|
MDS 3.0 History Importance The MDS is a powerful tool for implementing standardized assessment and for facilitating care management in nursing homes (NHs) and non-critical access hospital swing beds (SBs). Its content has implications for residents, families, providers, researchers, and policymakers, all of whom have expressed concerns about the reliability, validity, and relevance of MDS 2.0. Some argue that because MDS 2.0 fails to include items that rely on direct resident interview, it fails to obtain critical information and effectively disenfranchises many residents from the assessment process. In addition, many users and government agencies have expressed concerns about MDS 2.0 data quality and validity. Other stakeholders contend that items used in other care settings should be included to improve communication across providers. MDS 3.0 has been designed to improve the reliability, accuracy, and usefulness of the MDS, to include the resident in the assessment process, and to use standard protocols used in other settings. These improvements have profound implications for NH and SB care and public policy. Enhanced accuracy supports the primary legislative intent that MDS be a tool to improve clinical assessment and supports the credibility of programs that rely on MDS. MDS 3.0 Information for the October 1, 2010 Implementation The following files are now available under the Downloads section of this page: - MDS 3.0 Item Subsets (V1.00) - This zip file contains printable documents with the required subset of data items for each MDS 3.0 assessment and tracking document (e.g. admission, quarterly, annual, significant change, discharge, entry, etc?29.
- MDS 3.0 Item Matrix (V1.00) - This document identifies the items required for each type of assessment along with how the item is used (e.g. QMs, QIs, CATs, RUG-IV, or RUG-III).
- MDS 3.0 RAI Manual - The publishing of the RAI manual has been delayed. It is anticipated that chapters 1, 2, 3, 5, and 6 will be published in November. Chapter 4 (Care Area Assessments (CAAs)) & Appendix C (CAA resources) will be posted in December. When published the manual will include: Description and instructions for types of assessments and tracking documents, each MDS 3.0 item, the Care Area Assessment, submission and correction of MDS 3.0 records, Skilled Nursing Facility and Swing Bed Prospective Payment System (SNF PPS) policy for the MDS 3.0, and the RUG-IV classification system.
Please Note: The data specification file published on October 29 contained an outdated file. An updated zip file labeled "Data Technical Files V1.01 November 2009" has been posted and contains the following MDS 3.0 technical specification information: - MDS 3.0 Data Submission Specifications (V1.00) - Detailed data submission specifications for MDS 3.0.
- RUG-IV SAS Package (V.100) - Thoroughly tested SAS code for RUG-IV classification with documentation and test data.
- RUG-III MDS 3.0 Mapping Specifications (V1.00) - This document presents logic that can be used to produce RUG-III classifications using assessment items contained on MDS 3.0.
- MDS 3.0 CATs Specifications (V1.00) - For each Care Area, this document provides Care Area Trigger (CAT) specifications for the MDS 3.0 items used in triggering the Care Area, the conditions for triggering, and Visual Basic code for triggering. The CATs are replacing the MDS 2.0 Resident Assessment Protocols RAPs.
Please Note: Although this is the material that will be applicable with the October 1, 2010 implementation, CMS strongly encourages that all parties refrain from or delay conducting training until after the "Train-the-Trainer" sessions have been completed (scheduled for the spring 2010.). Questions regarding the data specifications should be directed to MDS30Comments@cms.hhs.gov. The information listed below under the "Downloads" section is subject to change. CMS will communicate any changes to these materials on this page as well as through Open Door Forums hosted by CMS.
Page Last Modified: 11/06/2009 9:28:32 AM
Help with File Formats and Plug-Ins
Submit Feedback
|
Email
Print