drawn across the chart, in data units. */ threshold?: number width?: number height?: number className?: string } /** * Lightweight inline SVG sparkline — no chart library needed for a 13-point * trend. Renders an area fill, the trend line, an end-point marker, and an * optional dashed threshold line. */ export function Sparkline({ data, threshold, width = 220, height = 56, className, }: SparklineProps) { if (data.length === 0) return null const pad = 4 const max = Math.max(...data, threshold ?? 0) const min = Math.min(...data, 0) const range = max - min || 1 const stepX = (width - pad * 2) / (data.length - 1 || 1) const scaleY = (v: number) => height - pad - ((v - min) / range) * (height - pad * 2) const points = data.map((v, i) => ({ x: pad + i * stepX, y: scaleY(v), })) const linePath = points .map((p, i) => `${i === 0 ? "M" : "L"}${p.x.toFixed(1)},${p.y.toFixed(1)}`) .join(" ") const areaPath = `${linePath} L${points[points.length - 1].x.toFixed(1)},${height - pad} ` + `L${points[0].x.toFixed(1)},${height - pad} Z` const last = points[points.length - 1] const thresholdY = threshold != null ? scaleY(threshold) : null return ( ) } [V0_FILE]typescriptreact:file="components/qm/fall-risk-badge.tsx" isMerged="true" import { cn } from "@/lib/utils" import { RISK_META, type RiskLevel } from "@/lib/qm-data" const STYLES: Record = { none: "bg-risk-none-bg text-risk-none ring-1 ring-inset ring-risk-none/20", "at-risk": "bg-risk-warn-bg text-risk-warn ring-1 ring-inset ring-risk-warn/30", triggered: "bg-risk-danger-bg text-risk-danger ring-1 ring-inset ring-risk-danger/30", } const DOT: Record = { none: "bg-risk-none", "at-risk": "bg-risk-warn", triggered: "bg-risk-danger", } export function FallRiskBadge({ level, className, }: { level: RiskLevel className?: string }) { const meta = RISK_META[level] return ( {meta.short} ) } [V0_FILE]typescriptreact:file="components/qm/top-nav.tsx" isMerged="true" "use client" import { ChevronDown, RefreshCw } from "lucide-react" import { Button } from "@/components/ui/button" import { DropdownMenu, DropdownMenuContent, DropdownMenuItem, DropdownMenuLabel, DropdownMenuSeparator, DropdownMenuRadioGroup, DropdownMenuRadioItem, DropdownMenuTrigger, } from "@/components/ui/dropdown-menu" export type Role = "DON" | "MDS Coordinator" | "Licensed Nurse" function CarebrainLogo() { return (

Carebrain

) } export function TopNav({ role, onRoleChange, onSync, syncing, }: { role: Role onRoleChange: (r: Role) => void onSync: () => void syncing: boolean }) { return (

Quality Measures

View as role onRoleChange(v as Role)} > Director of Nursing MDS Coordinator Licensed Nurse

) } [V0_FILE]typescriptreact:file="components/qm/facility-summary-card.tsx" isMerged="true" "use client" import { AlertTriangle, CheckCircle2, Info, TrendingUp } from "lucide-react" import { cn } from "@/lib/utils" import { Card } from "@/components/ui/card" import { Sparkline } from "./sparkline" import { type FacilityQmStatus, type FacilityQmSummary, formatDateTime, } from "@/lib/qm-data" const STATUS_META: Record< FacilityQmStatus, { label: string; className: string; icon: typeof Info } > = { "on-track": { label: "On Track", className: "bg-risk-ok-bg text-risk-ok ring-risk-ok/30", icon: CheckCircle2, }, "at-risk": { label: "At Risk", className: "bg-risk-warn-bg text-risk-warn ring-risk-warn/30", icon: AlertTriangle, }, exceeding: { label: "Exceeding Threshold", className: "bg-risk-danger-bg text-risk-danger ring-risk-danger/30", icon: AlertTriangle, }, } export function FacilitySummaryCard({ summary }: { summary: FacilityQmSummary }) { const status = STATUS_META[summary.status] const StatusIcon = status.icon const pct = Math.min( 100, Math.round((summary.currentCount / summary.fiveStarThreshold) * 100), ) const overThreshold = summary.currentCount >= summary.fiveStarThreshold return (

{/* Left: measure status */}

Facility QM Summary

{summary.measureName}

{status.label}

{summary.currentCount} in lookback

{summary.atRiskResidentCount} resident {summary.atRiskResidentCount === 1 ? "" : "s"} at risk of QM count

{/* Five-Star threshold progress */}

Five-Star threshold {summary.currentCount} / {summary.fiveStarThreshold} cutoff

{overThreshold ? "At or above the CMS cutoff — measure is being triggered." : `${summary.fiveStarThreshold - summary.currentCount} more major-injury fall${ summary.fiveStarThreshold - summary.currentCount === 1 ? "" : "s" } would cross the cutoff.`}

{/* Right: trend */}

13-week trend

measure count / wk

count threshold

Synced from PCC {formatDateTime(summary.lastSyncedAt)} ·{" "} {summary.raiManualVersion}

