Documentation Power Tools
25 years experience in long term care
Documentation Power Tools
25 years experience in long term care |
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LTCS Newsletter News CMS Releases New Draft Version of MDS 3.0 Highlights of the Draft Version dated 7/31/2006 More consistency in look back periods Specific interview questions, scales, and resident response coding to assess cognitive functions, mood, preferences for customary routine and activities - Separate items for staff assessment Impact on resident assessed with behavior problems Management and effect on function included in pain section Report on the Progress of MDS 3.0 from CMS Phases 4 and 5 of the MDS 3.0 development process are now underway, the Nursing Home National Onsite Validation Testing and the Final Revisions. The MDS 3.0 draft version is being evaluated onsite in a sample of facilities in eight states: New Jersey, Pennsylvania, Georgia, North Carolina, California, Illinois, California, and Texas. The final report and recommendations from the research team is expected by December 2007. CMS States Reasons for MDS 3.0 Revision are to: Make the MDS more clinically relevant Improve ease of use and efficiency Improve accuracy Integrate selected standard scales Elicit resident input by interview questions New Draft MDS 3.0 7/31/06 (pdf) This new draft contains much more information than the previous one. The form is preceded by several pages of explanatory text. It is more specific about which sections will be changed or will remain the same. CMS Updated MDS 3.0 Page - More information on the progressing development of MDS 3.0 and its timeline. New CMS Page for NPI InformationCMS has developed a Training package for NPI that will assist providers with self-education, as well as education of staff. Downloads on the new NPI page includeMLN Matters Articles, NPI Fact Sheets, Tip Sheets, and PowerPoint Presentations. National Provider Identifier Standard – Educational Resources
Student Immerses Herself in Nursing Home Molly Trauten spent the summer living in a nursing home as an 85-year-old woman with a bad heart and weak lungs. She wore an oxygen tube in her nose and manuevered the halls with a walker. She entertained herself with watercolors and bingo and ate pureed food. Just one catch: She's 25. Cincinnati Enquirer Article Links Urinary Catheter Care for Older Adults
10 Signs Your Quality Efforts for Depression May Not Be Working
News
New Draft MDS 3.0 7/31/06
(pdf) - This new draft contains much more information than the
previous one. The form is preceded by several pages of explanatory text.
It is more specific about which sections will be changed or will remain
the same.
CMS Updated MDS 3.0
Page
-
More information on the progressing development of MDS 3.0 and its
timeline.
Dave 2 ResultsCMS released in September the results of the DAVE 2 study for the last 5 months. Overall, facilities performed very well for MDS coding accuracy, the average error rate being 4%. Reviewers stated that the items with the most discrepancies were: Section G, Support – not basing on the RAI manual, confusing with therapy terminology Discharge Tracking Form – confusing with facility’s bed hold policy, not basing on RAI manual DAVE 2’s purpose is to measure and improve MDS accuracy. The information collected will be used to develop tip sheets and training for long term care staff members.
A Luxury Resort? No, a Nursing Home - Boomers' Tastes Add Urgency to Reshaping Long-Term CareWill Baby Boomers change the structure and culture of nursing homes? This writer says “Yes!”
The Hidden Challenge of Managing Hyperglycemia in Long-Term Care SettingsThis article from the Annals of Long Term Care covers recent changes in Diabetes management and treatment.
RN to BSN - Career Benefits and Education OptionsArticle by Michael V. Gruber, MPH
Nine Day Medicare Payment Hold in September 2006 As part of the Deficit Reduction Act of 2005, a brief hold will be placed on Medicare payments for all claims e.g., initial claims, adjustment claims and Medicare Secondary Payer (MSP) claims for the last nine days of the fiscal year September 22 - September 30, 2006, therefore, no payments on claims will be made during this time period. CMS Transmittal (pdf)Links
The Merck Manual of Geriatrics
News CMS Announces New Nursing Home Quality ProgramFederal quality campaign will focus on helping facilities to reduce the number of pressure ulcers, decrease physical restraint use, and to decrease the prevalence of pain.QualityNet
Movement Grows to Cut Unneeded HospitalizationsMore than one-third of all hospitalizations of nursing home residents could be prevented if nursing staff recognized symptoms of increasing illness sooner and doctors were more readily available at the nursing homes, a new national study said. Boston Globe Article
Medicare Nursing Home Payments to Increase in 2007, CMS AnnouncesMedicare payments to nursing homes will increase by approximately $560 million in 2007, the Centers for Medicare & Medicaid Services (CMS) announced today. The annual update notice of the new payment rates is on display today at the offices of the Federal Register.
FDA Alert on Antibiotic Ketek has been associated with serious liver problems.
More Than 1.5 Million Americans Injured Yearly by Drug Errors in Hospitals, Nursing Homes and Doctor's Offices The Institute of Medicine report includes recommendations that all prescriptions should be written electronically by 2010. At least a quarter of all medication-related injuries are preventable, the institute concluded in the report it released in July. Full Article Links Guideline for the Prevention of Falls in Older Persons From the American Geriatrics society
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