Our facility is changing the way we code section G of the MDS. We had been having the restorative aide speak to each shift for 7 days and gather information. We are now going to use 7 day ADL coding sheets for the aides to use and code information. We are providing mass inservices for them so they can correctly code.
My problem is that I believe when I start doing the MDS's with these new forms, everyone is going to look like they have had either a significant decline or a significant improvement when in fact they really may not have, it's just because of a change in coding. This also means the quality indicators are going to show the sig. changes too. Obviously we need to look at each resident and determine if they really had a change or it's just because the coding/coder has changed.
Do we need to state this somewhere in the resident's chart so that when the surveyors look at an old mds (previous adl coding) and a new MDS (new & accurate adl coding) and see changes in section G, they know it's been reviewed and determined that it's just because of the new coding/coder.
OR do we do a significant change on everyone? This would be a huge job to have to do.