) } [V0_FILE]typescriptreact:file="components/qm/contextual-alert-dialog.tsx" isMerged="true" "use client" import { AlertTriangle, FileWarning, ShieldAlert, X } from "lucide-react" import { Button } from "@/components/ui/button" import { Dialog, DialogContent, DialogFooter, DialogHeader, DialogTitle, } from "@/components/ui/dialog" import { cn } from "@/lib/utils" import { type ClassifiedResident, LOOKBACK_WINDOW_DAYS, formatDate, } from "@/lib/qm-data" /** * Post-Fall Encounter QM Contextual Alert. * * Fires when a clinician initiates a fall-related encounter/note. It tells the * clinician whether this is the resident's 1st or 2nd fall in the lookback * window and the QM implications — before the note is signed. Modeled as a * modal here; in the embedded workflow it appears as an inline banner over the * note generation flow. */ export function ContextualAlertDialog({ resident, open, onOpenChange, }: { resident: ClassifiedResident | null open: boolean onOpenChange: (open: boolean) => void }) { if (!resident) return null // Documenting a *new* fall adds one to the in-window count. const priorInWindow = resident.fallsInLookback.length const willTrigger = priorInWindow >= 1 const ordinal = priorInWindow + 1 const ordinalLabel = ordinal === 1 ? "1st" : ordinal === 2 ? "2nd" : `${ordinal}th` return ( ) } [V0_FILE]typescriptreact:file="components/qm/resident-detail-dialog.tsx" isMerged="true" "use client" import { CalendarClock, FileText, FileWarning, Stethoscope } from "lucide-react" import { Button } from "@/components/ui/button" import { Dialog, DialogContent, DialogDescription, DialogHeader, DialogTitle, } from "@/components/ui/dialog" import { cn } from "@/lib/utils" import { FallRiskBadge } from "./fall-risk-badge" import { type ClassifiedResident, RISK_META, formatDate, } from "@/lib/qm-data" const SOURCE_STYLES: Record = { ADT: "bg-accent text-accent-foreground", "Post-Fall UDA": "bg-secondary text-secondary-foreground", eINTERACT: "bg-muted text-muted-foreground", } export function ResidentDetailDialog({ resident, open, onOpenChange, onDocumentFall, }: { resident: ClassifiedResident | null open: boolean onOpenChange: (open: boolean) => void onDocumentFall: (resident: ClassifiedResident) => void }) { if (!resident) return null const allFalls = [...resident.falls].sort( (a, b) => new Date(b.date).getTime() - new Date(a.date).getTime(), ) return ( ) } function Stat({ label, value }: { label: string; value: string }) { return (

{value}

{label}

) } [V0_FILE]typescriptreact:file="components/qm/resident-table.tsx" isMerged="true" "use client" import { useMemo, useState } from "react" import { AlertCircle, ChevronRight, RefreshCw, Search, Users } from "lucide-react" import { Button } from "@/components/ui/button" import { Input } from "@/components/ui/input" import { Select, SelectContent, SelectItem, SelectTrigger, SelectValue, } from "@/components/ui/select" import { Skeleton } from "@/components/ui/skeleton" import { Table, TableBody, TableCell, TableHead, TableHeader, TableRow, } from "@/components/ui/table" import { Empty, EmptyDescription, EmptyHeader, EmptyMedia, EmptyTitle } from "@/components/ui/empty" import { cn } from "@/lib/utils" import { FallRiskBadge } from "./fall-risk-badge" import { type ClassifiedResident, type RiskLevel, formatDate, } from "@/lib/qm-data" type RiskFilter = "all" | RiskLevel const RISK_ORDER: Record = { triggered: 0, "at-risk": 1, none: 2, } export function ResidentTable({ residents, loading, error, onRetry, onSelect, }: { residents: ClassifiedResident[] loading: boolean error: boolean onRetry: () => void onSelect: (r: ClassifiedResident) => void }) { const [query, setQuery] = useState("") const [filter, setFilter] = useState("all") const filtered = useMemo(() => { return residents .filter((r) => (filter === "all" ? true : r.riskLevel === filter)) .filter((r) => { const q = query.trim().toLowerCase() if (!q) return true return ( r.name.toLowerCase().includes(q) || r.room.toLowerCase().includes(q) || r.unit.toLowerCase().includes(q) ) }) .sort((a, b) => { if (RISK_ORDER[a.riskLevel] !== RISK_ORDER[b.riskLevel]) { return RISK_ORDER[a.riskLevel] - RISK_ORDER[b.riskLevel] } return (a.lookbackDaysRemaining ?? 999) - (b.lookbackDaysRemaining ?? 999) }) }, [residents, query, filter]) return (

{/* Header + controls */}

At-risk resident list

Fall QM risk by resident · Section J1900 lookback

setQuery(e.target.value)} placeholder="Search name or room…" className="h-11 pl-9 sm:h-9 sm:w-56" aria-label="Search residents" />

{/* Body */} {error ? (

Couldn't load QM data The PCC Marketplace sync failed. Resident fall data may be stale.

) : loading ? ( ) : filtered.length === 0 ? (

No matching residents {query || filter !== "all" ? "Try clearing your search or risk filter." : "No residents in this facility yet."} {(query || filter !== "all") && ( )}

) : ( <> {/* Desktop table */}

Resident Room Fall risk Last fall Lookback left {filtered.map((r) => ( onSelect(r)} tabIndex={0} onKeyDown={(e) => { if (e.key === "Enter" || e.key === " ") { e.preventDefault() onSelect(r) } }} className="cursor-pointer focus-visible:bg-accent/50 focus-visible:outline-none" >

{r.name}

{r.unit} · {r.ageSex}

{r.room} {formatDate(r.lastFallDate)} ))}

{/* Mobile cards */}

)}

) } function LookbackChip({ resident }: { resident: ClassifiedResident }) { if (resident.lookbackDaysRemaining == null) { return — } const urgent = resident.lookbackDaysRemaining <= 10 return ( {resident.lookbackDaysRemaining}d left ) } function LoadingRows() { return (

{Array.from({ length: 6 }).map((_, i) => (

))}

) } [V0_FILE]typescriptreact:file="app/page.tsx" "use client" import { useCallback, useEffect, useMemo, useState } from "react" import { Lock } from "lucide-react" import { TopNav, type Role } from "@/components/qm/top-nav" import { FacilitySummaryCard } from "@/components/qm/facility-summary-card" import { ResidentTable } from "@/components/qm/resident-table" import { ResidentDetailDialog } from "@/components/qm/resident-detail-dialog" import { ContextualAlertDialog } from "@/components/qm/contextual-alert-dialog" import { Skeleton } from "@/components/ui/skeleton" import { type ClassifiedResident, getClassifiedRoster, getFacilitySummary, } from "@/lib/qm-data" const ROLES_WITH_FACILITY_VIEW: Role[] = ["DON"] export default function QmDashboardPage() { const [role, setRole] = useState("DON") const [loading, setLoading] = useState(true) const [error, setError] = useState(false) const [syncing, setSyncing] = useState(false) const [selected, setSelected] = useState(null) const [detailOpen, setDetailOpen] = useState(false) const [alertResident, setAlertResident] = useState( null, ) const [alertOpen, setAlertOpen] = useState(false) const roster = useMemo(() => getClassifiedRoster(), []) const summary = useMemo(() => getFacilitySummary(roster), [roster]) // Simulate the initial PCC data sync. useEffect(() => { const t = setTimeout(() => setLoading(false), 900) return () => clearTimeout(t) }, []) const handleSync = useCallback(() => { setSyncing(true) setError(false) setLoading(true) setTimeout(() => { setSyncing(false) setLoading(false) }, 1100) }, []) const openDetail = useCallback((r: ClassifiedResident) => { setSelected(r) setDetailOpen(true) }, []) const startDocumentation = useCallback((r: ClassifiedResident) => { setDetailOpen(false) // Hand off from the detail view into the contextual documentation alert. setTimeout(() => { setAlertResident(r) setAlertOpen(true) }, 150) }, []) const canSeeFacilityView = ROLES_WITH_FACILITY_VIEW.includes(role) return (

