mds 3.0

Specialties MDS

Published

What are some of the things you are doing to prepare your team for 3.0 My administrator and DON expect me to handle it all. I am overwhelmed.

Specializes in medsurg, everything in LTC.

Do I understand the option grid correctly? We can choose same date for 2 separate assessments in some cases?

Ex: adm to Med A 9/9, 10/2 ARD can be used for both a 14 and a 30 day?

Obviously 2 separate assessm but it would cut down on #s of assessm to be done.

Please confirm that I did not miss anything and it can be done.......

Thanks

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Do I understand the option grid correctly? We can choose same date for 2 separate assessments in some cases?

Ex: adm to Med A 9/9, 10/2 ARD can be used for both a 14 and a 30 day?

Obviously 2 separate assessm but it would cut down on #s of assessm to be done.

Please confirm that I did not miss anything and it can be done.......

Thanks

If they were admitted 9/9, just do the 30 day 10/1. From what I understood today, you will be paid that rate for the remaining 8 days the 14 day would pay for.

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well so far it has been chaos, just started having CMI meetings to "optimize reimbursement" :lol2: so now dates for assessments change weekly :crying2: trying to get the CNA's to properly fill out the new four page briggs ADL forms and get the nurses to document on these people in assessment period is making me crazy!!! I have tried cheat sheets,reprimands,putting the pen in their hand and writing for them, making my own "mds" notes to try and get the documentation I needed,going daily to meet the residents,watch their care etc...etc... Cannot get anyone to take ownership of actually doing their section on time and putting their notes on the chart before the assessment is locked...our activity lady brings her notes to care plan meetings so she can put them in the charts then, dietary is months behind but tries to write her notes in care plan meetings, social services on one side of our building is right on time but the other guy is a pain in the******. Once when I mentioned he and dietary did not have their sections done on time to our owner I got royally chewed out for "throwing team members under the bus" because my sections were not complete. Tried to explain that I wait on everyone else before doing my parts so I can go over what they said in their notes, then do mine, then raps, care plans all in one smooth operation...what a joke that was!!! so FRUSTRATED!! not a cooperation, but 220 bed facility owned by mom and pop psycho team, actually now run by their son who is a junior psycho. still trying to get our "leader" to make decision on who is filling out which section,raps and trying to make them get their notes on the chart on time as well as doing their own care plans or updating them before we have careplan meeting since once they get to the meeting it is obvious they have no idea what is on their care plans and have not even looked at them.

I love MDS process but this place is really something and I am really freaked at how this whole thing is going to turn out in the end.....:uhoh3:

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Specializes in Long term care.

Facility had meeting for CNA's to explain new forms put into place, reason behind the paperwork (not just to give them something to do at the end of the shift) etc.

Unfortunately the turnover lately has been pretty high, so this may need done again within the next month, for continuity.

Hoping that the interview information gets turned in 'in a timely manner' so we can get started on the 3.0 assessments tomorrow. Due to this being new ground, it may be a rough couple weeks until the kinks are worked out.

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What, if anything, are facilities using to help capture and document pain and behaviors??? Anyone willing to share? Thanks!

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Specializes in Long term care.
What, if anything, are facilities using to help capture and document pain and behaviors??? Anyone willing to share? Thanks!
No form for pain. Just using the interview, and whatever documentation we have on pain in nurses notes & checking pain meds given - if the resident can't do the interview.

Someone in our facility made a form for behaviors - just following along with the structure of the MDS itself, which is easy for anyone with some background on Microsoft Excel or Word.

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Hi how are you doing with the new MDS 3.0 do you do an ADL tracking for the whole month or the look back period?

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Specializes in Long term care.

Answer to previous post: We are only capturing the ADL tracking for 7 days.

Buzzed along today and got my first comprehensive 3.0 assessment done today. DON asked how long it took me, and I had to tell her that I didn't 'time myself', so I wasn't sure. This resident only triggered a couple of CAA's so that was very nice. Things are starting to get the kinks worked out, so I believe the flow of things will be greatly improved in the next couple weeks.

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Specializes in Long term care.

Sect. A 2400 question: "Has this resident had a medicare covered stay since their most recent entry?"

How is everyone else answering this? Are you entering dates of a past stay, say from 1/24/10 - 4/6/10?

This is how we understood to answer this question, but the validation report had some statements on it about RUGS and missing information - due to the dates entered on A2400.

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if you get one please send them my way

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Specializes in LTC, Magt, family practice, legal nsg.

Originally Posted by afolmsbee viewpost.gif

What, if anything, are facilities using to help capture and document pain and behaviors??? Anyone willing to share? Thanks!

viewpost.gif

As a consultant, I do not expect my MDS coordinators to do interviews for pain separate of the MDS as this should be part of the daily care. To avoid having to repeat this, your facility will need to develop an evidence based practice for pain management. Please visit Guestbook to request for a copy of pain assessment form that will address Section J interview and Section D.

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Specializes in LTC, Magt, family practice, legal nsg.

Answer to rukiddingme:

Here's the answer to A2400: This section is used to:

1) Identify when a resident is receiving services under the SNF PPS.

2) Identify when a resident’s Medicare Part A stay begins and ends.

3) The end date is used to determine if the resident’s stay qualifies for the short stay assessment.

Answer "NO" and then skip to Section B if you are doing an OBRA assessment.

Answer "YES" if you are doing a PPS assessment or if the assessment is combined with any type of PPS assessment. Enter the dates of: Start Date is Day 1 of Medicare coverage for which you are completing the PPS assessment for that admission and End date is the last covered date, enter dashes if resident is still receiving Medicare services.

If you have other MDS questions, post your questions on: Guestbook

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