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MDS 3.0

The Centers for Medicare and Medicaid Services’ (CMS) tool for care management in nursing homes is called the Minimum Data Set (MDS), a core set of screening and assessment elements that is part of a Resident Assessment Instrument (RAI). The RAI provides a comprehensive and standardized assessment of each long-term care facility resident's functional capabilities and helps staff to identify health problems. MDS 3.0 was introduced in the fall of 2010. This article provides an overview.

Addressing Pain Management in Older Adults
Improved management of chronic pain can significantly reduce disability in older adults. Pain in aging adults has historically been poorly reported, recognized and managed. Let's take some actions steps. Pain Management is an important component of MDS 3.0.

MDS 3.0 Discharge Planning
Increasing efforts have been taking place in all states over several years to enhance resources, services, and supports available in the community to address the rights of all individuals to have their care preferences and needs met in the least restrictive environment and most integrated setting. Effective discharge planning can facilitate...

MDS 3.0 Nutritional Status
The intent of Section K of the MDS assessment,Swallowing/Nutritional Status, is to identify conditions that could impact a resident’s ability to maintain adequate nutrition and hydration. In this article we interpret these guidelines to provide readers further guidance in care management.

MDS 3.0 What You Need to Know
The Centers for Medicare and Medicaid Services’ (CMS) tool for care management in nursing homes is called the Minimum Data Set (MDS), a core set of screening and assessment elements that is part of a Resident Assessment Instrument (RAI). The RAI provides a comprehensive and standardized assessment of each long-term care facility...

MDS 3.0 By the Category
The Centers for Medicare and Medicaid Services' (CMS) tool for facilitating care management in nursing homes is called the Minimum Data Set (MDS), a core set of screening and assessment elements that is part of a Resident Assessment Instrument (RAI). The RAI provides a comprehensive and standardized assessment of each long-term care facility...

In the Mood
Mood distress is a serious condition that is under-diagnosed and undertreated in nursing homes and can lead to death. MDS 3.0 seeks to reduce the morbidity caused by mood disorders.

MDS 3.0 Cognitive Patterns in Nursing Home Residents
The level of cognitive ability among nursing home residents helps determine a proper care plan and therefore contributes to their quality of care and quality of life. In the past understanding cognitive patterns was done by simply observing residents and making notes of what was observed. Much has changed under MDS 3.0.

MDS 3.0 The Reality of Restraints
The Centers for Medicare and Medicaid Services (CMS) is committed to reducing unnecessary physical restraint in nursing homes and ensuring that residents are free of physical restraints unless deemed necessary and appropriate as permitted by regulation. Proper interpretation of the physical restraint definition is necessary to understand if...

MDS 3.0 Falls
Falls are a leading cause of injury, morbidity, and mortality in older adults. MDS 3.0 guidelines looks to help providers minimize fall risk while treating fall injuries with the goal of achieving the best quality of life for residents.

MDS 3.0 Skin Conditions
Skin conditions, such as pressure ulcers, are a big concern in both nursing and assisted living facilities. MDS 3.0 updates protocols for pressure ulcers, wounds, or lesions so that facilities can recognize and evaluate each resident’s risk factors and identify and evaluate all areas at risk of constant pressure.

MDS 3.0 Pain Management
Pain can cause suffering for nursing home residents and can result in inactivity, social withdrawal, depression, and functional decline. That is why effective pain management is so important in improving the quality of life for residents. MDS 3.0 regulations around pain management seek to assess the presence of pain, pain frequency, effect on...

MDS 3.0 Swallowing / Nutritional Status
The ability to swallow safely can be affected by many disease processes and functional decline. Losing the ability to swallow can result in choking and aspiration, which can increase the resident’s risk for malnutrition, dehydration, and aspiration pneumonia. Adequate nutrition and hydration is essential to a quality of life for seniors. The MDS...

Alarming News! Alarms Hurt More Than Help When It Comes to Fall Prevention
Falls are a leading cause of injury, morbidity, and mortality in older adults. While MDS 3.0 guidelines looks to help providers minimize fall risks, there are apparent fall reduction mechanisms, like alarms, that actually contribute to falls as opposed to preventing them. In this article, we look at how to reduce alarms and therefore falls in...

Guest Writer: Barbara Frank
Barbara Frank helps make nursing homes better places to live and work. She combines quality improvement, workplace stability, and individualized care strategies to achieve positive outcomes for residents, staff and organizations.

LifeStories
LifeStories a program that uses resident information, reminiscing, validation therapy and research on the web to help residents share and discuss their history. This has proven an effective tool in approaching the resident interview.

MDS 3.0 Beyond Reimbursement
It is important to accurately capturing ADLs (Activities of Daily Living) data when completing scheduled MDS 3.0 assessments for Medicare and Medicaid reimbursement purposes. While compliance is needed for reimbursement, it is also essential to have an accurately completed MDS 3.0 assessment so that an individualized plan of care can be...

Guest Writer: Linda Elizaitis
Linda Elizaitis is the President of CMS Compliance Group, Inc. (CMSCG)and provides compliance services to nursing homes and other skilled nursing providers. She looks forward to contributing to your knowledge and success.

Guest Writer: Keith Reilly
Keith Reilly is a Senior Consultant with CMS Compliance Group, Inc. (CMSCG). CMSCG provides a full suite of proactive and reactionary compliance services to nursing homes and other skilled nursing providers. Check out his writing.

Swallowing / Nutritional Ststus
The ability to swallow safely can be affected by many disease processes and functional decline. Losing the ability to swallow can result in choking and aspiration, which can increase the resident’s risk for malnutrition, dehydration, and aspiration pneumonia. Adequate nutrition and hydration is essential to a quality of life for seniors. The MDS...

Guest Writer: Susan Berry
Susan Berry is a Senior Consultant with CMS Compliance Group, Inc. (CMSCG).

Addressing Pain Management in Older Adults
Improved management of chronic pain can significantly reduce disability in older adults. Pain in aging adults has historically been poorly reported, recognized and managed. In this article let's set the stage. In the second article we will look at actions steps so look for the link.

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