SNF Quality Measure Dashboard — Falls

{role === "DON" ? "Director of Nursing view · falls-with-major-injury risk, live from PCC." : role === "MDS Coordinator" ? "MDS Coordinator view · resident-level fall QM risk and J1900 gaps." : "Licensed Nurse view · resident fall risk surfaced in your workflow."}

{/* Facility QM Summary Card — role-gated to DON / administrator */}

{loading ? ( ) : canSeeFacilityView ? ( ) : (

Facility-level QM aggregate is restricted to Director of Nursing and administrator roles. Your resident-level view is below.

)}

{/* At-Risk Resident List */}

Risk labels are computed deterministically from PCC fall events per CMS RAI Manual Section J1900 (31-day lookback). Every classification is traceable to a source ADT or UDA event.

) }40:o9,b0:Teeda,40:oeeda,[V0_FILE]typescriptreact:file="app/layout.tsx" isMerged="true" import type { Metadata } from 'next' import { Inter } from 'next/font/google' import { Analytics } from '@vercel/analytics/next' import './globals.css' const inter = Inter({ subsets: ['latin'], variable: '--font-inter' }) export const metadata: Metadata = { title: 'QM Tracking — Falls (DON View) | Carebrain', description: 'Surface CMS quality measure risk signals for skilled nursing facilities directly inside the Carebrain clinical workflow — starting with falls.', generator: 'v0.app', icons: { icon: [ { url: '/icon-light-32x32.png', media: '(prefers-color-scheme: light)', }, { url: '/icon-dark-32x32.png', media: '(prefers-color-scheme: dark)', }, { url: '/icon.svg', type: 'image/svg+xml', }, ], apple: '/apple-icon.png', }, } export default function RootLayout({ children, }: Readonly<{ children: React.ReactNode }>) { return ( {children} {process.env.NODE_ENV === 'production' && } ) } [V0_FILE]json:file="package.json" isMerged="true" { "name": "my-project", "version": "0.1.0", "private": true, "scripts": { "dev": "next dev", "build": "next build", "start": "next start", "lint": "eslint ." }, "dependencies": { "@hookform/resolvers": "^3.9.1", "@vercel/analytics": "1.6.1", "@radix-ui/react-accordion": "1.2.12", "@radix-ui/react-alert-dialog": "1.1.15", "@radix-ui/react-aspect-ratio": "1.1.8", "@radix-ui/react-avatar": "1.1.11", "@radix-ui/react-checkbox": "1.3.3", "@radix-ui/react-collapsible": "1.1.12", "@radix-ui/react-context-menu": "2.2.16", "@radix-ui/react-dialog": "1.1.15", "@radix-ui/react-dropdown-menu": "2.1.16", "@radix-ui/react-hover-card": "1.1.15", "@radix-ui/react-label": "2.1.8", "@radix-ui/react-menubar": "1.1.16", "@radix-ui/react-navigation-menu": "1.2.14", "@radix-ui/react-popover": "1.1.15", "@radix-ui/react-progress": "1.1.8", "@radix-ui/react-radio-group": "1.3.8", "@radix-ui/react-scroll-area": "1.2.10", "@radix-ui/react-select": "2.2.6", "@radix-ui/react-separator": "1.1.8", "@radix-ui/react-slider": "1.3.6", "@radix-ui/react-slot": "1.2.4", "@radix-ui/react-switch": "1.2.6", "@radix-ui/react-tabs": "1.1.13", "@radix-ui/react-toast": "1.2.15", "@radix-ui/react-toggle": "1.1.10", "@radix-ui/react-toggle-group": "1.1.11", "@radix-ui/react-tooltip": "1.2.8", "autoprefixer": "^10.4.20", "class-variance-authority": "^0.7.1", "clsx": "^2.1.1", "cmdk": "1.1.1", "date-fns": "4.1.0", "embla-carousel-react": "8.6.0", "input-otp": "1.4.2", "lucide-react": "^0.564.0", "next": "16.2.6", "next-themes": "^0.4.6", "react": "19.2.4", "react-day-picker": "9.13.2", "react-dom": "19.2.4", "react-hook-form": "^7.54.1", "react-resizable-panels": "^2.1.7", "recharts": "2.15.0", "sonner": "^1.7.1", "tailwind-merge": "^3.3.1", "vaul": "^1.1.2", "zod": "^3.24.1", "tailwindcss-animate": "1.0.7" }, "devDependencies": { "@tailwindcss/postcss": "^4.2.0", "@types/node": "^24", "@types/react": "19.2.14", "@types/react-dom": "19.2.3", "postcss": "^8.5", "tailwindcss": "^4.2.0", "tw-animate-css": "1.3.3", "typescript": "5.7.3" } } [V0_FILE]css:file="app/globals.css" isMerged="true" @import 'tailwindcss'; @import 'tw-animate-css'; @custom-variant dark (&:is(.dark *)); :root { --background: oklch(1 0 0); --foreground: oklch(0.21 0.01 285); --card: oklch(1 0 0); --card-foreground: oklch(0.21 0.01 285); --popover: oklch(1 0 0); --popover-foreground: oklch(0.21 0.01 285); /* Carebrain deep purple #9333EA */ --primary: oklch(0.556 0.244 302.9); --primary-foreground: oklch(0.99 0 0); --secondary: oklch(0.968 0.007 300); --secondary-foreground: oklch(0.35 0.15 302); --muted: oklch(0.97 0.003 285); --muted-foreground: oklch(0.5 0.012 285); --accent: oklch(0.965 0.02 302); --accent-foreground: oklch(0.4 0.18 302); --destructive: oklch(0.577 0.245 27.325); --destructive-foreground: oklch(0.99 0 0); --border: oklch(0.918 0.004 285); --input: oklch(0.918 0.004 285); --ring: oklch(0.556 0.244 302.9); /* Clinical fall-risk semantic tokens */ --risk-none: oklch(0.55 0.01 285); --risk-none-bg: oklch(0.968 0.003 285); --risk-warn: oklch(0.55 0.13 75); --risk-warn-bg: oklch(0.965 0.06 90); --risk-danger: oklch(0.55 0.22 27); --risk-danger-bg: oklch(0.968 0.03 25); --risk-ok: oklch(0.52 0.13 155); --risk-ok-bg: oklch(0.96 0.04 160); --chart-1: oklch(0.646 0.222 41.116); --chart-2: oklch(0.6 0.118 184.704); --chart-3: oklch(0.398 0.07 227.392); --chart-4: oklch(0.828 0.189 84.429); --chart-5: oklch(0.769 0.188 70.08); --radius: 0.625rem; --sidebar: oklch(0.985 0 0); --sidebar-foreground: oklch(0.145 0 0); --sidebar-primary: oklch(0.205 0 0); --sidebar-primary-foreground: oklch(0.985 0 0); --sidebar-accent: oklch(0.97 0 0); --sidebar-accent-foreground: oklch(0.205 0 0); --sidebar-border: oklch(0.922 0 0); --sidebar-ring: oklch(0.708 0 0); } .dark { --background: oklch(0.145 0 0); --foreground: oklch(0.985 0 0); --card: oklch(0.145 0 0); --card-foreground: oklch(0.985 0 0); --popover: oklch(0.145 0 0); --popover-foreground: oklch(0.985 0 0); --primary: oklch(0.985 0 0); --primary-foreground: oklch(0.205 0 0); --secondary: oklch(0.269 0 0); --secondary-foreground: oklch(0.985 0 0); --muted: oklch(0.269 0 0); --muted-foreground: oklch(0.708 0 0); --accent: oklch(0.269 0 0); --accent-foreground: oklch(0.985 0 0); --destructive: oklch(0.396 0.141 25.723); --destructive-foreground: oklch(0.637 0.237 25.331); --border: oklch(0.269 0 0); --input: oklch(0.269 0 0); --ring: oklch(0.439 0 0); --chart-1: oklch(0.488 0.243 264.376); --chart-2: oklch(0.696 0.17 162.48); --chart-3: oklch(0.769 0.188 70.08); --chart-4: oklch(0.627 0.265 303.9); --chart-5: oklch(0.645 0.246 16.439); --sidebar: oklch(0.205 0 0); --sidebar-foreground: oklch(0.985 0 0); --sidebar-primary: oklch(0.488 0.243 264.376); --sidebar-primary-foreground: oklch(0.985 0 0); --sidebar-accent: oklch(0.269 0 0); --sidebar-accent-foreground: oklch(0.985 0 0); --sidebar-border: oklch(0.269 0 0); --sidebar-ring: oklch(0.439 0 0); } @theme inline { --font-sans: var(--font-inter), 'Inter', ui-sans-serif, system-ui, sans-serif; --font-mono: 'Geist Mono', 'Geist Mono Fallback'; --color-risk-none: