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Category Archives: MDS 3.0

CMS Memo S&C 14-46-LSC: Categorical Waiver for Power Strips Use in Patient Care Areas

Memo Summary:

  • Categorical Waiver:  CMS has determined that the 2000 edition of the National Fire Protection Association (NFPA) 101® Life Safety Code (LSC) contains provisions on the use of power strips in health care facilities that may result in unreasonable hardship for providers or suppliers.  Further, an adequate alternative level of protection may be achieved by compliance with the 2012 edition of the LSC, which has extended allowances on the use of power strips in patient care areas.

 

  • CMS is permitting a categorical waiver to allow for the use of power strips in existing and new health care facility patient care areas, if the provider/supplier is in compliance with all applicable 2012 LSC power strip requirements and with all other 2000 LSC electrical system and equipment provisions.

 

  •  Resident rooms in long-term care or other residential care facilities that do not use line-operated electrical appliances for diagnostic, therapeutic, or monitoring purposes are not subject to the more restrictive NFPA 99 requirements regarding the use of power strips in patient care areas/rooms.  Resident rooms using line-operated patient-care-related electrical equipment in the patient care vicinity must comply with the NFPA 99 power strip requirement and may elect to utilize this categorical waiver.

 

  • Individual waiver applications are not required:  Providers and suppliers are expected to have written documentation that they have elected to use the waiver.  A provider or supplier must notify the LSC survey team at the entrance conference that it has elected the use the waiver permitted under this guidance and that it meets the applicable waiver requirements. The survey team will review the information and confirm the facility meets the conditions for the waiver.

Please see the complete memo here or visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-14-46.html?DLPage=1&DLFilter=14-46&DLSort=3&DLSortDir=ascending.

Revised RAI Manual

The complete set of RAI Manual v.1.12 pages and change tables and the Replacement Pages file, both in the Downloads section below, now contain revised versions of Chapter 2; pages A-8, A-10, and A-13 (Chapter 3 Section A); pages E-2 through E-8 (Chapter 3 Section E); page 6-12 (Chapter 6); the Appendix B, F, and H cover pages; and Appendix G. Files affected by this revision contain an R in the version number (“1.12R”) and pages affected include an “(R)” in the page footer.

This most recent version can be located at the following link: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html.
The complete manual can be found in the box labeled “downloads” at the bottom
of that page.

“STOP-FYRE” Fire Extinguishers

There is a company by the name of AKE with dealers in some states bordering Missouri selling unlisted fire extinguishers to businesses.  If you get calls or questions about these “STOP-FYRE” fire extinguishers, or find them during an inspection, explain to the facility that 1998 NFPA 10, paragraph 1-4.3 require fire extinguishers to have a UL listing, or listing from another recognized testing laboratory such as ANSI, indicating they have been tested, and meet or exceed the performance standards for fire extinguishers.  The website is www.AKE.com.

RAI Process & Medicare from Start to Finish Workshops

October 7 – 8, 2014:  RAI Process from Start to Finish
November 12, 2014:  Medicare from Start to Finish
Please visit the Missouri League for Nursing at www.mlnmonursing.org/MDS.

Updated RAI Manual

CMS has posted the updated version (v.1.12.0) of the Resident Assessment Instrument (RAI) User’s Manual, which goes into effect on October 1, 2014.

Go to https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html, and then look under Downloads where you can view/print the entire manual or only the replacement pages.  Change tables are also available which summarize the deleted and added wording.

You may also sign up for any of the following FREE webinars done by Carol Siem, MSN, RN, BC, GNP, Clinical Educator, QIPMO.
Monday, September 22, 2014: 2:00 p.m. – 4:00 p.m.
Tuesday, September 23, 2014: 10:00 a.m. – 12:00 noon
Tuesday, September 23, 2014: 1:00 p.m. – 3:00 p.m.
Thursday, September 25, 2014: 10:00 a.m. – 12:00 noon
Friday, September 26, 2014: 9:00 a.m. – 11:00 a.m.
Friday, September 26, 2014: 2:00 p.m. – 4:00 p.m.
To sign up go to: https://attendee.gotowebinar.com/rt/8072217808620282113.  After registering, you will receive a confirmation email containing information about joining the webinar.

Along with the updated manual is a new version of the Minimum Data Set (MDS) Item Set (v.1.12.0).  Software vendors should be making contact with providers to update/patch the MDS software.  In order to successfully transmit the MDS on and after October 1, 2014, providers will need to use the new version Item Set with Assessment Reference Dates (ARDs) of October 1, 2014 and later.

Questions may be directed to the MDS unit at 573-751-6308 or 573-522-8421.

QIPMO Newsletter – Volume 1, Issue 4

The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 1, Issue 4.  Topics include Little Known Facts about the MDS, Interesting Websites, and features Dave Walker’s Questions from the Field.  Please visit www.nursinghomehelp.org/qipmo.html.

Ghostbusters and QIO Program Turn 30: Who You Gonna Call for Medicare Concerns?

Primaris will no longer handle Missouri Medicare case reviews beginning August 1

Thirty years ago, Ghostbusters made the question “Who you gonna call” go viral long before the days of social media.

1984 was the same year Quality Improvement Organizations (QIOs), like Missouri-based Primaris, began answering the call of Medicare patients.  Primaris serves Missourians with Medicare by examining concerns about their care, or by reviewing cases where patients feel services ended too soon – for example, an early discharge from a hospital.

Beginning August 1, 2014, Missourian patients and providers will no longer call health care quality-improvement consulting company Primaris.  All current and future beneficiary quality review case work and appeals will be conducted by KEPRO, located in Seven Hills, Ohio.

For more information, please visit Primaris at http://primaris.org/quality-today/ghostbusters-and-qio-program-turn-30-who-you-gonna-call-for-medicare-concerns.