Section F is critical to creating a patient-centered care plan.

The RAI Manual states, “A lack of attention to lifestyle preferences can contribute to depressed mood and increased behavior symptoms.”  However, are we utilizing the interview for daily and activity preferences appropriately to ensure that we reduce depression and behavior symptoms? Remember that behavior does directly corelate with two quality measures:

  • Percentage of long-stay residents who have symptoms of depression.
  • Prevalence of Behavior Symptoms Affecting Others.

Improving these measures also helps reduce hospitalization and improve function.

The RAI Manual also states that hearing the resident’s voice is important to patient centered and high-quality care. Activity preferences are key for ensuring that the residents continue to find meaning in their lives. This will help them to engage with therapy services and daily care activities, leading to better patient outcomes and has the potential to reduce pressure injuries, hospitalizations, and falls.

Important things to consider for the daily and activity preferences interview:

  • Encourage resident to state all activity preferences even from prior to their admission. While these may not be coded on the MDS, they should be considered in planning care and discharge.
  • When a resident gives a long or indirect answer, it is beneficial to explore their answers to fully understand their meaning.
  • “echo” or summarize the resident’s statements to ensure that you are understanding the main themes of their answers. This will give residents the chance to confirm or correct your understanding.
  • Ensure that the resident can hear and understand you. Some resident’s benefit from hearing and seeing the question in writing.
  • Conduct the interview in a quiet and private setting. Sit and face the resident so they do not feel rushed.
  • You can break the interview into smaller pieces if a resident becomes tired. This will ensure that they can still thoroughly answer all the questions.
  • Explain to the resident that these questions are important for high quality care and quality of life.
  • Encourage the resident to state their desires regardless of their current actual or perceived physical limitations.
  • Include friends and family to further support the resident’s preferences.

Remember that the RAI Manual states, “Resident preferences may be influenced by many factors in a resident’s physical, psychological and environmental state, and can be challenging to truly discern.” However, once they are identified they can be applied to care to improve quality.

Ways to use Section F Resident Preferences to develop a holistic and person-centered approach

  • Evaluate items that the resident deemed important and ask further questions- this interview is not meant to be absolute or all inclusive. It is meant to begin an ongoing dialogue with staff and residents.
  • Pay attention to details that the resident states are important.
  • Identify physical barriers that may prevent the resident from engaging in preferred activities. Care planning will help the resident to overcome these barriers.
  • Consider flexing meal times to accommodate resident preferences.
  • Support social connections with family and friends.
  • Support resident decisions. Make accommodations as needed.
  • Provide variety of books, magazines, music, crafts, and games to see what the resident decides to engage in. Staff should make time to play games with resident’s interested in this.
  • Make arrangements for residents to go outside or be near windows when outdoor activities are preferred.
  • Allow for and support religious preferences and activities.
  • Consider the inclusion of pet therapy.

We may not be placing the importance on this interview that it deserves. Facilities that consider preferences do have reduced behaviors and improved mood in their residents. This improved care ultimately leads to an improvement in the quality measures, especially those that directly relate to mood, psychiatric medications, and behaviors. Therefore, this interview is a tool that should be utilized to effectively improve care. Could your facility be missing out on these ways to improve quality measures?

Additional Resources:

https://downloads.cms.gov/files/mds-3.0-rai-manual-v1.17.1_october_2019.pdf

National Partnership to Improve Dementia Care in Nursing Homes at https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/National-Partnership-to-Improve-Dementia-Care-in-Nursing-Homes

Explore More Posts from MDS Consultants

Reimbursement Concerns

Maximizing Case Mix with Special Programs: Respiratory Therapy and Restorative Nursing

Case mix is essential in skilled nursing facilities as it impacts both reimbursement and the care provided. Two key programs that significantly impact case mix scores when properly implemented and documented are Respiratory Therapy and Restorative Nursing. Both...

Strategic Admissions: The Path to Optimized Medicaid Reimbursement

Medicaid reimbursement plays a significant role in the financial health of long-term care facilities, particularly those serving a high percentage of Medicaid residents. While it may not be the sole source of revenue, it is an important component that supports the...

Interim Payment Assessment (IPA) – To do or not to do?

The Patient-Driven Payment Model took effect in October of 2019. Along with this change came the optional IPA. We are now five years into this change and questions still arise on when to complete an IPA. The decision of when to complete lies with the team at the...

Resident Interviews – What are you doing to capture the data?

Effective October 1, 2023, several resident interviews were added to or updated on the MDS. Interview items in Section A and changes to the interviews in Section D, J, and Q have been implemented. Each of the interviews can be a great steppingstone in your path to...

Social Determinants of Health (SDOH) – A Global Initiative Important to Skilled Nursing Providers

The Centers for Medicare & Medicaid Services’ (CMS) Office of Mental Health report CMS Framework for Health Equity 2022 and 2032 states that health equity is defined by the attainment of the highest level of health for all people, where everyone has a fair and...

Read more on Toolbox Essentials

SNF Physician Certifications for Medical Review

One of the requirements of payment is a valid Physicians Certification for Medicare part A services. If SNF certifications and re-certifications are not completed and signed following CMS regulations, then the facility is at risk of losing payment for an entire claim...

Focused Infection Control Surveys and Directed Plan of Correction

It's a dreary Monday morning, and the state surveyors walk into your facility to conduct a Focused Infection Control survey. You and your team have been trying your hardest to comply with infection control procedures throughout the pandemic. At the end of the survey,...

New Advanced Beneficiary Notice

Is your facility using the proper ABN form? The Centers for Medicare & Medicaid Services (CMS) recently updated the Advanced Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131. The new ABN will be mandatory for use on 1/1/2021, but the new form can be...

Covid-19 and Skilled Status

In late June, CMS addressed two issues and posted MDS 3.0 Final Item Sets (V1.17.2).  The two edits were changes to facilitate the calculation of Patient-Driven Payment Model payment codes on OBRA assessments for states that wish to have this calculation performed. ...

Mind Your PHQs

Some skilled nursing facilities (SNFs) are concerned about accurate payment when a resident unexpectedly discharges and the Brief Interview for Mental Status (BIMS) has not yet been completed.However, they should be just as concerned about the PHQ-9. The PHQ-9...

MORE from MDS Experts

Internet Quality Improvement and Evaluation System (iQIES): A New Age

Just when we thought we had a handle on QIES (Quality Improvement and Evaluation System), the Centers for Medicare & Medicaid Services (CMS) transitioned to the Internet Quality Improvement and Evaluation System (iQIES) in 2023.   Reports and Roles Reports...

A Significant Change in Status Assessment – There are Options

The Resident Assessment Instrument (RAI) system includes a significant change in status assessment (SCSA). What might be forgotten is the State Operation Manual (SOM), Appendix PP, includes information that mirrors the RAI manual at 42 CFR §483.20(b)(2)(ii), F637 -...

Interim Payment Assessment (IPA) – To do or not to do?

The Patient-Driven Payment Model took effect in October of 2019. Along with this change came the optional IPA. We are now five years into this change and questions still arise on when to complete an IPA. The decision of when to complete lies with the team at the...

Resident Interviews – What are you doing to capture the data?

Effective October 1, 2023, several resident interviews were added to or updated on the MDS. Interview items in Section A and changes to the interviews in Section D, J, and Q have been implemented. Each of the interviews can be a great steppingstone in your path to...

Section GG Documentation – Questions Still Abound

Section GG remains a popular discussion topic among the Nurse Assessment Coordinator (NAC) and other members of the interdisciplinary team (IDT). Many have questioned their own practices and processes, designed to support coding this section of the MDS. CMS states in...