Seminar on MDS 3.0 Arif Nazir MD CMD 8/12/10 Barriers to MDS Use.
MDS. 3.0 IMPLEMENTATION PLANNING
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Transcript of MDS. 3.0 IMPLEMENTATION PLANNING
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MDS. 3.0 IMPLEMENTATION
PLANNING
The Next “Generation of Quality Services”
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IMPLEMENTATION SCHEDULE
Topic/ Task Action Plan
Responsible
By
3/1/09 5/30/09 6/30/09 8/30 – 10/1/09
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IMPLEMENTATION PLAN DETAILS Determine at your facility those tasks that
will lead you to a smooth implementation. Not all of the tasks have been included,
but the provided Attachment will give you some “clues” as to assist with planning ahead, along the way and on implementation day. You should have smooth sailing.
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MDS 3.0 PLAN
Identify all the topics that you know will need to be included
Identify who is responsible Set the time frames and who is
responsible for each All may not be sequential, several
tasks can go on at one time Identify your budget $$$
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PRE-MDS 3.0
Orient Staff who will be responsible for knowing/understanding the MDS requirements. Do that task NOW!!
Identify early who will orient, train, assist with preparation, review of current processes, implementation, quality assurance, etc. i.e. Licensed Nursing Staff, CNS, Dietary, Social Service, Activities.
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PRE-MDS 3.0 -2
“Note - each of these should be separate steps……”
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OBTAIN THE MDS 3.0
Place the MDS 3.0 in electronic folder MDS 3.0 – actual document*** MDS Development & Validation of a
revised Nursing Home Assessment tool –”Rand report” Separate out from MDS
MDS Crosswalk***
***=key items for staff focus
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DESIGNATE STAFF/CONSULTANTS Develop experts for each section of
the MDS List the person/expert…
Note: This is a good way to evaluate the assessments/manuals or electronic
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RE-EVALUATE …RE-EVALUATE Re-evaluate work flow of
Assessments, including the MDS change process of interviews
MDS 3.0 and other data collection vs. MDS completion
Flow CHART – FLOW CHART the different processes, who does what by when, how, down to data entry time lines. Include scheduling, involvement of the resident>>family/responsible party.
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ASSESSMENT EVALUATION
Review the manual and electronic assessment tools Cross-walk items and intent against the
MDS 3.0 (use the MDS crosswalk). Identify items on the MDS 3.0 vs.
local clinical assessments (manual and automated)
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IDENTIFY OTHER DOCUMENTATION Start the evaluation of the
assessments, ADL documentation, nutritional, social, activities, therapy, physician’s H & P and progress notes, Therapy, et’l
Identify other assessments
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CRITICAL EVALUATION
MANUAL Electronic..
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UPDATE DOCUMENTATION When final MDS 3.0 March 1, 2009… Modify assessments, ADL, etc.
either manual or automated TEST TEST TEST the MDS 3.0 with
each assessor Test MDS 3.0 with
resident/family in advance
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PROJECT PREPARATION
MDS 2.0 vs. 3.0 Assess current MDS 2.0 accuracy Evaluate how resident input are
obtained, especially cognitive & mood Evaluate current assessment methods,
i.e., falls, restraint, pain, pressure ulcers, behaviors related to medication usage
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RESOURCE ASSISTANCE
Part of Implementation Plan – Who Does What by When Work with consultants:
Utilize for the planning, training plan, policy & procedural developments, etc.
Assist the re-enforcing the MDS 3.0 changes – train staff in advance – practice the actual instrument re: understanding of content
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RESOURCE ASSISTANCE -2
Part of Implementation Plan (cont.) Work with software vendor:
preparation, review of templates, administrative, etc.
Identify all the items and time frame and include in the project plan, under responsible and date
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MDS 3.0 TRAINING MANUAL WITH PLAN Identify training coordinator at various
levels, corporate (if applicable), each facility, consultant’s role
Work with consultant to assist the re-enforcing the MDS 3.0 changes – train staff in advance – practice the actual instrument re: understanding of content
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MDS 3.0 TRAINING MANUAL WITH PLAN -2
Identify (cont.): Key training and resource experts The training process
How you will train, by module and who Develop the detailed plan
Training Matrix – who will take which module
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MDS 3.0 TRAINING MANUAL WITH PLAN -3
Identify the training profile for each person to receive training to track training initially and follow up
Prepare Instructor Guides, exercises, cue cards, handouts
Other guidance, in addition to the above, and include schedule, who gets trained in what
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MDS 3.0 TRAINING MANUAL WITH PLAN -4
Work with software vendors to facilitate transition Set schedules for developing & testing Review manual/auto assessments Accept or modify Review reports, query processes, alerts,
etc. Test…Test…Test
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MDS 3.0 TRAINING PLAN -2
Identify who needs to be trained in MDS 3.0 philosophy and specific sections
Name Task Task Follow Up
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INDICATOR / QUALITY ASSURANCE Develop QA Tools
Use current tool for MDS 2.0 for review and documentation
Assure MDS 2.0 accuracy Test MDS 3.0 Develop MDS 3.0 Tool by using vendor
software or software and manual audits combined
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INDICATOR / QUALITY ASSURANCE -2
Health Information / Record Monitor Tools Review current monitoring tools Modify as needed Train all applicable staffs
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THANK YOU!