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.
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?
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.
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.