MDS 3.0 Overview Presented to: The National Consumer Voice for Quality Long Term Care NCCNHR
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Transcript of MDS 3.0 Overview Presented to: The National Consumer Voice for Quality Long Term Care NCCNHR
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MDS 3.0 Overview
Presented to:
The National Consumer Voice for Quality Long Term CareNCCNHRAnnual Meeting and Conference: Quality CareOctober 23, 2009Washington DC
Mary Pratt, RN, MSNDirector, Division of Chronic and Post Acute Care
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• Review the MDS 3.0 Timeline
• Features of MDS 3.0
• Overview of the plans for MDS 3.0 Training
• New Quality Measure Development
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• January / February 2010 –
-- Publish final MDS 3.0 Data Specifications (including RUGs and CAA triggers. (QM/QI specifications to be released at a later date)
-- Publish MDS 3.0 Item Sets (includes Admission, Quarterly, Swing Bed, PPS, Discharge MDS and tracking records)
-- Publish MDS 3.0 Long-Term Care Facility Resident Assessment Instrument User’s Manual (Revision to be Published May 2010)
• March 2010 – NQF Call for Quality Measures (MDS 3.0)
• April 12-15, 2010 – MDS 3.0 National Train the Trainer Conference
• October 1, 2010 – MDS 3.0 Implementation
• December 2010 – NQF Endorsement of Quality Measures (3.0)
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• Uses Standardized Assessments Tools • Gives Resident Voice• Increases Clinical Relevance• Increases Accuracy• Increases Clarity• Provides Care Area Assessments
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• December 2009 – MDS 3.0 Overview• Summer 2010 –
• Impact on surveyors •Coding and assessment requirements
Anticipate hosting three MDS 3.0 satellite broadcasts or webcasts:
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MDS 3.0 Train-the-Trainer
Baltimore, MD
March 15 - 19, 2010
CMS CO, RO, and State RAI Coordinators
MDS National Conferences (2)
Baltimore, MD
During the week of April 12, 2010
Provider groups, stakeholders & professional associations
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MDS Conferences
SNF/LTC ODF (www.cms.hhs.gov/OpenDoorForums/25_ODF_SNFLTC.asp)
Medicare Learning Network (www.cms.hhs.gov/MLNGenInfo/)
MDS 3.0 Website (www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp)
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• To be available online 24/7, 365 days/year• Structured by section supported by key
topics•Overview•Key terms relevant to the section•Conducting the assessment•Coding instructions•Coding practice (for selected sections)
• Available through the Medicare Learning Network (MLN)
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Conduct via telephone and web conference
To include opportunity to ask questions of MDS subject
matter experts
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• Based on questions documented at the MDS conferences and web conferences
• Available through the MLN
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Nursing Home Quality Measures
Will include Post Acute and Chronic Care Measures
New measures will replace existing measures (or at a minimum modify the existing measures based on the MDS 3.0 Instrument)
18 Candidate measures submitted to NQF
Ultimately the measures will be published on Nursing Home Compare
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Disposition of Existing MeasuresMDS 2.0 Quality Measures Transitioning to MDS 3.0
PAC Chronic
Percent of Residents Who Were Assessed and Given Influenza Vaccination
X X
Percent of Residents with Pain X XPercent of Residents Who Were Assessed and Given Pneumococcal Vaccination
X X
Percent of Short-Stay Residents with Pressure Ulcers That Are New or Have Not Improved
X
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Disposition of Existing MeasuresMDS 2.0 Quality Measures Transitioning to MDS 3.0
PAC Chronic
Percent of Long-Stay Residents Who Have Become More Depressed or Anxious
X
Percent of Long-Stay, Low-Risk Residents Who Lose Control of their Bowels or Bladder
X
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
X
Percent of Long-Stay Residents Who Were Physically Restrained
X
Percent of Long-Stay, High-Risk Residents with Pressure Ulcers
X
Percent of Long-Stay Residents with a Urinary Tract Infection
X
Percent of Long-Stay Residents Who Lose Too Much Weight
X
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Measures for Possible Retirement
MDS 2.0 Quality Measures Recommended for Retirement/Replacement
PAC Chronic Potential Replacement
DeliriumX
Delirium (new PAC measure)
Mobility declineX
‘Ambulation’ (PAC and Chronic)
Pressure ulcers (low risk) X
BedfastX
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Summary Table of 18 Measures Submitted to NQF for Endorsement
PAC ChronicFive-Star
Item
Percent of Residents with Pain X X X
Delirium (replacement measure) X X
Percent of Short-Stay Residents with Pressure Ulcers That Are New or Have Not Improved
X X
Percent of Residents Who Were Assessed and Given Pneumococcal Vaccination
X X
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Summary Table of 18 Measures Submitted to NQF for Endorsement
PAC ChronicFive-Star
Item
Percent of Residents Who Were Assessed and Given Influenza Vaccination
X X
ADL decline (replacement measure) X X
Mobility decline (replacement w/ focus on ambulation)
X X
Percent of Long-Stay, High-Risk Residents with Pressure Ulcers
X X
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Summary Table of 18 Measures Submitted to NQF for Endorsement
PAC ChronicFive-Star
Item
Percent of Long-Stay Residents Who Were Physically Restrained
X X
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder
X X
Percent of Long-Stay Residents with a Urinary Tract Infection
X X
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Summary Table of 18 Measures Submitted to NQF for Endorsement
PAC ChronicFive-Star
Item
Percent of Long-Stay, Low-Risk Residents Who Lose Control of their Bowels or Bladder
X
Percent of Long-Stay Residents Who Lose Too Much Weight
X
Percent of Long-Stay Residents Who Have Become More Depressed or Anxious
X