var(--risk-none); --color-risk-none-bg: var(--risk-none-bg); --color-risk-warn: var(--risk-warn); --color-risk-warn-bg: var(--risk-warn-bg); --color-risk-danger: var(--risk-danger); --color-risk-danger-bg: var(--risk-danger-bg); --color-risk-ok: var(--risk-ok); --color-risk-ok-bg: var(--risk-ok-bg); --color-background: var(--background); --color-foreground: var(--foreground); --color-card: var(--card); --color-card-foreground: var(--card-foreground); --color-popover: var(--popover); --color-popover-foreground: var(--popover-foreground); --color-primary: var(--primary); --color-primary-foreground: var(--primary-foreground); --color-secondary: var(--secondary); --color-secondary-foreground: var(--secondary-foreground); --color-muted: var(--muted); --color-muted-foreground: var(--muted-foreground); --color-accent: var(--accent); --color-accent-foreground: var(--accent-foreground); --color-destructive: var(--destructive); --color-destructive-foreground: var(--destructive-foreground); --color-border: var(--border); --color-input: var(--input); --color-ring: var(--ring); --color-chart-1: var(--chart-1); --color-chart-2: var(--chart-2); --color-chart-3: var(--chart-3); --color-chart-4: var(--chart-4); --color-chart-5: var(--chart-5); --radius-sm: calc(var(--radius) - 4px); --radius-md: calc(var(--radius) - 2px); --radius-lg: var(--radius); --radius-xl: calc(var(--radius) + 4px); --color-sidebar: var(--sidebar); --color-sidebar-foreground: var(--sidebar-foreground); --color-sidebar-primary: var(--sidebar-primary); --color-sidebar-primary-foreground: var(--sidebar-primary-foreground); --color-sidebar-accent: var(--sidebar-accent); --color-sidebar-accent-foreground: var(--sidebar-accent-foreground); --color-sidebar-border: var(--sidebar-border); --color-sidebar-ring: var(--sidebar-ring); } @layer base { * { @apply border-border outline-ring/50; } body { @apply bg-background text-foreground; } } [V0_FILE]typescript:file="lib/qm-data.ts" isMerged="true" // --------------------------------------------------------------------------- // SNF Quality Measure — Falls domain data layer // // This module models the output of the "Fall QM Lookback Calculation Pipeline" // and the "QM Risk Status Classifier" (rules-based, per CMS RAI Manual Section // J1900 definitions). In production these values arrive from the PCC // Marketplace connection (ADT fall transfers + post-fall UDA completions). // // The classifier here is intentionally deterministic and auditable: every risk // label is a pure function of the resident's fall event dates and the CMS // lookback window. No ML — the regulatory requirement is traceability. // --------------------------------------------------------------------------- /** CMS Section J1900 falls-with-major-injury lookback window, in days. */ export const LOOKBACK_WINDOW_DAYS = 31 /** * "Today" anchor for the demo so the deterministic classifier produces stable * output. In production this is simply `new Date()`. */ export const TODAY = new Date("2026-06-11T09:00:00") export type RiskLevel = "none" | "at-risk" | "triggered" export type FallEventSource = "ADT" | "Post-Fall UDA" | "eINTERACT" export interface FallEvent { /** ISO date of the fall event. */ date: string /** Which PCC data object surfaced this event. */ source: FallEventSource /** Whether the fall resulted in a major injury (drives the QM numerator). */ majorInjury: boolean /** Section J1900 documentation completion status. */ j1900Complete: boolean note: string } export interface Resident { id: string name: string room: string unit: string ageSex: string admitType: "Short Stay" | "Long Stay" falls: FallEvent[] } export interface ClassifiedResident extends Resident { /** Falls that fall inside the current lookback window. */ fallsInLookback: FallEvent[] riskLevel: RiskLevel /** ISO date of the most recent fall (any time), if any. */ lastFallDate: string | null /** * Days until the earliest in-window fall ages out of the lookback window. * `null` when the resident has no in-window falls. */ lookbackDaysRemaining: number | null /** Whether any in-window fall involved a major injury. */ hasMajorInjuryInLookback: boolean } // --------------------------------------------------------------------------- // Classifier (rules-based, Section J1900) // --------------------------------------------------------------------------- function daysBetween(a: Date, b: Date): number { return Math.floor((a.getTime() - b.getTime()) / (1000 * 60 * 60 * 24)) } export function classifyResident( resident: Resident, today: Date = TODAY, ): ClassifiedResident { const windowStart = new Date(today) windowStart.setDate(windowStart.getDate() - LOOKBACK_WINDOW_DAYS) const fallsInLookback = resident.falls .filter((f) => { const d = new Date(f.date) return d >= windowStart && d <= today }) .sort((a, b) => new Date(a.date).getTime() - new Date(b.date).getTime()) const allFallsSorted = [...resident.falls].sort( (a, b) => new Date(b.date).getTime() - new Date(a.date).getTime(), ) const lastFallDate = allFallsSorted[0]?.date ?? null let riskLevel: RiskLevel = "none" if (fallsInLookback.length >= 2) riskLevel = "triggered" else if (fallsInLookback.length === 1) riskLevel = "at-risk" // The earliest in-window fall is the one that will age out first; when it // does, the resident's in-window count drops. let lookbackDaysRemaining: number | null = null if (fallsInLookback.length > 0) { const earliest = new Date(fallsInLookback[0].date) const ageOut = new Date(earliest) ageOut.setDate(ageOut.getDate() + LOOKBACK_WINDOW_DAYS) lookbackDaysRemaining = Math.max(0, daysBetween(ageOut, today)) } const hasMajorInjuryInLookback = fallsInLookback.some((f) => f.majorInjury) return { ...resident, fallsInLookback, riskLevel, lastFallDate, lookbackDaysRemaining, hasMajorInjuryInLookback, } } // --------------------------------------------------------------------------- // Five-Star QM Threshold Comparator // --------------------------------------------------------------------------- export type FacilityQmStatus = "on-track" | "at-risk" | "exceeding" export interface FacilityQmSummary { measureName: string /** Facility-level count of falls-with-major-injury in the lookback window. */ currentCount: number /** At-risk residents (exactly 1 fall in lookback). */ atRiskResidentCount: number /** CMS Five-Star cutoff for this measure (from reference data). */ fiveStarThreshold: number status: FacilityQmStatus /** 13-week trend of the measure count (oldest → newest). */ trend: number[] lastSyncedAt: string raiManualVersion: string } export function comparToThreshold( count: number, threshold: number, ): FacilityQmStatus { if (count >= threshold) return "exceeding" if (count >= threshold - 1) return "at-risk" return "on-track" } // --------------------------------------------------------------------------- // Mock roster (stands in for