MDS 3.0 Special Report from Long Term Living Download for FREE Recreation Therapy is mentioned!
July 13, 2011
RAI MDS 3.0 manual update for Appendix A and Section M.
July 12, 2011
The following videos have been posted on YouTube.
Interdisciplinary Team Video: This video addresses some of the common questions about the MDS 3.0. The panelists: Dr. Debra Saliba, Ellen Berry, Ann Spenard and Tracy Montag are clinicians that have been instrumental in the development of the MDS 3.0 and RAI manual. In this video they discuss the MDS 3.0 interviews, particularly the Mood PHQ-9 interview, the importance of the interdisciplinary team and the resident-centered focus of the MDS 3.0.
Facility Leadership Video: This video addresses some of the topics that facility management should consider when operationalizing the MDS 3.0 in their facilities. Contributors include Dr. Debra Saliba, Jack Williams (CMS), Karen Schoeneman (CMS), Dr. Christa Hojlo (VA), and Tracy Montag. Included is background on the motivation for creating the MDS 3.0, the use and value of the assessment instrument, impact on resident care, and practical considerations for implementing the MDS 3.0.
June 11, 2011
A memo titled 'The Use of Dashes in Completing the MDS 3.0 Assessment: Potential Impact to Beneficiaries and Nursing Home Facilities' has been posted below in the download section. This memo conveys information to providers on a data issue - regarding the possible overuse of dashes. This memo is intended to help providers understand both when to code dashes and the potential adverse impact of inappropriate use of a dash (-) when completing a MDS assessment.
June 2, 2011 MDS 3.0
Training Materials Update:
MDS 3.0 RAI Manual V1.05 (June 2, 2011)
MDS 3.0 RAI Manual May 25, 2011 (a zip file contains 58 files)
This zip file is the complete manual and contains all manual chapters / sections / appendices / title page / Table of Contents / forms (58 files). This includes change table files for the revised V1.05 files only.
Files containing revisions in this V1.05 release include: Title Page, Table of Contents, Chapter 1, Chapter 2, Chapter 3 (Introduction, Sections: A, B, D, F, G, I, J, K, M, N, O, and Q), Chapter 5, Chapter 6 and Appendices (A, B, C, E, and H).
Note that files from earlier versions (e.g., V1.04 September 2010) are contained in the manual but do not have an associated change table file.
Please note that the month/year located at the bottom left on the manual pages reflects when that file was last updated (e.g., May 2011 for V1.05).
Archived Change Tables May 25, 2011 (a zip file contains 8 files)
Here is a list of CMS links that providers and vendors most frequently need in order to resolve their MDS 3.0 issues:
• It is recommended that individuals requesting assistance check for updates and new downloads often/daily - the best method to keep up-to-date with CMS MDS 3.0 Manual and coding changes not announced anywhere else first. NEW download information may NOT appear in the text at the top of the page, so please check the actual download listing at the bottom of the page on this link: http://www.cms.gov/NursingHomeQualityInits/45_NHQIMDS30TrainingMaterials.asp#TopOfPage
• CMS QTSO page, which includes the vendor, CASPER, RAVEN and error explanation pages. It is strongly recommended that providers access and review the MDS 3.0 Provider User's Guide and the CASPER Reporting User's Manual. For additional assistance, contact the QIES Technical Support Office (QTSO) Help Desk at 1-800-339-9313 or Help@QTSO.com : https://www.qtso.com/mds30.html https://www.qtso.com/vendor.html
New Interview Tools for MDS 3.0Section F November 3, 2010
On October 1, 2010, the MDS 3.0 officially began. The biggest change was the addition of the Resident Interviews. The Resident Interviews were added to increase opportunity for the Resident’s voice to be heard, with the intent of including the Resident’s voice in the interdisciplinary care plan. The tools in this manual will help the individual who is completing the Section F, Preferences for Customary Routine and Activities Interview by providing a variety of ways for Residents to answer the questions, a system to communicate the Resident Preferences to appropriate staff members and staff training exercises. This manual includes: 3 Training Exercises, IDT Communication Tools, Interview Worksheet, Interview Techniques and 8 Section F Cue Cards which include various styles (pictures, numbers, scales, graphs, words, etc.). Reproducible forms!
Revised Documentation Training Game for Activity and Recreation Professionals October 18, 2010
Based off of the infamous Jeopardy Game and updated to include the MDS 3.0, the Recreation Documentation IN-QUIZ-ITION Game was designed to educate Recreation and Activity Professionals about various components of documentation, primarily in the long-term care setting. This game is a great method of educating the staff as well as evaluating their knowledge. The game may be used as part of an in-service or for fun. Only $7 and is downloadable!
