Minimum Data Set (MDS) 3.0
The minimum data set (MDS) is a tool for implementing standardized assessment and for facilitating care management in nursing homes (NH) and non-critical access hospital swing beds (SB). The new MDS 3.0 has been designed to improve the reliability, accuracy, and usefulness of the MDS, to include the resident in the assessment process, and to use standard protocols used in other settings.
In addition to ongoing updates on MDS, LeadingAge offers provider members the ability to ask an expert your specific questions. Questions are answered within a few business days.
The Centers for Medicare and Medicaid Services (CMS) has posted a revised version of the Long-Term Care Facility Resident Assessment Instrument (RAI) User Manual v1.13.
Phase 1 of the MDS/staffing focused surveys are underway around the country and reports of citations are rolling in.
Judy Wilhide Brandt, RN takes a look at turning and repositioning programs, which are essential in any plan to prevent or heal pressure ulcers. The coding rules for this item appear on page M-38 of the RAI Manual.
In the 2016 proposed final rule for skilled nursing facilities, there is much discussion of new and changing quality measures. The goal is standardization across post acute settings to use quality of care outcomes on which to base financial incentives or penalties. Currently, this measure for LTC reports pressure ulcers that were Stage 2 – 4 on a prior assessment and are now a higher numerical stage.
Section H0100 records appliances used for elimination in a 7-day lookback period. The reason CMS collects this information is to ensure we are compliant in meeting resident needs in matters pertaining to these appliances. It is important to know what appliances are in use and the history and rationale for such use.