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The MDS Expert Blog

Read on for insights from our expert staff and our commentary in the press.

Staffing in the World of PDPM

October 7, 2019

The Patient Driven Payment Model (PDPM) is here, and even well-prepared organizations are uncertain about precisely what the future will hold for this new system of reimbursement for nursing home care. To gain some insights on staffing in the world of PDPM, InFront talked to Melanie Tribe-Scott and Gloria Brent from MDS Consultants during last…

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7 Baseline Care Plan Myths

January 24, 2019

Baseline care plans have been required since late November 2017, but nurse assessment coordinators (NACs) and other interdisciplinary team (IDT) members are still navigating through a lot of misinformation to learn the rules of the road for F655 (Baseline Care Plans) as detailed in Appendix PP of the State Operations Manual. Here are seven common…

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QAPI Resources

March 29, 2017

We’ve compiled a list of helpful QAPI resources from CMS as well as other organizations and experts. CMS Regulations & News Nursing Home Quality Assurance & Performance Improvement (QAPI) QAPI News Brief – Volume 1 QAPI News Brief – Volume 2 SNF Quality Reporting Program (IMPACT Act of 2014) Nursing Home Quality Initiative Patient Protection…

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It’s QAPI Time!

March 29, 2017

QAPI will soon be in the spotlight.  All skilled nursing facilities, by November 28 of this year, must have their QAPI plan ready to provide to the Annual Survey.  For those who don’t have their plan in place, here is a quick QAPI primer.   What Is QAPI? QAPI stands for Quality Assurance / Performance Improvement. …

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How Much Staff Do I Need for MDS?

January 5, 2017

We all know that a lot of time, energy and effort go into completing an MDS.  But how many hours should you really be spending?   Factors to Consider in Calculating MDS Staffing Time What is your average LTC census per year? What is your average Rehab Census per year? What is your average LOS…

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Determining Nurse Aide Staffing Requirements

November 1, 2016

CONCLUSIONS: The average nurse aide staffing levels reported by NHs falls below the level of staffing predicted as necessary to provide consistent ADL care to all residents in need. DES methodology can be used to determine nurse aide staffing requirements to provide ADL care and simulate management interventions to improve care efficiency and quality. ABSTRACT:…

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One section at a time

September 5, 2016

When it comes to the Minimum Data Set, accuracy can be the defining factor in whether a facility keeps its doors open, thrives or ends up facing federal indictment. Whether providers are looking to ensure they can afford to provide the proper care their residents need or to maintain a five-star quality rating, the information…

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Another way to capture ADLs

November 18, 2014

The conventional wisdom for improving Activities for Daily Living is to educate and re-educate and then educate again. This is important, but I look at ADL capture as a process that requires audits and examining systems. Every process has gaps that can be narrowed or even closed. Usually 80% of ADL capturing problems are caused…

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Success without silos

September 1, 2014

While this autumn won’t bring nearly as many MDS changes as last year, documentation and coding due-diligence remains crucial. And despite coordinators’ knowledge and leadership role in the MDS process, they shouldn’t be shouldering the responsibility alone, experts say. “Any discipline that contributes to the MDS should understand the ‘tell me more’ about the MDS…

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