MDSinNE

thanks again for your help!!!!

Our facility is changing the way we code section G of the MDS. We had been having the restorative aide speak to each shift for 7 days and gather information. We are now going to use 7 day ADL coding sheets for the aides to use and code information. We are providing mass inservices for them so they can correctly code. My problem is that I believe when I start doing the MDS's with these new forms, everyone is going to look like they have had either a significant decline or a significant improvement when in fact they really may not have, it's just because of a change in coding. This also means the quality indicators are going to show the sig. changes too. Obviously we need to look at each resident and determine if they really had a change or it's just because the coding/coder has changed. Do we need to state this somewhere in the resident's chart so that when the surveyors look at an old mds (previous adl coding) and a new MDS (new & accurate adl coding) and see changes in section G, they know it's been reviewed and determined that it's just because of the new coding/coder. OR do we do a significant change on everyone? This would be a huge job to have to do. Any suggestions???

Where do I look for these changes? I wouldn't have known unless I came here. Can you get updates via email? thanks!

Thanks for your suggestions. What you said about each dicipline having interventions is exactly what we do. I'll keep plugging away!

thanks for your suggestions and encouragement. I'll try that!

hello everyone! I am a careplan coordinator and have an administrator that thinks our careplans are lousy. :angryfire She thinks they are not interdisciplinary but I disagree. Each team member has parts of the MDS that they are responsible for and the RAPs that correspond with them. They develop a careplan based on that RAP and incorporate interventions that include other departments. We also discuss each careplan at the careplan meeting. Those two things I believe make them interdiscplinary. The administrator says we are going to be "hit hard" at survey this year because she doesn't believe they are done right. My first survey last year as a new MDS coordinator was deficiency free in the careplan area. She believes they didn't even look at the careplans. Can someone tell me what makes the careplan interdisciplinary and what the surveyors like to see. Thanks for your help!:)

Thanks so much for the info!

Can someone clarify how you code section G personal hygiene on the MDS? If a resident is independent in all aspects of the personal hygiene but requires full staff assistance to do pericare each shift each day, how is that coded? Thanks!