MDS 3.0Things to Assess Carefully
Christa M. Hojlo, PhD, RN, NHA810 Vermont Ave, NW (114)Washington, DC 20420202-461-6779
Objectives
Learner will: Articulate history of MDS 3.0 Identify differences between 2.0 and 3.0 Address important aspects in the following
Sections: C Cognitive Patterns D Mood E Behavior M Pressure ulcers Q Participation in
Assessment and Goal Setting (discharge planning) Describe Care Area Assessment (CAA) Summary
History of MDS 3.0
VA involvement Testing 5 new sections
Identify Differences Between 2.0 and 3.0
Shorter Questions stated more clearly Evidence based
Special Sections
C Cognitive Patterns D Mood E Behavior M Skin Conditions Q Participation in
Assessment and Goal Setting (discharge planning)
Section C-Cognitive Patterns
Brief Interview for Mental Status (BIMS) Interview Staff assessment if resident not
interviewable Correlation with MMSE Summary score
Section D-Mood
Interview Staff assessment if resident not
interviewable Correlation with GDS Score
Section E Behavior
Direct observation required Impact on resident Impact on staff Section on wandering
Section M-Skin Conditions
New definition of pressure ulcers Where acquired Risk assessment required (facility can
select) Current number of unhealed and what
stage Unstageable Measure length, width, depth
Section M-Skin Conditions (cont’d)
Etiology important! Other ulcers, wounds, skin conditions Skin and ulcer treatments No reverse staging
Q Participation in Discharge Planning
Assessment and Goal Setting Interview – resident’s expectations Recommend social worker/discharge
planner assess Ties into Olmsted Act Discharge into community assessed and
addressed
Care Area Assessment (CAA) Summary
What is CAA? CAAs vs. RAPs Who participates Why is this important
Summary
MDS 3.0 designed to improve the assessment of residents using improved questions that have been tested.
New Sections and implications Good training is very important
Thank You!
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