Section F from the CMS Training in Las Vegas is Now on You Tube October 15, 2010
Activity and Recreation Pros: The Sec F session that was provided at the CMS training in Las Vegas is now on You Tube. It's quite short but you can get an idea. Note-the first minute or so is just black screen-let it keep going-it will start. Please watch it. Rena Sheppard does a nice job explaining the importance of activities. Of course, I had to comment on the CMS You Tube Channel. This is a great chance to make your voice heard. Take moment to watch the Section F video and comment.
New MDS 3.0 Article and VIVE Essays October 5, 2010
Well, it's been a long time coming and it's hard to believe that the MDS 3.0 has arrived. We officially say good-bye to MDS 2.0. I wish everyone good luck with the interviews and the entire process. You will do great!
Note: You can order this video for free from the CMS website here (Look for conference)
MDS 3.0 Training Slides, Instructor Guides, and Training Aides:
MDS 3.0 Training Materials Change Document September 2010 – This document reflects any changes to the Training Slides and Instructor Guides from previously published versions. (Updated September 15, 2010)
MDS 3.0 Training Aides – contains algorithms and assessment aides that may be helpful when performing assessments or coding the MDS. (Updated September 16, 2010)
MDS Updates-Changes in the RAI User Manual, Instruction Guides, CAA Resources September 13, 2010
Under the Downloads section of this page the following materials are now available:
MDS 3.0 RAI Manual Updates:
The following revisions to the MDS 3.0 Manual are reflected in this posting (Please Note: All revised sections are indicated with "V1.04 and September 2010" in the file name and within the respective documents):
Chapter 3 Sections A, E, F, G, I, J, K, M, O, Q, V, and X
Appendices B and C
Revisions to the respective chapters or sections are reflected in a separate change document (Example File Name for the Change Document – "MDS 3.0 Appendix B V1.04 September 2010 (change-table).pdf").
The change documents only reflect changes made from the last published version.
Free Cue Cards for Section F-Daily and Activity Preferences August 10, 2010
The RAI Manual and the Video on Interviewing Vulnerable Elders discuss the use of Cue Cards during the interview process. Here are two cue cards you can download.
‘VIVE’:Interviewing Frail Elders August 9, 2010
The systematic inclusion of the resident’s voice in her or his own assessments represents an enormous advance in the new Minimum Data Set 3.0 (MDS 3.0). The Video on Interviewing Vulnerable Elders (VIVE) demonstrates best-practice approaches for implementing the new MDS interviews for cognition, mood, preferences and pain. Specific video sections explain why interviews have been added; review techniques to improve communication with older, frail populations; and demonstrate each interview being conducted. Using real-life nurses interacting in scenarios based on actual situations, VIVE helps to build understanding and ease implementation of MDS 3.0 for nursing home staff members. The goal of VIVE, funded by Picker Institute and developed by the UCLA/Jewish Home Borun Center, is to help staff members build the confidence and skills they need to interview their residents both for MDS 3.0 and for other clinical evaluations.
July 15, 2010 (August 16th- re-posted section F and Section 0)
September 13th-reposted Section F and Section O
The MDS 3.0 downloads and training materials can be found on the CMS website. To view and download these files, CLICK HERE. Scroll down to the bottom of the page to the DOWNLOAD section. You can also download some items below (remember, CMS is the official site for the downloads.)
Older News below!
MDS 3.0 RAI User Manual and Webcast News
January 20, 2010
The MDS 3.0 RAI user manual is now available for download at
http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp. Follow the link, scroll down the page and click on MDS 3.0 RAI Manual Jan 2010 to download the entire manual. The section for Customary Routine and Activities is called section F and is located in the Chapter 3 file folder. The section which refers to Recreation Therapy can be found in section 0, Special Treatments and Procedures.
This webcast was the first of a three part series focused on providing information about the MDS 3.0. The other webcasts in the series include:
2nd Part: Coding the MDS 3.0 (late spring/early summer, 2010)
3rd Part: CMS Programs impacted by the MDS 3.0 (summer, 2010)
New MDS 3.0 Files and Downloads
November 2, 2009
CMS recently added new MDS 3.0 files and downloads on their website. The following items were added in late October, 2009:
MDS 3.0 Item Subsets – A file that contains the various subsets of the MDS 3.0 assessment and tracking document such as admission, quarterly, annual, significant change, discharge, etc.
