|
News
|
May
27
2011
|
|
Posted 272 days ago ago by Roxanne Leon, RN, RAC-CT
|
|
- Five goals of the MDS 3.0 revision are to introduce advances in assessment measures, increase the clinical relevance of items, improve tool accuracy and validity, increase user satisfaction, and increase a resident’s voice by introducing more resident interview items.
- The revision focuses on improving the tools clinical utility, clarity, and accuracy.
- Five key findings of MDS 3.0 include improved resident input, improved accuracy and reliability, increased efficiency, improved staff satisfaction, and improved staff perception of clinical utility.
- The Omnibus Budget Reconciliation Act (OBRA) requires nursing homes to conduct both initial and periodic assessments for all residents.
- When OBRA and Medicare PPS assessment times coincide, one assessment may be used to satisfy both requirements—in such cases, the most stringent requirement for MDS completion must be met.
- Nursing Home Responsibilities for Completing Assessments:
- A RAI (MDS + CAA process + utilization guidelines) must be completed for all residents residing in a facility.
- A RAI must be completed for a resident residing more than 14 days on a unit of a certified long-term care facility for participation in the Medicare or Medicaid programs. If the respite resident is in the facility for fewer than 14 days, an OBRA Admission assessment is not required, but a discharge assessment is.
- All residents of Medicare SNFs or Medicaid NFs.
- Hospice residents.
- Short-term or respite residents.
- Special population residents (pediatric or those with psychiatric diagnosis).
- Swing bed facility residents.
|
|