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Do Your Residents Need Extensive Assistance? (The MDS as a 2nd Language) David L. Johnson, NHA RAC-CT Senior QI Specialist May 2013

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Outline of Presentation Impact of MDS Coding Regulatory Public Reporting / Image (i.e. Nursing Home Compare) Reimbursement Common Definitions vs. MDS Definitions Risk for the Development of a Pressure Ulcer Extensive vs. Limited Simple Illustrations

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Impact of MDS Coding MDS coding sets the stage for your regulatory survey. MDS coding feeds directly into the updated publically reported data posted nationally on Nursing Home Compare. MDS coding plays a significant role in the reimbursement received by a facility to care for the individual residents.

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Common Definitions vs. MDS Definitions Pressure Ulcer Risk Common accepted standard of practice Current research, use of a validated tool, subscale status, etc i.e. Braden Scale MDS 3.0 Calculation of Risk for the Development of a PU Comatose - (B0100 Comatose = 1) or Diagnosis of Malnutrition (Section I, Item I5600 is checked) or Impaired in Bed Mobility or Transfer

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Impaired in Bed Mobility or Transfer

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