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 Long term care.

My MDS supervisor & myself are both overwhelmed with our current duties, and the 3.0 changes are just adding to that. I'm not sure what she knows about the RUG III to RUG IIII transition for September to October (she was in another facility this past week assisting in survey)

We haven't been told whom is going to help with the new interviews, nobody has talked about storage for the new "bigger & thicker" MDS assessments, nothing has been brought up about re-educating staff on changes for charting and forms for 3.0.

Up Vote Up Vote ×

Don't let the 3.0 scare the life out of you. When you look at the big picture, it is not really THAT different. What is different is that now instead of interviewing the staff and forming your own opinions about what you think the residents need...you will be asking them and inputting the info. The CAA's are still RAPS. Just keep in mind that we will no longer be able to close the door and do them by ourselves. They must be worked by the entire team. This is the main preparatory measure you should take, getting them on board before October 1. Another suggestion, back up every single assessment you can into September and just leave yourself a few for the first couple of weeks of October. Read the new manual, interesting reading I know.

There are some new rules but, not a lot. If you know the current system, you will do fine with the new one. Everyone is freaking out, we do not like change. I don't either but as I said, look at the overall picture, it's not that bad.

Up Vote Up Vote ×
Specializes in Long term care.

Yesterday, Sept. 1st, the MDS Coordinator pointed out that we are now just one month away from starting the 3.0 -- and told everyone in the morning meeting that we needed to meet and discuss the new parts of the MDS, and decide whom will be doing which interview, and what forms they are going to start using, etc.

I believe they still think the whole thing should be done just as it was before....they turn in their section to the MDS people, we input the information, we do all the CAA's, and the care plans, print it out, and pass it onto them to review and sign. Same old, same old.

Up Vote Up Vote ×

They will be amazed! Everyone should input their own section! There is no way that you can do everyones inputting. NO WAY!

Up Vote Up Vote ×

I'm really grateful to know I"m not the only one with concerns. I've been the MDS/Care Plan Coordinator for 8 years, but along with that, other duties have been added by means of the "trickle down" system. We are not coorporate, therefore, we are on our own without assistance or informational backing. Along with these MDS changes, we've just been approved for our Medicare certification. I worked in a prior facility that went from strictly Medicaid to SNF, and it's overwhelming in itself. We should be getting our Medicare number just about the time we transition to the new 3.0. Not many nurses understand the importance of the MDS or how time consuming it can be. For the time being, it's all mine. It is overwhelming. Big picture of the new MDS is that it's resident focused. Big picture is that I'll most likely never have a vacation again...lol

Up Vote Up Vote ×

Pammy,

I sent the checklist to you today. I hope it helps to get all of the info in one place. I have done it on 10 or so and I just circle or fill in the info. I only do the G, H, I, J, N, O, P sections, and coordinate the rest.

For the interviews, they all can be done in less than 30-40 minutes if done by one person. It is not that different from the 2.0 in that you ask specific questions now instead of general questions to determine a resident's status. Don't be scared by the number of pages. The skip patterns eliminate the stuff you don't need to answer based on your input. Also, the reason 3.0 is 38 pages is that they have increased the type font size to help those of us who are getting older! If the font size was like the 2.0, the entire MDS would fit on 9 pages.

I think 3.0 is quicker, smoother, and focuses more on what the resident wants. I went to a 2 day class in July, and have been changing our charting to prepare for the big day. We also backed up the early October MDS into September. Good luck---and Be happy because the new way is easier. (Don't let your DONs know though!)

Up Vote Up Vote ×

To rukiddingme,

My social services will do the BIMS-or mini mental, Activities will do the act preferences and mood, and I will do the pain assmt. We have talked about having one person asking all of the questions so that the resident won't have to have a parade of staff coming in for interviews. Also, the pain assmt is so short, I do it when I stop to visit to watch a transfer, or when I am doing the skin assessment for M.

I made a checklist of my sections with diagnoses, G items, and a place for all info I will need when I sit down at the computer. We are still in paper charts, but others who are in the digital age say it helps them to not have to go back and forth from screen to screen. You can change it to add your specific sections if you do more or less than I do. I do AA,DGHIJLMOPQRTW on 2.0, and I think GHIJMNOP ON 3.0. You can email me at [email protected] if you want me to send you a copy:):)

Up Vote Up Vote ×
Specializes in Long term care.

On Friday the DON had all of us on the 'team' sit in a meeting, review the MDS, and split up the sections amongst us. They are looking to hire (or use an existing staff person) for just the interviews. The restorative nurse will now do all of Sect. G, oral status, and her restorative programs. The social service dept. will now be in charge of mood & behaviors, our QA nurse will give us Flu/Pneumo information, most of K comes from dietary - but we will be asking the feeding CNA's to do the 1st part. Sect. M will be done by our ADON (wound nurse). Us MDS nurses will do input all data after it is given to us, we are responsible for sect. B, H, I, J, N, parts of O, P. We will still do all the CAA's and care plans. (we also do assessment forms for: norton, falls risks, elopement risks, abuse/neglect risks, pain, and functional endurance assessments on public aid residents.

Up Vote Up Vote ×

Thank You so much for your help!

Up Vote Up Vote ×
Specializes in Long term care.

Anyone have any new 3.0 tracking sheets they would share? For mood/behaviors, toileting that you would email to me?

Still don't have these in place at my facility. I know we're doing the interviews, but I have some residents in mind that aren't going to complete them, and will need to get the information from staff.

Up Vote Up Vote ×
Specializes in MDS/ UR.

You can download samples from Briggs.

Up Vote Up Vote ×

Under what category at Briggs?

Up Vote Up Vote ×
+ Add a Comment