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 MDS 3.0 to have Greater Reliability and Reduced Completion Time National testing showed a reduction in time to complete by 45%, and increased measurement reliability and validity. Nurses from 71 facilities who used the MDS 3.0 reported higher satisfaction due to increased clinical relevance, clarity, and knowledge about residents. Draft Final Version of MDS 3.0 dated January 15, 2008 (PDF) MDS 3.0 Implementation Date Postponed for 2 Years CMS now plans to evaluate the impact of the MDS 3.0 changes on the resident classification system, Resource Utilization Group (RUG-III), used in the Medicare payment structure. This analysis will be conducted as part of the Staff Time and Resource Intensity Verification (STRIVE) study and the results will be available in late 2008/early 2009. Then, the MDS 3.0 changes can be finalized and implemented nationally on October 1, 2009. The latest published MDS 3.0 timeline can be viewed at this link: MDS 3.0 Timeline [PDF 25 KB] Minimizing Adverse Drug Events in Older Patients According About one in three older persons taking at least five medications will experience an adverse drug event each year, and about two thirds of these patients will require medical attention.2 Approximately 95 percent of these reactions are predictable, and about 28 percent are preventable. American Family Physician Article Links News MDS 3.0 Implementation Date Postponed for 2 Years CMS now plans to evaluate the impact of the MDS 3.0 changes on the resident classification system, Resource Utilization Group (RUG-III), used in the Medicare payment structure. This analysis will be conducted as part of the Staff Time and Resource Intensity Verification (STRIVE) study and the results will be available in late 2008/early 2009. Then, the MDS 3.0 changes can be finalized and implemented nationally on October 1, 2009. The latest published MDS 3.0 timeline can be viewed at this link: MDS 3.0 Timeline [PDF 25 KB] RAI Manual Updated The January, 2008 changes to the RAI Manual are minor, and include instructions for coding UTIs, height, weight, and skin lesions. The complete table of changes can be viewed with this link: RAI Manual January Update 2008 [PDF 108 KB]Immediate Jeopardy Citations Rise 22% According to the CMS, the number of "immediate jeopardy" citations rose 22% between 2000 and 2006. McKnight’s Article Prevent Antimicrobial Resistance in Healthcare Settings 12 Steps to Prevent Antimicrobial Resistance among Long-term Care Residents CDC Fact Sheet CMS Publishes “Worst Offender” List Public information published by CMS on the Nursing Home Compare site now includes a list of facilities that have had a history of serious quality problems - about twice the average number of deficiencies, have more serious problems than most other nursing homes, and continue to have serious problems over a long period of time. Although such nursing homes periodically instituted enough improvements in the presenting problems that they would be in substantial compliance on one survey, they would be determined as providing substandard quality of care on the next. Such facilities with a “yo-yo” compliance history rarely addressed underlying systemic problems that were giving rise to repeated cycles of serious deficiencies. To address this problem CMS created the “Special Focus Facility” (SFF) initiative. Special Focus Facility Public List - Updated 11/30/07 (PDF, 161 KB)
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