the PCC Marketplace pull) // --------------------------------------------------------------------------- export const RESIDENTS: Resident[] = [ { id: "r-214", name: "Margaret Chen", room: "214", unit: "North", ageSex: "82 F", admitType: "Long Stay", falls: [ { date: "2026-05-24", source: "Post-Fall UDA", majorInjury: false, j1900Complete: true, note: "Unwitnessed fall in bathroom. No fracture on imaging.", }, ], }, { id: "r-118", name: "Robert Alvarez", room: "118", unit: "South", ageSex: "76 M", admitType: "Short Stay", falls: [ { date: "2026-05-20", source: "ADT", majorInjury: true, j1900Complete: true, note: "Fall with hip fracture. Transferred out via Quick ADT, returned.", }, { date: "2026-06-07", source: "Post-Fall UDA", majorInjury: true, j1900Complete: false, note: "Second fall, head laceration. J1900 pending completion.", }, ], }, { id: "r-330", name: "Dorothy Washington", room: "330", unit: "Memory Care", ageSex: "88 F", admitType: "Long Stay", falls: [ { date: "2026-05-31", source: "eINTERACT", majorInjury: false, j1900Complete: true, note: "Stop & Watch flag → witnessed near-fall, lowered to floor.", }, ], }, { id: "r-207", name: "James O'Brien", room: "207", unit: "North", ageSex: "79 M", admitType: "Long Stay", falls: [ { date: "2026-05-18", source: "Post-Fall UDA", majorInjury: false, j1900Complete: true, note: "Slid from wheelchair. No injury.", }, { date: "2026-06-02", source: "ADT", majorInjury: true, j1900Complete: true, note: "Fall with major injury — humerus fracture. ED transfer.", }, ], }, { id: "r-142", name: "Helen Nakamura", room: "142", unit: "South", ageSex: "84 F", admitType: "Short Stay", falls: [ { date: "2026-06-05", source: "Post-Fall UDA", majorInjury: false, j1900Complete: true, note: "Fall during PT transfer training. No injury.", }, ], }, { id: "r-225", name: "Frank Delgado", room: "225", unit: "North", ageSex: "71 M", admitType: "Long Stay", falls: [ { date: "2026-03-02", source: "ADT", majorInjury: false, j1900Complete: true, note: "Prior fall — aged out of current lookback window.", }, ], }, { id: "r-101", name: "Gloria Simmons", room: "101", unit: "South", ageSex: "90 F", admitType: "Long Stay", falls: [], }, { id: "r-318", name: "Walter Kowalski", room: "318", unit: "Memory Care", ageSex: "85 M", admitType: "Long Stay", falls: [ { date: "2026-05-28", source: "eINTERACT", majorInjury: false, j1900Complete: false, note: "Stop & Watch: unsteady gait, one fall. J1900 pending.", }, ], }, ] export function getClassifiedRoster(today: Date = TODAY): ClassifiedResident[] { return RESIDENTS.map((r) => classifyResident(r, today)) } export function getFacilitySummary( roster: ClassifiedResident[], ): FacilityQmSummary { const currentCount = roster.filter((r) => r.hasMajorInjuryInLookback).length const atRiskResidentCount = roster.filter( (r) => r.riskLevel === "at-risk", ).length const fiveStarThreshold = 3 // CMS Five-Star cutoff (reference data, v1.20.1) return { measureName: "Falls with Major Injury (Long Stay)", currentCount, atRiskResidentCount, fiveStarThreshold, status: comparToThreshold(currentCount, fiveStarThreshold), // 13-week trend of the measure count (oldest → newest). trend: [1, 1, 2, 2, 1, 2, 3, 2, 2, 3, 3, 4, currentCount], lastSyncedAt: "2026-06-11T08:42:00", raiManualVersion: "MDS 3.0 RAI Manual v1.20.1", } } // --------------------------------------------------------------------------- // Presentation helpers // --------------------------------------------------------------------------- export const RISK_META: Record< RiskLevel, { label: string; short: string; description: string } > = { none: { label: "No falls in window", short: "Clear", description: "No falls recorded in the current lookback window.", }, "at-risk": { label: "At risk — 1 fall", short: "At Risk", description: "One fall in the lookback window. A second fall will count toward the QM.", }, triggered: { label: "QM triggered — 2+ falls", short: "Triggered", description: "Two or more falls in the lookback window. Counts toward the QM.", }, } export function formatDate(iso: string | null): string { if (!iso) return "—" return new Date(iso).toLocaleDateString("en-US", { month: "short", day: "numeric", year: "numeric", }) } export function formatDateTime(iso: string): string { return new Date(iso).toLocaleString("en-US", { month: "short", day: "numeric", hour: "numeric", minute: "2-digit", }) } [V0_FILE]typescriptreact:file="components/qm/sparkline.tsx" isMerged="true" interface SparklineProps { data: number[] /** Threshold line drawn across the chart, in data units. */ threshold?: number width?: number height?: number className?: string } /** * Lightweight inline SVG sparkline — no chart library needed for a 13-point * trend. Renders an area fill, the trend line, an end-point marker, and an * optional dashed threshold line. */ export function Sparkline({ data, threshold, width = 220, height = 56, className, }: SparklineProps) { if (data.length === 0) return null const pad = 4 const max = Math.max(...data, threshold ?? 0) const min = Math.min(...data, 0) const range = max - min || 1 const stepX = (width - pad * 2) / (data.length - 1 || 1) const scaleY = (v: number) => height - pad - ((v - min) / range) * (height - pad * 2) const points = data.map((v, i) => ({ x: pad + i * stepX, y: scaleY(v), })) const linePath = points .map((p, i) => `${i === 0 ? "M" : "L"}${p.x.toFixed(1)},${p.y.toFixed(1)}`) .join(" ") const areaPath = `${linePath} L${points[points.length - 1].x.toFixed(1)},${height - pad} ` + `L${points[0].x.toFixed(1)},${height - pad} Z` const last = points[points.length - 1] const thresholdY = threshold != null ? scaleY(threshold) : null return ( ) } [V0_FILE]typescriptreact:file="components/qm/fall-risk-badge.tsx" isMerged="true" import { cn } from "@/lib/utils" import { RISK_META, type RiskLevel } from "@/lib/qm-data" const STYLES: Record = { none: "bg-risk-none-bg text-risk-none ring-1 ring-inset ring-risk-none/20", "at-risk": "bg-risk-warn-bg text-risk-warn ring-1 ring-inset ring-risk-warn/30", triggered: "bg-risk-danger-bg text-risk-danger ring-1 ring-inset ring-risk-danger/30", } const DOT: Record = { none: "bg-risk-none", "at-risk": "bg-risk-warn", triggered: "bg-risk-danger", } export function FallRiskBadge({ level, className, }: { level: RiskLevel className?: string }) { const meta = RISK_META[level] return ( {meta.short} ) } [V0_FILE]typescriptreact:file="components/qm/top-nav.tsx" isMerged="true" "use client" import { ChevronDown, RefreshCw } from "lucide-react" import { Button } from "@/components/ui/button" import { DropdownMenu, DropdownMenuContent, DropdownMenuItem, DropdownMenuLabel, DropdownMenuSeparator, DropdownMenuRadioGroup, DropdownMenuRadioItem, DropdownMenuTrigger, } from "@/components/ui/dropdown-menu" export type Role = "DON" | "MDS Coordinator" | "Licensed Nurse" function CarebrainLogo() { return (