MDS 3.0 Item Matrix - This document identifies the items required for each type of assessment along with how the item is used (e.g. QMs, QIs, CATs, RUG-IV, or RUG-III).
MDS 3.0 Data Submission Specifications - Detailed data submission specifications for MDS 3.0.
MDS 3.0 CATs Specifications - This document provides Care Area Trigger (CAT) specifications for the MDS 3.0 items used in triggering the Care Area, the conditions for triggering, and Visual Basic code for triggering. The CATs are replacing the MDS 2.0 Resident Assessment Protocols RAPs. Psychosocial well-being and activities still have areas that will trigger.
If you are eagerly awaiting the MDS 3.0 RAI Manual as I am, chapters 1, 2, 3, 5, and 6 are expected to be published in November. Chapter 4 (Care Area Assessments (CAAs) & Appendix C (CAA resources) should be posted in December. The manual will include: Description and instructions for types of assessments and tracking documents, each MDS 3.0 item, the Care Area Assessment, submission and correction of MDS 3.0 records, Skilled Nursing Facility and Swing Bed Prospective Payment System (SNF PPS) policy for the MDS 3.0, and the RUG-IV classification system.
CMS highly recommends that everyone should hold back from training until after the "Train-the-Trainer" sessions have been completed. The Train-The Trainer sessions are scheduled for the spring of 2010.
MDS 3.0 implementation date is scheduled for October 1, 2010
Questions regarding the data specifications should be directed to MDS30Comments@cms.hhs.gov.
MDS 3.0 is Postponed!
March 6, 2009
On Thursday, March 5, 2009 CMS officials announced that they have postponed the implementation of the MDS 3.0. The new start date is October, 2010 which is one year later than originally planned. To review MDS drafts, timelines, crosswalks and more click here. Activity Professionals really should review the MDS 3.0 draft and send your comments to CMS!
Overview of the MDS 3.0
The Centers for Medicare & Medicaid Services (CMS) held an Open Door Forum (ODF) regarding the Minimum Data Set, Version 3.0 (MDS 3.0) in Baltimore, Maryland on January 24, 2008 from 1:00 pm to 3:00 pm EST and reported on the findings of a 5-year CMS Nursing Home MDS 3.0 Validation Study.
There are many advantages to the MDS 3.0 such as:
Increased resident’s voice
Increased clinical relevance for assessment
Increased accuracy, both validity and reliability
Increased clarity and efficiency
45% reduction in the average time for completion
Supports the movement of items toward future electronic formats
A section with significant revisions is the “Customary Routine and Activity Section”. The customary routine staff assessment is replaced by the MDS 3.0 Preference Assessment Tool. Residents are to be interviewed for their activity interests and routine preferences. The residents are to rate the level of importance by using the following codes:
1. Very important
2. Somewhat important
3. Not very important
4. Not important at all
5. Important, but can’t do or no choice
9. No response or non-responsive
Some of the questions to ask the residents include:
How important is it to you to have books, newspapers, and magazines to read?
How important is it to you to listen to music you like?
How important is it to you to be around animals such as pets?
How important is it to you to keep up with the news?
How important is it to you to do things with groups of people?
How important is it to you to do your favorite activities?
How important is it to you to do things away from the nursing home?
How important is it to you to go outside to get fresh air when the weather is good?
How important is it to you to participate in religious services or practices?
If your doctor approves, would you like to be offered alcohol on occasion at meals or social events?
5 Yes, but can’t or no choice
9 No response or non-responsive answer
For residents who cannot answer the questions, a staff assessment of activities and daily preferences is available. Staff is also instructed to observe the resident’s response during activity programs. A variety of routine and activity preferences are listed and staff is to check off each item as it applies. Some of the recreational items include:
Reading books, newspapers, or magazines
Listening to music
Being around animals such as pets
Keeping up with the news
Doing things with groups of people
Participating in favorite activities
Spending time away from the nursing home
Spending time outdoors
Participating in religious activities or practices
None of the above
In a sample of individuals that completed the revised Customary Routine and Activity Section, findings indicated that:
81% rated the interview items as more useful for care planning
80% found that the interview changed their impression of resident’s wants
1% felt that some residents who responded didn’t really understand the items
More likely to report that post-acute residents appreciated being asked
Another section of special interest to Activity Professionals and Recreation Therapists is that of “Special Treatments and Therapies”. Recreational Therapy is included as a therapeutic service, beyond the general activity program, as it is currently in the MDS 2.0. Under the section of Recreation Therapy, however, it is indicated that Music Therapy is included as well. http://www.cms.hhs.gov/nursinghomequalityinits/25_nhqimds30.asp.