mds 3.0 - what WERE they thinking??

Specialties MDS

Published

You have got to be kidding me!! I just finished my first D/c return not anticipated and I am fuming! took me 1 3/4 HOURS to complete it! For someone who has gone home! Thankfully we had just done a 30 day assessment 4 days prior and I took a lot of info from that. How is it that the powers that be came up with such a labor intensive process?? Did anyone who had input into this new process actually WORK in a nursing home? Did they actually try to DO the new MDS in a real, true NH environment? I work in a 180 bed facility with 8 d/c and 6 admissions between OCt 1 and Oct 4. Not to mention the medicare census 0f 26 with the SOT, EOT, 5,14,30,60,90 day assessments due. Plus this week we had 6 annuals, 2 significant changes and 11 quarterlies - all needing the 3.0.

So....by the end of next week I will have approx 1400 pages of assessment to do, not to mention 16 sets of CAAs!! There is only me and one other full time person to do all this. We've been advertising for a 20 hour person (whooppee) but no takers yet - who want this job now??

WHAT WERE THEY THINKING????????:eek::mad:

Specializes in Long term care.

We've been so busy trying to learn new software, how to read our MDS error check, trying to fix errors, and waiting on validation reports (when their actually being processed) that we've had LITTLE time to actually keep track of the residents on our caseload.

Specializes in Greriatrics / Prison Clinic.

With one ream of paper (500 sheets) you can print 8 comprehensive 3.0 MDSs, and 11 quarterlies. They don't fit in the charts. The CAA prints out in all assessments , needed or not. Can't select print. The discharge MDS asks for an assessment. A whole assessment! Hey creators of 3.0, what are you thinking. Why should we spend an hour and 1/2 on a document that is just meant to tell the Feds a person left the building?? 3.0 is not integrating well with our software. I have a friend in another facility who has the same problem, slow slow slow, time consuming sluggish work. I have anothe friend in a different facility using different software with the same problem. It seems to me that the NH industry was sold a bad bill of goods. 3.0 asks some good questions, the interviews are a good tool for getting the cognitive status identified, but even that now, takes more time. A formal sitting with the resident going throught the questions takes time, add that to the time it takes to complete just one assessment.......It is hardest (my opinion) on the PPS nurses. I end up doing all my own interviews, not much cooperation. Constantly on the phone with the computer guys. They are trying to figure out if they have a problem, or if the 3.0 program just runs SLOW! They have admitted they don't know right now. IT isn't cost effect to think that all the NHs need to hire extra MDS nurses, but it may come to that. Who ever invented the program needs to go back to the drawing board.

Specializes in MDS/ UR.

QI's are dark for a year if I recall right. I suspect it will be alot longer given all this ruckus we have with everything else.

Honestly, I want to complete every MDS completely and accurately. I am compulsive that way. Inside I cringe at the thought of letting something through the gate without every I dotted and T crossed.

However, I am realistic at this point. The discharge assessments are purely hypothetical statistics at this point in a pregame season. Given with all the othe thngs on the plate, this one is fallinng to the bottom.

The discharge MDS is the CRAZIEST thing anyone could have ever thought of . If the resident goes home, they have obviously met their goals. If the go to the hospital and come back you have do another return assessment and a 5 day if it is a MED A. If they die they go to heaven so what in the world does anyone want to or have the time to read a discharge that prints out 41 pages. The poor trees!!!

Specializes in LTC/Rehab, Med Surg, Home Care.

I thought we only had to restart the med a schedule if the person was actually admitted to the hospital? If they are kept as an observation pt. and then return the next day, I was told by my supervisors we do NOT restart the med a schedule. It's in section 2 of the RAI manual, I can't remember the page right now.

I also thought that for a death in the facility, it's just the death in the facility record, not the discharge assessment, which is absolutely pointless for someone who is dead.

The discharge MDS is the CRAZIEST thing anyone could have ever thought of . If the resident goes home, they have obviously met their goals. If the go to the hospital and come back you have do another return assessment and a 5 day if it is a MED A. If they die they go to heaven so what in the world does anyone want to or have the time to read a discharge that prints out 41 pages. The poor trees!!!
Specializes in long term care - MDS.

i wonder how it works for someone who went home for less than 24hrs. i bet i have to start over because they were d/c return not anticipated. two unplanned discharges while i was out. both to home, the one return is no surprise and the other will probably return as well. i think the d/c summary, esp about notifying the community resources will have some impact.

the death in facility is only a page or two. a tracking device only.

i recently switched facilities. this one only prints page Z with the signatures and the front page. everything else is electronically stored and can be pulled up if needed. i guess the state pull all that up before they come anyway. being the nerd that i am, i print a working copy and will keep that for a while. didn't someone say something about a template? hmmm...

The way I understand it is if the resident is admitted to the hospital not an observation you must do a reentry and a 5 day. If it is just an observation then no, you would just continue on.

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