Archive for: May, 2009
Ask Diane: What should we do when a resident cannot complete an interview?
Q: Our facility has several residents with severe advanced dementia who are essentially nonverbal and family contact is inconsistent at times. How does CMS address the resident interviews conducted under the MDS 3.0 when the resident is unable to answer and a family member or responsible party cannot be reached?
Diane: The MDS 3.0 will specify alternate methods for capturing information when a resident is incapable of completing the interviews. For example, the latest MDS 3.0 Draft Item Set indicates that if a resident was unable to complete the Brief Interview for Mental Status (BIMS), the Staff Assessment for Mental Status should be completed instead. Most of the alternative methods for collecting information rely on the observational skills of the clinical team, which is similar to how assessments were completed under the MDS 2.0.
The Interview for Daily and Activity Preferences (Section F of the MDS 3.0 Draft Item Set) requires a slightly different approach than the other resident interviews. If a resident is unable to complete this interview, nursing home staff should attempt to contact a family member to complete the interview. If three or more items in the Interview for Daily and Activity Preferences cannot be completed by the resident or family, the Staff Assessment of Daily and Activity Preferences should be completed.
It is important to note that nursing home staff must attempt to conduct the MDS 3.0 interviews with all residents, or in the case of the Interview for Daily and Activity Preferences, all residents who are able to communicate.
Updated Five-Star information
CMS updated their Web site with new information about the Five-Star Quality Rating System for nursing homes on May 22. The Five-Star Quality Rating System Technical Users’ Guide: State-Level Cut Point Tables, which lists the state-level cut points for star ratings in the health inspection and activities of daily living (ADL) Quality Measure (QM) domains, was updated to include each state’s recalibrated cut points for the month of May. CMS also added a new document, the Expected and Adjusted Staff Time Values Data Set, which “contains reported, expected, and adjusted staffing time values for all nursing homes on Nursing Home Compare,” according to the CMS Web site.
To view these documents, visit our Resources page.
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Interviewing Essentials for MDS 3.0 and QIS
This 48-page training guide cuts through the theory and delivers step-by-step ways to build and improve interviewing skills. Whether your staff members have prior interviewing experience or interviewing for the first time, they’ll enjoy author Diane L. Brown’s interactive approach to interviewing.
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Billing Alert for Long-Term Care
When it comes to long-term care billing, the changes just never seem to stop. That’s why you need Billing Alert for Long-Term Care (BALTC).
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