Carebrain

) } export function TopNav({ role, onRoleChange, onSync, syncing, }: { role: Role onRoleChange: (r: Role) => void onSync: () => void syncing: boolean }) { return (

Quality Measures

View as role onRoleChange(v as Role)} > Director of Nursing MDS Coordinator Licensed Nurse

{/* Left: measure status */}

Facility QM Summary

{summary.measureName}

{status.label}

{summary.currentCount} in lookback

{summary.atRiskResidentCount} resident {summary.atRiskResidentCount === 1 ? "" : "s"} at risk of QM count

{/* Five-Star threshold progress */}

Five-Star threshold {summary.currentCount} / {summary.fiveStarThreshold} cutoff

{/* Right: trend */}

13-week trend

measure count / wk

count threshold

Synced from PCC {formatDateTime(summary.lastSyncedAt)} ·{" "} {summary.raiManualVersion}

{value}

{label}

{/* Header + controls */}

At-risk resident list

Fall QM risk by resident · Section J1900 lookback

setQuery(e.target.value)} placeholder="Search name or room…" className="h-11 pl-9 sm:h-9 sm:w-56" aria-label="Search residents" />

{/* Body */} {error ? (

Couldn't load QM data The PCC Marketplace sync failed. Resident fall data may be stale.

) : loading ? ( ) : filtered.length === 0 ? (

No matching residents {query || filter !== "all" ? "Try clearing your search or risk filter." : "No residents in this facility yet."} {(query || filter !== "all") && ( )}

) : ( <> {/* Desktop table */}

{r.name}

{r.unit} · {r.ageSex}

{r.room} {formatDate(r.lastFallDate)} ))}

{/* Mobile cards */}

)}

{Array.from({ length: 6 }).map((_, i) => (

))}

SNF Quality Measure Dashboard — Falls

{/* Facility QM Summary Card — role-gated to DON / administrator */}

{loading ? ( ) : canSeeFacilityView ? ( ) : (

Facility-level QM aggregate is restricted to Director of Nursing and administrator roles. Your resident-level view is below.

)}

{/* At-Risk Resident List */}

Risk labels are computed deterministically from PCC fall events per CMS RAI Manual Section J1900 (31-day lookback). Every classification is traceable to a source ADT or UDA event.

