Special surveys to determine Minimum Data Set coding accuracy and nursing home staffing levels will occur nationwide in 2015, the Centers for Medicare & Medicaid Services announced in an Oct. 31 memorandum. A five-state pilot of the focused surveys concluded in August, and there were deficiencies reported on 24 out of 25, according to CMS.
Don't let anyone tell you that long-term care operators don't know how to read between the lines. They might not have known to fear a McKnight's Daily Update item before it appeared Sept. 8. But it quickly and definitely earned their attention — and apprehension.
What is the best nursing structure to support the MDS process?
The Five Star Quality Rating System takes the spotlight on the front page of the New York Times and the top of the news cycle, kicking off other publicity and political pressure. Regardless of any of the program's weaknesses, however, it cannot be ignored that providers have used this metric to establish goals and measure improvement — and improved they have.
In reviewing the MDS, there are several areas to check related to short stay requirements. First, is the Start of Therapy assessment checked in A0310C? If there is not a 5-day scheduled assessment or readmission/return assessment checked in A0310B, has this already been done?
Minimum data set coordinators should get as much support as possible from colleagues as they navigate data set changes and ever-evolving requirements
There are many parts of attending annual big conferences that I love, from seeing old industry friends to attending good sessions. But I also, not so secretly, love the exhibit halls — for several reasons.
Death is never an easy topic. Hemingway addressed it eloquently in his novel "For Whom the Bell Tolls," the title of which was taken from meditations on health, pain and sickness by poet John Donne.
Long-term care staffers' understanding of the Minimum Data Set and its Quality Indicators is "mediocre at best," according to recent survey results. Lack of exposure and involvement are key reasons why nurse aides especially feel they are out of the loop.
The Minimum Data Set helps determine how resident care is classified and reimbursed. Because it drives providers' fate, virtually from start to finish, providers cling to any nugget they can glean about it. That's why newly released study findings prove so intriguing.
Frontline staff in long-term care facilities generally do not have a firm grasp on Minimum Data Set Quality Indicators, largely due to a lack of involvement with the MDS, according to a recently published survey.
8th Annual McKnight's Online Expo brings national experts, continuing education credits, vendor booths and more straight to your desktop, or wherever you connect to the Internet
What are the financial benefits to implementing CMS's Quality Assurance Performance Improvement program?
The pressure is on. As the population ages, nursing homes will have to play a more central role in helping realize the national mandate of reducing healthcare costs while improving its quality.
Nursing homes that initiated culture change between 2004 and 2009 saw a noteworthy decrease in health-related survey deficiency citations, according to recently published research. The investigators describe their study as the first of its kind.
Is there anything we should be doing with the results of the Brief Interview for Mental Status (BIMs) and PHQ-9 that we get from the MDS?
Resident assessments and care planning quality are threatened by nurses' unrelated duties, survey findsJanuary 30, 2014
Filling out a comprehensive assessment for a nursing home resident takes five hours on average, and nurses' workloads can make it difficult to carve out this time, according to survey results from the American Association of Nurse Assessment Coordination.
With all the changes to the MDS on Oct. 1, 2013, how will payment be affected?
Well, Oct. 1 has passed, and we're all still hanging in. The biggest changes we saw to rehab were the addition of reporting co-treatment minutes on our billing logs and Section O on the MDS. And, the new question of "how many DISTINCT calendar days" were received between SLP, OT, and PT.
On Oct. 1, the Centers for Medicare & Medicaid Services will be updating the Minimum Data Set with another round of changes. Most are minor but there will be two changes to the therapy section. Your case-mix utilization and scheduling, will determine the degree of impact of these new changes.
The Centers for Medicare & Medicaid Services has released a memorandum clarifying transition policies for new Minimum Data Set items related to swallowing and nutritional status, as well as therapy.
The Centers for Medicare & Medicaid Services has clarified steps providers must take to comply with Minimum Data Set requirements regarding incomplete or unsubmitted discharge assessments.
I have just been promoted to director of nursing after the position became available. I am very nervous. Where do I even start and where would I find support and continuing education for my new role?
Open up the hood and look at the engine. Does the data scrubbing module focus only on standard CMS coding and consistency checks and the "RUG" items, or is it more robust and emphasize clinical quality and risk management. We studied MDS data from 11 software vendors and two suppliers of MDS scrubbing services: The "best" had MDS error rates of 62%, the "worst," 79%.
Long-term care administrators and nurses are under pressure to train staff to assess and document skin conditions to keep patients out of the hospital.
No timeline for official QAPI regulation, but surveyors are learning program basics, CMS official saysJune 14, 2013
The Centers for Medicare & Medicaid Services still cannot say when an official regulation will be established for the Quality Assessment and Performance Initiative, but that's not stopping the agency from moving forward with QAPI initiatives. Providers should feel confident they will be well prepared for QAPI by following the recommendations in recently posted online materials, said CMS project officer Deborah Lyons, RN.
Providers can now access a training video on discharge assessments and how to properly code using dashes in the Minimum Data Set, the Centers for Medicare & Medicaid Services announced Thursday.
The Centers for Medicare & Medicaid Services has increased its scrutiny of Medicare Part A filings recently and as a result, has reclaimed more funds than ever from providers, a long-term care compliance expert noted at a recent McKnight's Super Tuesday webcast.
Minimum Data Set information identifying providers will be shared with health plans to fight fraud, CMS announcesMay 30, 2013
To combat fraud and abuse, the Centers for Medicare & Medicaid Services plans to make provider-specific Minimum Data Set information available to health plans, according to a notice in Wednesday's Federal Register. The MDS is one of 23 records systems that would be affected by the new "routine use" defined by CMS.
Skilled nursing providers should ratchet up Medicare Part A compliance initiatives to meet the increasingly intense scrutiny of the Centers for Medicare & Medicaid Services, a compliance expert said in a McKnight's Super Tuesday webcast. "CMS is serious about this," said Leah Klusch, executive director of The Alliance Training Center.