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Discussion

MDS 3.0--Training and updates

Hi.

The MDS 3.0 is NOT yet final.

The RAI Manual for MDS 3.0 is NOT yet final.

Contrary to what we may read on listservs or newsletters, information on handouts given out and discussed at a CMS inservice may change and NOT make it into the final RAI Manual.

Details that were emphasized last month may be emphatically replaced by different details next week. CMS has issued updates and revisions and revisions of updates. Certain MDS data items are still being closely scrutinized.

Best strategy for now? Work on team communication and cooperation. Work on team problem (triggers or CATs) identification and analysis with each other and with the resident/family. Decide on clinical guidelines you will use or reference. Get used to the form, who will do certain sections and when, but don't get "stuck" on each and every word in the Manual--YET.

Take up yoga or tai chi and spread the essence of lavender...

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Thank you. We have a local group that meets monthly for updates, sponsored by a physician group that provides medical directors for multiple homes in the area, and we are just taking it slow and easy. It's good to support each other and I strongly encourage every area with more than 3 or 4 facilities to get together once a month, with an agenda for reviewing changes, section by section. We will have plenty of time after summer is over to find out what they really want us to do with this.

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