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Let me first understand the existing project structure and design tokens."]],["AssistantMessageContentPart",{"part":{"createdAt":1785993289223,"finishedAt":1785993289303,"lastPartSentAt":1785993289303,"taskNameActive":null,"id":"n9WRzzppgxM8jr2O","type":"task-thinking-v1","parts":[{"type":"thinking-end","duration":0,"thought":"I'm checking the layout and globals.css files to see how the current styling is structured."}]}}],["AssistantMessageContentPart",{"part":{"type":"task-grouped-tasks-v1","id":"AXSrWsMzjNO470y1-UovSvStZNFzCd64u","parts":[{"createdAt":1785993290093,"finishedAt":1785993290690,"lastPartSentAt":1785993290646,"taskNameActive":"Reading layout and styles","taskNameComplete":"Read layout and styles","toolCallId":"toolu_01PWgqfEgnuE2rFEHu98a7ZE","agentTurnId":"turn_cjF1HHsIlTIkupI7","filePath":null,"id":"AXSrWsMzjNO470y1","type":"task-read-file-v1","parts":[{"type":"reading-file","filePath":"app/layout.tsx"}]},{"createdAt":1785993290148,"finishedAt":1785993290692,"lastPartSentAt":1785993290648,"taskNameActive":"Reading globals.css","taskNameComplete":"Read globals.css","toolCallId":"toolu_01D7AmeEjEZuSSyqtP3BFECs","agentTurnId":"turn_cjF1HHsIlTIkupI7","filePath":null,"id":"UovSvStZNFzCd64u","type":"task-read-file-v1","parts":[{"type":"reading-file","filePath":"app/globals.css"}]}],"createdAt":0,"finishedAt":1,"lastPartSentAt":1,"taskNameActive":"Explore • 2 Files","taskNameComplete":"Explore • 2 Files"},"id":"AXSrWsMzjNO470y1-UovSvStZNFzCd64u"}],["AssistantMessageContentPart",{"part":{"createdAt":1785993296212,"finishedAt":1785993306093,"lastPartSentAt":1785993306093,"taskNameActive":null,"id":"Hae71dLJUoh4k4cl","type":"task-thinking-v1","parts":[{"type":"thinking-end","duration":10,"thought":"$ae"}]}}],["p",{},["text",{},"This is a fresh shadcn/Tailwind v4 Next.js 16 project with all UI components available. Now I have everything I need. Let me set up the design foundation (Inter font + purple brand token) and build the dashboard."]],["AssistantMessageContentPart",{"part":{"type":"task-coding-v1","id":"block-b_GRRxDTgWmIn","parts":[{"type":"code-project","isVersioned":false,"isSourceless":false,"changedFiles":[{"fileName":"app/layout.tsx","baseName":"layout.tsx","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false}],"source":"[V0_FILE]tsx:file=\"app/layout.tsx\" \nGENERATING","sourceVersionKey":"v_1_ifsbg_s3","needsBlockSource":true,"isAllImages":false,"blockId":"b_GRRxDTgWmIn","meta":{"taskNameActive":"Setting up Inter font","taskNameComplete":"Set up Inter font","type":"code-project","id":"Code"},"closed":true,"lang":"typescriptreact"}],"createdAt":0,"finishedAt":1,"lastPartSentAt":1,"taskNameActive":"Setting up Inter font","taskNameComplete":"Set up Inter 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logo:"]],["AssistantMessageContentPart",{"part":{"type":"task-coding-v1","id":"block-b_dQ9et8QaeUj","parts":[{"type":"code-project","isVersioned":false,"isSourceless":false,"changedFiles":[{"fileName":"components/qm/top-nav.tsx","baseName":"top-nav.tsx","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false}],"source":"[V0_FILE]tsx:file=\"components/qm/top-nav.tsx\" \nGENERATING","sourceVersionKey":"v_1_fnk9f_s3","needsBlockSource":true,"isAllImages":false,"blockId":"b_dQ9et8QaeUj","meta":{"taskNameActive":"Building top nav","taskNameComplete":"Built top nav","type":"code-project","id":"Code"},"closed":true,"lang":"typescriptreact"}],"createdAt":0,"finishedAt":1,"lastPartSentAt":1,"taskNameActive":"Building top nav","taskNameComplete":"Built top 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banner):"]],["AssistantMessageContentPart",{"part":{"type":"task-coding-v1","id":"block-b_FMe5KCK5Hg3","parts":[{"type":"code-project","isVersioned":false,"isSourceless":false,"changedFiles":[{"fileName":"components/qm/contextual-alert-dialog.tsx","baseName":"contextual-alert-dialog.tsx","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false}],"source":"[V0_FILE]tsx:file=\"components/qm/contextual-alert-dialog.tsx\" \nGENERATING","sourceVersionKey":"v_1_ha66z_s3","needsBlockSource":true,"isAllImages":false,"blockId":"b_FMe5KCK5Hg3","meta":{"taskNameActive":"Building contextual alert","taskNameComplete":"Built contextual alert","type":"code-project","id":"Code"},"closed":true,"lang":"typescriptreact"}],"createdAt":0,"finishedAt":1,"lastPartSentAt":1,"taskNameActive":"Building contextual alert","taskNameComplete":"Built contextual 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The facility summary card will only display for DON and administrator roles, while MDS Coordinators and LNs won't see it—I'll add a role notice for users without DON access."