In a major departure from the MDS 2.0, the MDS 3.0 will require nursing facility staff members to conduct structured resident interviews to complete several sections of the assessment.
Diane Brown and Frosini Rubertino talked about how resident interviews will be incorporated under the MDS 3.0 in HCPro’s Dec. 11 audio conference, “Interview Techniques under QIS and MDS 3.0: Build the Necessary Skills Now.”
According to the draft MDS 3.0, the four sections that require resident interviews are:
• Section C: Cognitive status. This section will involve the Brief Interview for Mental Status (BIMS), which will be conducted the day before, the day of, or day after the Assessment Reference Date (ARD), according to the most recent draft MDS 3.0 item set. The MDS includes several added instructions, such as how and when an interviewer may cue residents.
• Section D: Mood. This section will use a standardized mood interview that is used in other healthcare settings. The only residents who will not be completing this interview will be residents who cannot make themselves understood, such as residents who are suffering from aphasia after a stroke and severely cognitively impaired residents.
• Section F: Customary routine and activities. This section will replace section AC, preferences for customary routines and parts of section N, activity preferences. Section AC used to be completed at admission, but according to the draft MDS 3.0 item set, this interview will be completed every time the MDS is completed.
• Section J: Pain. This section will involve a pain assessment and pain management interview. Residents will be asked about the presence, frequency, functional effect, and intensity of pain. This will offer nursing facilities the ability to address the pain needs of residents more appropriately, Brown said.
To view these MDS 3.0 sections, open the Draft MDS 3.0 item set on the Resources page.