Mds-rugs

Maybe these links & articles can help you from Health & Human Services (HHS)?

http://search.cms.hhs.gov/search?q=RUG&site=new&output=xml_no_dtd&client=my_frontend&proxystylesheet=my_frontend&oe=UTF-8

Thanks for the website. It had alot informative information. But not exactly what I am looking for. It is because of the new RUG-53 update from Jan 1st 2006 that I'm asking. We have to test our software. So I need to know what on the MDS triggers the new RUG score? Any ideas?

Look on the CMS website (http://www.cms.gov) I think??? Or try http://www.medicare.gov.

Thanks for the website. It had alot informative information. But not exactly what I am looking for. It is because of the new RUG-53 update from Jan 1st 2006 that I'm asking. We have to test our software. So I need to know what on the MDS triggers the new RUG score? Any ideas?

MDS-PPS item "Triggers" remain the same. We need to score the Late Loss ADLs more accurately than ever (ADL score 7 or higher), we need to set the optimal ARDs for the 5D and even 14D to capture Extensive Services (IVF, IV meds etc.) coordinating more closely with Skilled Therapy more than ever.

AANAC online membership plus credentialing and subscription to MDS Alert and high speed DSL access will more than pay for itself: ask Admin.

I found this website AANAC. It looks like a good place to find answers. But you have to subscribe. I will ask my facility and see if they will pay for it. Thank you for all your help.

Thanks to everyone for their replys. Sometimes I feel like I speak a different language then my co-workers. I work for an in hospital skilled nursing unit. We have only 11 beds. So I multitast. I am the DON, Activity Director, and the MDS coordinator. I have alot of people in the hospital with good intentions but not the knowledge to help me. They are really good with Joint Commision but not TDH or MCR for my area. All I usually have to do is ask and I get it. Pretty lucky there. Thanks again. Ronda

https://www.qtso.com/swingdownload.html

http://www.cms.hhs.gov/SNFPPS/03_SwingBed.asp#TopOfPage

I just started doing the MDS after not doing them for about 2 years. I know there is now a shorter 5 day MDS for MCR. We are currently still using the full assessment. How do you go about changing that?

I just started doing the MDS after not doing them for about 2 years. I know there is now a shorter 5 day MDS for MCR. We are currently still using the full assessment. How do you go about changing that?

I'm a PPS Coordinator in an LTC facility so I am not sure if my answers will hold true for you. 5 day MPAFs or short forms can be used for Residents DC'd prior to completing the initial comprehensive (MDS plus RAPs) meaning they stayed less than 14 days. OR a 5 day MPAF can be performed, with the 14 day MCR-A dually coded as OBRA Initial Assessment with the strict requirement that initial assessments be completed (R2b) by the 14th day of admission meaning no use of grace days.

Lets see if I understand. Sometimes I am alittle slow. I can do the short form for the 5 day for patients that go home before day 14. But if they are not DC then I need to do a full 14 day, with RAPS, and care plan decisions. Is it ok to use the 5 day short form routinely? I never know what the length of stay is going to be. Its hard to second guess the doctors and Therapist sometimes. But its a low percentage of our residents that stay 14 days or longer.

Lets see if I understand. Sometimes I am alittle slow. I can do the short form for the 5 day for patients that go home before day 14. But if they are not DC then I need to do a full 14 day, with RAPS, and care plan decisions. Is it ok to use the 5 day short form routinely? I never know what the length of stay is going to be. Its hard to second guess the doctors and Therapist sometimes. But its a low percentage of our residents that stay 14 days or longer.

http://keanecare.com/html/news/mds20.asp

Lets see if I understand. Sometimes I am alittle slow. I can do the short form for the 5 day for patients that go home before day 14. But if they are not DC then I need to do a full 14 day, with RAPS, and care plan decisions. Is it ok to use the 5 day short form routinely? I never know what the length of stay is going to be. Its hard to second guess the doctors and Therapist sometimes. But its a low percentage of our residents that stay 14 days or longer.

You can use the MPAF when you do the 5-Day. If the resident is still in facility on day 14, you will be compelled to complete a full MDS for OBRA required Initial Adm w/ RAPs. If the resident would still be in facility on day 15, you will need to combine this Initial Adm MDS w/ a 14-day PPS.

Refer to the RAI pp 2-32 to 2-36 regarding use of MPAF

Be advised also - the RAI's most recent update is Nov. 2005

The 53-Grouper RUGs are explained on pp 6-8 to 6-28

You may also view it here...

http://www.cms.hhs.gov/SNFPPS/02_Highlights.asp#TopOfPage

Click on -- RUG-53 Education Material [ZIP, 43kb]

This is a zip file. Once unzipped, open ..

CrosswalkMDS2-RUGIII(53)FINALRULE