Hi--right now, "running behind" seems to have little to no actual impact on patient care or care planning,
since most/all of the MDS information is pulled from information/documentation somewhere else in the medical record. Clinical staff does not depend on the MDS to provide new or vital assessment information--most never see or read it.
Although "in the beginning" we were told, and believed, that the MDS was a "source" document, we rapidly learned otherwise--DAVe and CERT reviews taught us that MDS items need "backup". We found that there were only 2 times when "timely completion" mattered (to anyone other than the MDS coordinator)-when assessment completion and submission was needed for billing or to positively impact a QI/QM.
But times they are a changin'...as we know, several sections of the MDS 3.0 are DIRECT PATIENT/RESIDENT INTERVIEWS. Depending on the particular section, 85% to 92% of non-comatose residents were able to understand and give clinically relevant responses. The responses ARE the MDS required assessments for pain, mood, and activity preferences. And the assessment may require an immediate intervention or medical consultation. We cannot be behind, because others WILL depend on the seeing the MDS in the medical record the same day it should be completed. :uhoh21:
Even though we will not start using the MDS 3.0 until October 2009, we need to start looking at how we can "re-tool" NOW. We can't be behind in THIS!! Persons who complete the MDS need terminals for data entry. Nurses who "lock" the completed MDS need an easily accessible printer. Look at present assessment tools, and consider whether to delete or modify. What will the MDS 3.0 coordinator's job description look like? ...and on it goes...