The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 3, Issue 1. Topics in this issue include Who’s the New Kid, CMS Proposed Rules, MDS Changes and more. Please visit QIPMO’s website here for this and other previous newsletters.
On October 1, 2015 a new version of the RAI Manual became effective, Version 1.13. Most of the changes were minor but there is one important change to point out. Prior to the update, Significant Change MDS’s were required if a resident enrolled in or discontinued hospice. Those rules are still in effect, but now, a Significant Change MDS is also required when a resident changes hospice providers and remains a resident at the nursing home. This new rule is in the RAI manual in Chapter 2 on page 21. A Significant Change MDS may also be required in situations when the hospice providing services is purchased by another hospice provider.
The new manual can be found at: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursinghomeQualityInits/MDS30RAIManual.html. Scroll to the bottom of the page. The first link is the ENTIRE Manual. The second link is just the pages that have been changed as of October 1, 2015. You will also find a summary of the changes in the second link.
If you have any questions, you may contact Stacey Bryan, BSN, RN, State RAI Coordinator, Department of Health & Senior Services, Telephone 573-751-6308 or E-mail Stacey.firstname.lastname@example.org.
Updated RAI Manual
On October 1, 2015, a new version of the RAI Manual became effective, Version 1.13. The new manual can be found at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursinghomeQualityInits/MDS30RAIManual.html towards the bottom of the page. The first link is the ENTIRE Manual. The second link is just the pages that have been changed. Also, there is a summary of the changes with the second link.
Updated Quality Measure Manual
On October 1, 2015, a new version of the MDS 3.0 QM User’s Manual became effective, Version 9.0. It can be found at: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html towards the bottom of the page and click on the 4th download (MDS 3.0 QM User’s Manual V9.0) OR at the following address: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/MDS-30-QM-Users-Manual-V90.pdf.
Updated MDS 3.0 Provider User’s Guide
Section 1 (Introduction), Section 5 (Error Messages) and Appendix A were updated in the MDS 3.0 Provider User’s Guide in September 2015. The updated guide can be found at www.qtso.com/mdstrain.html.
If you have any questions regarding the updates, you may contact Stacey Bryan, BSN, RN, State RAI Coordinator, Department of Health & Senior Services, Telephone 573-751-6308 or E-mail email@example.com.
The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 2, Issue 4. Topics in this issue include ICD-10 is Coming!; Tips for Successful Transitions; and The Beauty of Networking. Please visit QIPMO’s website here for this and other previous newsletters.
August 6, 2015: Improving Immunizations in Nursing Homes (12:00 Noon-1:00 p.m. CT)
Join this webinar to learn how nursing homes can improve in immunization quality measures and processes. You will hear nursing home leaders discuss best practices that can be implemented, as well as the Texas MDS clinical coordinator who will present additional information about MDS coding for these measures.
For more information, please visit the TMF website here and sign in.
For the past 10 years, the Centers for Medicare & Medicaid Services (CMS) and the States have used two standard survey processes that assess the quality of care and quality of life for nursing home residents. The memo has a review of both the traditional survey and QIS processes. CMS is continuing to make improvements to QIS to address the challenges, concerns and feedback we have received to optimize the effectiveness and efficiency of survey process.
The memo and attachment are both attached or you may visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-15-40.html?DLPage=4&DLEntries=10&DLSort=3&DLSortDir=descending.
15-31: Focused Dementia Care Survey Pilot (NH – 3/27/15)
Attached to this memo is a final report that outlines the basis for the Focused Dementia Care Survey Pilot, the process utilized, conclusions gathered based upon post-pilot data analysis, as well as next steps for the future. The CMS plans to expand upon the work of the focused survey pilot and has invited States to conduct such surveys in FY2015 on a voluntary basis. The expansion project will involve a more intensive, targeted effort to improve surveyor effectiveness in citing poor dementia care and the overutilization of antipsychotic medications, and broaden the opportunities for quality improvement among providers. Deficient practices noted during the surveys will result in relevant citations. In the event that additional care concerns are identified during on-site reviews, those concerns will be investigated during the survey or will be referred to the SA as a complaint for further review. The memo is attached here and one attachment is attached here.
15-34: Grant Award: Reinvestment of Federal Civil Money Penalty (CMP) Funds to Benefit Nursing Home Residents (NH – 4/3/15)
The Centers for Medicare & Medicaid Services (CMS) invited proposals for a grant opportunity to utilize Federal CMP Funds for the support and further expansion of the National Partnership to Improve Dementia Care in Nursing Homes. The Eden Alternative, Inc. was deemed to be the most eligible applicant and has been awarded a grant, in the amount of $293,129.00, for their project entitled, “Creating a Culture of Person-Directed Dementia Care.” The memo is attached here.
15-35: Implementation of Section 6106 of the Affordable Care Act – Collection of Staffing Data for Long Term Care Facilities (NH – 4/10/15)
In this memorandum, CMS notified States of the posting of technical specifications and related information for the electronic submission of staffing information based on payroll data. This information is posted at: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ.html. The memo is here.