Friday, November 20, 2015

Survey Tags that can be associated with the completion of an MDS assessment

The following are the Survey Tags that can be associated with the completion of an MDS assessment. F272: Facility must conduct initially and periodically a comprehensive, accurate, standardized reproducible assessment of each resident’s functional capacity. F273: When required, a facility must conduct a comprehensive assessment of a resident within 14 days of admission. F274: When required, a facility must conduct a comprehensive assessment of a resident within 14 days of determining a significant change in status has occurred. F275: A comprehensive assessment must be completed not less than once every 12 months (366 days). F276: A facility must assess a resident using the quarterly review instrument specified by the State and approved by CMS not less frequently than once every 3 months. F278: The assessment must accurately reflect the resident’s status. F279: A facility must use the results of the assessment to develop, review and revise the resident’s comprehensive plan of care. F280: The resident has the right to, unless adjudged incompetent or otherwise found to be incapacitated under the laws of the State, participate in planning care and treatment or changes in care and treatment. F286: A facility must maintain all resident assessment completed within the previous 15 months in the resident’s active clinical record (centralized location). F287: MDS data must be submitted within CMS established time frames

Monday, November 16, 2015

BIMS: Rules for stopping the interview before it is complete

RAI Manual page 2-4 Rules for stopping the interview before it is complete: — Stop the interview after completing (C0300C) “Day of the Week” if: 1. all responses have been nonsensical (i.e., any response that is unrelated, incomprehensible, or incoherent; not informative with respect to the item being rated), OR 2. there has been no verbal or written response to any of the questions up to this point, OR 3. there has been no verbal or written response to some questions up to this point and for all others, the resident has given a nonsensical response. If the interview is stopped, do the following: 1. Code -, dash in C0400A, C0400B, and C0400C. 2. Code 99 in the summary score in C0500. 3. Code 1, yes in C0600 Should the Staff Assessment for Mental Status (C0700C1000) be Conducted? 4. Complete the Staff Assessment for Mental Status."

Friday, November 6, 2015

MDS Drug Class Index references

Hydroxyzine is not included as an antianxiety agent on the MDS Drug Class Index from the American Society of Consultant Pharmacists (published by Med-Pass). This is an authoritative resource, since the ASCP members are the consultant pharmacists in long term care. However, they are not the only authoritative resource out there. The best place to look is on the website of the Food & Drug Administration (FDA), since they are the ones who assign the classifications. But in the end, if you can show a surveyor you're using a generally accepted resource and you coded based on that resource, you should be just fine. (AANAC Rena Shepard 11/2015)