}]}}],["p",{},["text",{},"Now the main page orchestrator:"]],["AssistantMessageContentPart",{"part":{"type":"task-coding-v1","id":"block-b_c6cN14iJQHq","parts":[{"type":"code-project","isVersioned":true,"isSourceless":false,"changedFiles":[{"fileName":"app/layout.tsx","baseName":"layout.tsx","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false},{"fileName":"app/globals.css","baseName":"globals.css","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false},{"fileName":"lib/qm-data.ts","baseName":"qm-data.ts","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false},{"fileName":"components/qm/sparkline.tsx","baseName":"sparkline.tsx","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false},{"fileName":"components/qm/fall-risk-badge.tsx","baseName":"fall-risk-badge.tsx","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false},{"fileName":"components/qm/top-nav.tsx","baseName":"top-nav.tsx","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false},{"fileName":"components/qm/facility-summary-card.tsx","baseName":"facility-summary-card.tsx","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false},{"fileName":"components/qm/contextual-alert-dialog.tsx","baseName":"contextual-alert-dialog.tsx","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false},{"fileName":"components/qm/resident-detail-dialog.tsx","baseName":"resident-detail-dialog.tsx","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false},{"fileName":"components/qm/resident-table.tsx","baseName":"resident-table.tsx","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false},{"fileName":"app/page.tsx","baseName":"page.tsx","isActive":false,"isTerminated":false,"isDeleted":false,"isMoved":false}],"source":"$af","sourceVersionKey":"v_1_2dxsj_s3","needsBlockSource":false,"isAllImages":false,"blockId":"b_c6cN14iJQHq","meta":{"taskNameActive":"Building dashboard page","taskNameComplete":"Built dashboard page","type":"code-project","id":"Code"},"closed":true,"lang":"typescriptreact"}],"createdAt":0,"finishedAt":1,"lastPartSentAt":1,"taskNameActive":"Building dashboard page","taskNameComplete":"Built dashboard page"},"id":"block-b_c6cN14iJQHq"}],["AssistantMessageContentPart",{"part":{"createdAt":1785993594141,"finishedAt":1785993594362,"lastPartSentAt":1785993594362,"taskNameActive":null,"id":"N3cHEAfvdkkq8aZw","type":"task-thinking-v1","parts":[{"type":"thinking-end","duration":0,"thought":"I need to check whether the Empty component API and the Dialog's showCloseButton prop are actually available by looking at their source files."}]}}],["p",{},["text",{},"Let me verify the shadcn component APIs I used (Empty parts and Dialog's "],["code",{},"showCloseButton"],["text",{},"):"]],["AssistantMessageContentPart",{"part":{"type":"task-grouped-tasks-v1","id":"UnBbLkLuVjeGaQwu-Hoq5bKh6qIAF8nlG","parts":[{"createdAt":1785993595595,"finishedAt":1785993597704,"lastPartSentAt":1785993597682,"taskNameActive":"Verifying component APIs","taskNameComplete":"Verified component APIs","toolCallId":"toolu_013WvHetDs1hUemYMcUVUHWr","agentTurnId":"turn_dW7zH3R7GaoPqZBm","filePath":null,"id":"UnBbLkLuVjeGaQwu","type":"task-grep-repo-v1","parts":[{"type":"grepping-repo","pattern":"export|showCloseButton","path":"/components/ui/empty.tsx"},{"type":"grep-file-results","numFileMatches":1}]},{"createdAt":1785993596916,"finishedAt":1785993597722,"lastPartSentAt":1785993597702,"taskNameActive":"Checking dialog props","taskNameComplete":"Checked dialog props","toolCallId":"toolu_015FnNf6kg9e93gKc5rT56wc","agentTurnId":"turn_dW7zH3R7GaoPqZBm","filePath":null,"id":"Hoq5bKh6qIAF8nlG","type":"task-grep-repo-v1","parts":[{"type":"grepping-repo","pattern":"showCloseButton","path":"/components/ui/dialog.tsx"},{"type":"grep-file-results","numFileMatches":1}]}],"createdAt":0,"finishedAt":1,"lastPartSentAt":1,"taskNameActive":"Explore • 2 Searches","taskNameComplete":"Explore • 2 Searches"},"id":"UnBbLkLuVjeGaQwu-Hoq5bKh6qIAF8nlG"}],["p",{},["code",{},"showCloseButton"],["text",{}," exists. Let me confirm the exact "],["code",{},"Empty"],["text",{}," exports I used:"]],["AssistantMessageContentPart",{"part":{"createdAt":1785993604715,"finishedAt":1785993605375,"lastPartSentAt":1785993605339,"taskNameActive":"Reading empty exports","taskNameComplete":"Read empty exports","toolCallId":"toolu_01FGYoHC3nsW9h2TizNDZfPv","agentTurnId":"turn_AkI5u6BXbwyb1rW0","filePath":null,"id":"t0DX8c2UC6idazkw","type":"task-read-file-v1","parts":[{"type":"reading-file","filePath":"components/ui/empty.tsx"},{"type":"reading-file","filePath":"components/ui/empty.tsx","offset":96,"limit":9}]}}],["AssistantMessageContentPart",{"part":{"createdAt":1785993612708,"finishedAt":1785993614857,"lastPartSentAt":1785993614857,"taskNameActive":null,"id":"mvtTG7zJTwDo3uZu","type":"task-thinking-v1","parts":[{"type":"thinking-end","duration":2,"thought":"All the exports I'm using are available, and the Button placement within Empty looks correct. The build should be fine. I'm doing a final check on the date formatting logic and verifying that the object identity comparison for falls will work since the filtered results reference the same objects from the original array.\n\nI'm ready to wrap this up."}]}}],["p",{},["text",{},"The build is complete. 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{summary.measureName}

Fall history

At-risk resident list

SNF Quality Measure Dashboard — Falls

{summary.measureName}

Fall history

At-risk resident list

SNF Quality Measure Dashboard — Falls